Rapid Sequence Intubation

On the next page, a patient will present to you. Do they need an advanced airway? Are they a difficult airway? What to use for induction and paralysis? You decide the Rapid Sequence Intubation.

You can find an advanced airway cheat sheet on fpnotebook.com.

The LEMON mnemonic and specific induction and paralytic agent indications are derived from the Difficult Airway Course.

Get Started

Assign a Glasgow Coma Scale (GCS)

Eyes open to speech. Makes incomprehensible sounds. Flexes extremities in response to pain.

Choose at least 3 of the following:


Next

Is Intubation Indicated?

74 year old male. Eyes open to speech. Makes incomprehensible sounds. Flexes extremities in response to pain. Intractable vomiting and variable mental status. Tracheal injury. ABG: pO2=35 pCO2=26 on room air.

Choose at least 1 of the following:


Next

Evaluate neck proportions

Which of these criteria imply a more difficult airway?

Mallampati image
Choose at least 1 of the following:


Next

Name that Mallampati Class

With the mouth open at rest, upper half of tonsillar fossa is visible.

Mallampati image
Choose at least 1 of the following:


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Why is this a Difficult Airway (LEMON)?

74 year old male. Tracheal injury. With the mouth open at rest, upper half of tonsillar fossa is visible. Mouth opens to a width of one finger(s). The distance between the mentum (chin) and hyoid bone is one finger width(s). The distance from the hyoid bone to the thyroid notch is one finger widths. High-arched palate.

Choose at least 1 of the following:


Next

Is Pretreatment Indicated?

74 year old male. Acute Coronary Syndrome.

Choose at least 1 of the following:


Next

Is Sedative Induction Indicated?

74 year old male. Acute Coronary Syndrome.

Choose at least 1 of the following:


Next

Is Paralysis Indicated?

74 year old male. Acute Coronary Syndrome. CVA 5 days ago.

Choose at least 1 of the following:


Next

How did I do?

Here are the results for this quiz:
  • Number Correct:
  • Number Tried:
  • Percentage Correct:

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All detailed answers: