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 spontaneously. Uses inappropriate words. Obeys commands.

Choose at least 3 of the following:


Next

Is Intubation Indicated?

67 year old female. Eyes open spontaneously. Uses inappropriate words. Obeys commands. Hoarse Voice. Stridor is present. ABG: pO2=26 pCO2=80 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:


Next

Why is this a Difficult Airway (LEMON)?

67 year old female. Stridor is present. With the mouth open at rest, upper half of tonsillar fossa is visible. Mouth opens to a width of three finger(s). The distance between the mentum (chin) and hyoid bone is two finger width(s). The distance from the hyoid bone to the thyroid notch is two finger widths.

Choose at least 1 of the following:


Next

Is Pretreatment Indicated?

67 year old female. Head Injury.

Choose at least 1 of the following:


Next

Is Sedative Induction Indicated?

67 year old female. Head Injury.

Choose at least 1 of the following:


Next

Is Paralysis Indicated?

67 year old female. Head Injury. Severe burns 2 weeks ago that have yet to heal.

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: