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. Uses inappropriate words. Extends extremities in response to pain.

Choose at least 3 of the following:


Next

Is Intubation Indicated?

61 year old male. Eyes open to speech. Uses inappropriate words. Extends extremities in response to pain. Unable to speak or swallow. Large neck hematoma. ABG: pO2=73 pCO2=78 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)?

61 year old male. Large neck hematoma. With the mouth open at rest, upper half of tonsillar fossa is visible. Mouth opens to a width of two finger(s). The distance between the mentum (chin) and hyoid bone is three finger width(s). The distance from the hyoid bone to the thyroid notch is two finger widths. Cervical spine immobilization.

Choose at least 1 of the following:


Next

Is Pretreatment Indicated?

61 year old male. Acute Coronary Syndrome.

Choose at least 1 of the following:


Next

Is Sedative Induction Indicated?

61 year old male. Acute Coronary Syndrome.

Choose at least 1 of the following:


Next

Is Paralysis Indicated?

61 year old male. Acute Coronary Syndrome. Cervical spine injury in MVA 2 weeks 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: