Rapid-sequence intubation (RSI) is an important technique of airway management in the pre-hospital setting, however, this life saving procedure does not come without risks. Several different medications are available in the pre-hospital setting and it is imperative that paramedics are comfortable with deciding which induction and paralytic agents to use in a very stressful life or death situation. This lecture will compare and contrast the induction agents used for RSI as well as their evidentiary support. An in-depth discussion of succinylcholine and rocuronium will be discussed and describe different populations on when each induction and paralytic agent should be used.
Learning Objectives:
Describe the agents used for induction of RSI and the literature supporting them
Discuss succinylcholine vs. rocurconium and their respective pros and cons
Describe the ideal RSI pharmacotherapy for specific patient populations (e.g., trauma, septic, etc.)