(the following was an offlist reply (and my reply to it) - I have Maurice's
permission to post here)
Maurice wrote:
> Would have to suggest that rapid (and only to avoid deoxygenation of the
> patient) is the way the induction is performed, not that you have to come to
> the decision so quickly that you forget the basics. Even a compromised
> airway needs cleaning and inspection in a timely manner. Preparation and
> regular team sequence practice then makes it a safe option.
>
Hi Maurice
Thanks for the response!
Yes - which is where the thought I posted was/is headed. The concept being
that in the teaching of 'intubation of the airway compromised patient (or
predicted airway compromised patient' (as is often the case when intubation
is considered for transport)' the word 'Rapid' leaves a false impression on
a learner (particularly one who may have to be performing this for real for
the first time a year after they are taught) that their actions need to be
rushed and that some level of panic or lack of precision might be produced
in the intubator or assistant.
So the subtext of the posed question might something like 'should we look
at renaming RSI for the Emergency Dept, or when we teach it or not at all?
Would you mind me posting this back to the list (your reply came only to me
I think)
Cheers
Jel
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