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EMR
EMT
AEMT
Paramedic
Extended
Rapid Sequence Induction
Rapid Sequence Induction
Universal Patient Assessment
Adult Airway Protocol
Adult IV or Humeral IO
Ensure patency and secure well
Cardiac Monitor
RSI Preparation Procedure
Prepare for 3 Plans (in order from A to C
with BVM and OPA attempt between)
Plan A
RSI Procedure
Plan B
Rescue Airway
Plan C
Emergency Airway
RSI Procedure
1 attempt at
laryngoscopy
RSI Procedure Fails
Supraglottic Airway
Patent Airway?
Secure supraglottic device
and continue ventilating
while reassessing patency
Yes
No
Inability to secure
patent airway
Melker or Surgical
Cricothyrotomy
Procedure
#1
#2
#3
Able to ventilate?
Airway Secure?
Secure and maintain
airway
Continuous reassessment
of patency
No
Yes
You must be a Paramedic
specifically approved by
your agency’s chief and
medical direction to
perform RSI!