Definition & Operational Usage of Rapid Sequence Intubation
What Is Rapid Sequence Intubation?
Administering a potent induction agent immediately followed by a paralytic drug to secure a definitive endotracheal airway without the patient vomiting or fighting the tube.
⚠️ Operational Safety Warning:Requires extreme caution; the patient loses their ability to breathe, requiring the provider to be perfect.
Why Rapid Sequence Intubation Matters on the Fireground
The standard of care for severe head trauma and respiratory failure where standard airway maneuvers fail.
Relevant NFPA Standards
- NREMT Standards: National Registry of Emergency Medical Technicians Practice Standards
- NFPA 455: Standard for Emergency Medical Services (EMS)
Field Procedures & Tactical Steps
- Position the patient in the sniffing position.
- Pre-oxygenate via BVM with 100% O2.
- Push Ketamine or Etomidate to sedate.
- Push Rocuronium or Succinylcholine to paralyze.
- Visualize the vocal cords, pass the tube, and inflate the cuff.
Common Context & Application
Helicopter EMS and advanced ground paramedic units.
Frequently Asked Questions about Rapid Sequence Intubation
What is the risk?
Failing to secure the airway after paralyzing the patient (can't intubate, can't ventilate).
Why use drugs?
To relax the jaw and suppress the gag reflex.
Other Names for Rapid Sequence Intubation
RSIIntubationAirway Management
Rapid Sequence Intubation may also appear in training materials, NFPA standards, or department SOPs as: RSI, Intubation, Airway Management.
Relevant Tools
Operational calculators related to Rapid Sequence Intubation:
Category:EMS & Medical
— Patient care, assessment, interventions, triage, and EMS system terms commonly used by firefighter/medics.