RSI Medications - Emergency Nursing / Rapid Sequence Intubation

In this video, we cover the medications used in Rapid Sequence Intubation!

⚡Team Work Makes the Dream Work!
⚡Proactive Not Reactive!
⚡Take a Deep breath, you got this!

💥-Be Proactive Not Reactive! Be prepared ahead of time for anything! Ensure that your rooms are stocked and ready for business. Suction? Oxygen? Ambu Bags? Pulse oximetry? Cardiac monitor leads? Bp cuff? Do you know where your IV supplies are? Is the crash cart readily available? Is your glucometer ready for business?
💥-Team Work Makes the Dream Work! The Emergency Department is dynamic, if you don't work as a team, you will not succeed. Help each other and have fun at the same time. Remember, its One Team.
💥-You will not know everything, EVER, and that's ok! This specifically applies to new grads! Ask questions, lots of them! If everyone is super busy, wait until patients are stabilized, then ask away! The more you know, the more confident you'll be, and at the same time you'll realize how much you actually don't know. So, ask more questions.
💥-Charting is extremely important! HOWEVER, patient care ALWAYS comes before charting! Take notes on a piece of paper as the what is happening with times, then when you do get a chance to sit down, chart away. But don't forget, patient care comes above anything else.

❗ATTENTION❗: The information provided in this video lecture is purely educational, please follow your hospitals or organizations guidelines and policies. The information provided is also not meant to substitute the guidance and care provided by your primary care provider.

❗ATTENTION❗: The links listed above are affiliate links. If a product is purchased through these links I may be receiving a small percentage of the price. Note that it is at no additional cost to you!

[sweetyhond]

Respiratory Therapist here. I work for a hospital where we intubate. I found your video very informative as most of the time we intubate is during codes in which meds aren't needed. I've seen that our hospital uses Etomidate and Roc as their go-to for RSI. Thank you for this video!

[mccullbl]

Longtime flight nurse here. Definitely not the smartest person in the room, but I have seen a lot of bad outcomes from RSI. It might be a benefit to take another look at etomidate as an induction agent for septic patients or patients with low blood pressures or anyone who has been sick for a long time before getting intubated. Etomidate is actually recommended in a half dose if that is the only sedative available for patients with low blood pressures, or any condition where their sympathetic drive can be knocked out because it can actually tank their blood pressure and possibly cause arrest. Ketamine is now the preferred agent for patients with shock. Good video to try to help introduce nurses to the world of RSI, but definitely needs to be updated with current practice.

[thedemonsmademedoit]

Ketamine has been found to be safe for neuro patients as it does not increase ICP.

[RR......]

Great video thanks! Seen it at keast a few times.

[parterachida]

THANK YOU!!!I love your channel, super helpful for me as a new ED nurse!

[MissAdventure]

Thank you for the review. I am an emergency nurse who has had multiple episodes of anesthesia awareness and recall during surgeries I have had. I really would have liked to hear more about lidocaine and dexmedetomidine as those are normally used to put me to sleep for surgery and I have seen those also used in critical care units. When I accidentally got the paralytics (vecuronium and succinylcholine) first by mistake, it was incredibly scary to be wide awake and not be able to move or breathe, but was in retrospect a great first-hand experience lesson on why the anesthetic must be given first and given enough time to work.

[belindamiller]

Awesome simple reasons why you use certain medications during intubation. Great aid to help when precepting new nurses!

[Jessicad]

How fast do you push the sedative then the paralytic?