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New Hampshire Prehospital
Rapid Sequence Intubation Manual
2017
Version 1.0New Hampshire Bureau of EMS
33 Haven Drive
Concord, NH 03305
(603) 2714568Written By
Andrew Perelman, A.S., NRP, FPC
Contributors
Jim
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01
Step 1: Ensure that all necessary equipment is available and functioning properly.
02
Step 2: Preoxygenate the patient with 100% oxygen for at least three minutes.
03
Step 3: Administer appropriate sedative and paralytic agents as per patient's condition and clinician's discretion.
04
Step 4: Apply cricoid pressure to prevent regurgitation of gastric contents.
05
Step 5: Insert laryngoscope into the patient's mouth, visualize the vocal cords, and assess for correct tube placement.
06
Step 6: Inflate the endotracheal tube cuff and secure it in place.
07
Step 7: Confirm correct tube placement by auscultation and capnography.
08
Step 8: Check bilateral breath sounds and ensure proper ventilation.
09
Step 9: Secure the endotracheal tube to prevent accidental dislodgement.
10
Step 10: Continuously monitor the patient's vital signs and provide appropriate post-intubation care.
Who needs rapid sequence intubation manual?
01
The rapid sequence intubation manual is needed by healthcare professionals who are responsible for performing the rapid sequence intubation procedure.
02
This includes emergency physicians, anesthesiologists, critical care nurses, and paramedics who may encounter patients requiring intubation in emergency situations.
03
It is also useful for medical students and trainees who are learning the procedure.
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