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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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Step 1: Ensure that all necessary equipment is available and functioning properly.
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Step 2: Preoxygenate the patient with 100% oxygen for at least three minutes.
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Step 3: Administer appropriate sedative and paralytic agents as per patient's condition and clinician's discretion.
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Step 4: Apply cricoid pressure to prevent regurgitation of gastric contents.
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Step 5: Insert laryngoscope into the patient's mouth, visualize the vocal cords, and assess for correct tube placement.
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Step 6: Inflate the endotracheal tube cuff and secure it in place.
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Step 7: Confirm correct tube placement by auscultation and capnography.
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Step 8: Check bilateral breath sounds and ensure proper ventilation.
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Step 9: Secure the endotracheal tube to prevent accidental dislodgement.
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Step 10: Continuously monitor the patient's vital signs and provide appropriate post-intubation care.

Who needs rapid sequence intubation manual?

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The rapid sequence intubation manual is needed by healthcare professionals who are responsible for performing the rapid sequence intubation procedure.
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This includes emergency physicians, anesthesiologists, critical care nurses, and paramedics who may encounter patients requiring intubation in emergency situations.
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It is also useful for medical students and trainees who are learning the procedure.

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