Drug Assisted Intubation - Revision history

Jonesk: /* Paralytics if needed: */

2026-03-27T12:49:40Z

Paralytics if needed:

← Older revision		Revision as of 12:49, 27 March 2026
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	==== Paralytics if needed: ====		==== Paralytics if needed: ====
	*If intubation is unsuccessful due to the patient being clinched, strong gag reflex, or seizure, consider Succinylcholine: Adult 1.5mg/kg. Pediatric 2mg/kg.		*<s>If intubation is unsuccessful due to the patient being clinched, strong gag reflex, or seizure, consider Succinylcholine: Adult 1.5mg/kg. Pediatric 2mg/kg.</s>
	*Do not administer to patients with Hx of HYPERKALEMIA, RHABDOMYOLYSIS, Severe Burns and Malignant hyperthermia. (i.e. peaked T waves, kidney insufficiency, renal failure, acidosis, crush injuries.)		*<s>Do not administer to patients with Hx of HYPERKALEMIA, RHABDOMYOLYSIS, Severe Burns and Malignant hyperthermia. (i.e. peaked T waves, kidney insufficiency, renal failure, acidosis, crush injuries.)</s>
	*If ventricular dysrhythmias are present after medication administration, consider Calcium Chloride.		*<s>If ventricular dysrhythmias are present after medication administration, consider Calcium Chloride.</s>

	====Placement and proof:====		====Placement and proof:====

Jonesk at 11:26, 27 March 2026

2026-03-27T11:26:32Z

← Older revision		Revision as of 11:26, 27 March 2026
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	*Administer [[Morphine_Sulfate\|MORPHINE]]: Adult 2-20mg		*Administer [[Morphine_Sulfate\|MORPHINE]]: Adult 2-20mg

			==== Paralytics if needed: ====

	====Paralytics if needed:====
	*If intubation is unsuccessful due to the patient being clinched, strong gag reflex, or seizure, consider Succinylcholine: Adult 1.5mg/kg. Pediatric 2mg/kg.		*If intubation is unsuccessful due to the patient being clinched, strong gag reflex, or seizure, consider Succinylcholine: Adult 1.5mg/kg. Pediatric 2mg/kg.
	*Do not administer to patients with Hx of HYPERKALEMIA, RHABDOMYOLYSIS, Severe Burns and Malignant hyperthermia. (i.e. peaked T waves, kidney insufficiency, renal failure, acidosis, crush injuries.)		*Do not administer to patients with Hx of HYPERKALEMIA, RHABDOMYOLYSIS, Severe Burns and Malignant hyperthermia. (i.e. peaked T waves, kidney insufficiency, renal failure, acidosis, crush injuries.)
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	====Remember to titrate to effect all medications administered====		====Remember to titrate to effect all medications administered====


	====ONCE THE DECISION IS MADE TO PERFORM (DAI), THE LEAD PARAMEDIC MUST CONSIDER THE FOLLOWING:====		====ONCE THE DECISION IS MADE TO PERFORM (DAI), THE LEAD PARAMEDIC MUST CONSIDER THE FOLLOWING:====
	*2 PERSON BVM.		*2 PERSON BVM.

Treloars at 23:56, 23 April 2020

2020-04-23T23:56:41Z

← Older revision		Revision as of 23:56, 23 April 2020
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	* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:		* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:
	Consider [[Lidocaine\|LIDOCAINE]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.		Consider [[Lidocaine\|LIDOCAINE]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.
	~~<!--*Administer [[Analgesics\|FENTANYL]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->~~
	*Administer [[Morphine_Sulfate\|MORPHINE]]: Adult 2-20mg		*Administer [[Morphine_Sulfate\|MORPHINE]]: Adult 2-20mg

	~~===Intubation attempt should be made after Fentanyl or Etomidate is administered.===~~

	====Paralytics if needed:====		====Paralytics if needed:====

Treloars at 23:55, 23 April 2020

2020-04-23T23:55:45Z

← Older revision		Revision as of 23:55, 23 April 2020
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	*Have all emergency airway supplies prepared and ready, (i.e. Bougie Tube, King Vision, King Airway, Cric-kit) Pre-oxygenate:		*Have all emergency airway supplies prepared and ready, (i.e. Bougie Tube, King Vision, King Airway, Cric-kit) Pre-oxygenate:
	* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:		* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:
	Consider [[Lidocaine\|~~Lidocaine~~]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.		Consider [[Lidocaine\|LIDOCAINE]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.
	<!--*Administer [[Analgesics\|~~Fentanyl~~]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->		<!--*Administer [[Analgesics\|FENTANYL]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->
	*Administer [[Morphine_Sulfate\|~~Morphine~~]]: Adult 2-20mg		*Administer [[Morphine_Sulfate\|MORPHINE]]: Adult 2-20mg

	===Intubation attempt should be made after Fentanyl or Etomidate is administered.===		===Intubation attempt should be made after Fentanyl or Etomidate is administered.===

Treloars at 23:55, 23 April 2020

2020-04-23T23:55:10Z

← Older revision		Revision as of 23:55, 23 April 2020
Line 18:		Line 18:
	*Have all emergency airway supplies prepared and ready, (i.e. Bougie Tube, King Vision, King Airway, Cric-kit) Pre-oxygenate:		*Have all emergency airway supplies prepared and ready, (i.e. Bougie Tube, King Vision, King Airway, Cric-kit) Pre-oxygenate:
	* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:		* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:
	Consider [[~~Antiarrhythmics~~\|Lidocaine]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.		Consider [[Lidocaine\|Lidocaine]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.
	<!--*Administer [[Analgesics\|Fentanyl]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->		<!--*Administer [[Analgesics\|Fentanyl]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->
	*Administer [[Morphine_Sulfate\|Morphine]]: Adult 2-20mg		*Administer [[Morphine_Sulfate\|Morphine]]: Adult 2-20mg

Treloars at 20:20, 22 April 2020

2020-04-22T20:20:37Z

← Older revision		Revision as of 20:20, 22 April 2020
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	Consider [[Antiarrhythmics\|Lidocaine]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.		Consider [[Antiarrhythmics\|Lidocaine]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.
	<!--*Administer [[Analgesics\|Fentanyl]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->		<!--*Administer [[Analgesics\|Fentanyl]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->
	*Administer [[~~Analgesics~~\|Morphine]]: Adult 2-20mg		*Administer [[Morphine_Sulfate\|Morphine]]: Adult 2-20mg

	===Intubation attempt should be made after Fentanyl or Etomidate is administered.===		===Intubation attempt should be made after Fentanyl or Etomidate is administered.===

Treloars at 21:10, 31 January 2018

2018-01-31T21:10:23Z

← Older revision		Revision as of 21:10, 31 January 2018
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	*IF THE KING AIRWAY FAILS, RETURN TO BVM.		*IF THE KING AIRWAY FAILS, RETURN TO BVM.
	*IF UNABLE TO VENTLATE VIA BLS BVM PERFORM SURGICAL CRICOTHYROTOMY		*IF UNABLE TO VENTLATE VIA BLS BVM PERFORM SURGICAL CRICOTHYROTOMY

			[[Category:Primary Care\|0205]]

Treloars at 17:13, 20 November 2017

2017-11-20T17:13:48Z

← Older revision		Revision as of 17:13, 20 November 2017
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	* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:		* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:
	Consider [[Antiarrhythmics\|Lidocaine]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.		Consider [[Antiarrhythmics\|Lidocaine]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.
	*Administer [[Analgesics\|Fentanyl]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg.		<!--*Administer [[Analgesics\|Fentanyl]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg. -->
	*Administer [[Analgesics\|Morphine]]: Adult 2-20mg		*Administer [[Analgesics\|Morphine]]: Adult 2-20mg

Treloars: /* ONCE THE DECISION IS MADE TO PERFORM (DAI), THE LEAD PARAMEDIC MUST CONSIDER THE FOLLOWING: */

2016-12-28T16:51:08Z

ONCE THE DECISION IS MADE TO PERFORM (DAI), THE LEAD PARAMEDIC MUST CONSIDER THE FOLLOWING:

← Older revision		Revision as of 16:51, 28 December 2016
Line 48:		Line 48:
	*2 PERSON BVM.		*2 PERSON BVM.
	*ESTABLISH THE AIRWAY - IF INTUBATION ATTEMPTS FAIL, RETURN TO BVM USE AND TRY TO KEEP SaO2 ABOVE 92% DURING ADDITONAL ATTEMPTS.		*ESTABLISH THE AIRWAY - IF INTUBATION ATTEMPTS FAIL, RETURN TO BVM USE AND TRY TO KEEP SaO2 ABOVE 92% DURING ADDITONAL ATTEMPTS.
	*IF UNABLE TO ESTABLISH A SUCCESSFUL INTUBATION OR VISUALIZE THE VOCAL CORDS, THE USE OF BOUGIE TUBE AND KING VISION CAMERA SHALL BE PERFORMED.
	*AN ATTEMPT TO PLACE THE KING AIRWAY SHALL BE MADE.		*AN ATTEMPT TO PLACE THE KING AIRWAY SHALL BE MADE.
	*IF THE KING AIRWAY FAILS, RETURN TO BVM.		*IF THE KING AIRWAY FAILS, RETURN TO BVM.
	*IF UNABLE TO VENTLATE VIA BLS BVM PERFORM SURGICAL CRICOTHYROTOMY		*IF UNABLE TO VENTLATE VIA BLS BVM PERFORM SURGICAL CRICOTHYROTOMY

Treloars: /* Prepare: */

2016-12-28T16:49:52Z

Prepare:

← Older revision		Revision as of 16:49, 28 December 2016
Line 18:		Line 18:
	*Have all emergency airway supplies prepared and ready, (i.e. Bougie Tube, King Vision, King Airway, Cric-kit) Pre-oxygenate:		*Have all emergency airway supplies prepared and ready, (i.e. Bougie Tube, King Vision, King Airway, Cric-kit) Pre-oxygenate:
	* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:		* If time permits, pre-oxygenate all patients via NRBM or BVM. 2 Person BVM is recommended once medications are administered. Pretreatment / Treatment:
	Consider Lidocaine 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.		Consider [[Antiarrhythmics\|Lidocaine]] 1.5mg/kg for patients with increased Intracranial pressure. (i.e. head trauma, brain tumor, stroke.) Administer as early as possible prior to intubation.
	*Administer Fentanyl: Adult 3mcg/kg. Pediatric 1-2mcg/kg.		*Administer [[Analgesics\|Fentanyl]]: Adult 3mcg/kg. Pediatric 1-2mcg/kg.
	*Administer ~~Etomidate: Adult 20mg, Max 40mg Lg Adult. Pediatric 0.3mg/kg Max 20mg.~~		*Administer [[Analgesics\|Morphine]]: Adult 2-20mg
	*Administer Ativan: Adult 0.5- 2mg
	*Administer Morphine: Adult 2-20mg

	===Intubation attempt should be made after Fentanyl or Etomidate is administered.===		===Intubation attempt should be made after Fentanyl or Etomidate is administered.===