Pre-arrival checklist in preparation for airway management of adult trauma patient* |
- Oxygen mask and nasal cannula available and connected to oxygen
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- Bag-valve mask with ETCO2 attachment available
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- Suction available and working
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- Direct laryngoscope handle and blades available and functional (light works)
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- Tracheal tubes (multiple sizes) and stylet available; tube shaped straight to cuff
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- Tracheal tube introducer ("bougie") available
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- Rescue airway devices available (eg, laryngeal mask airway, King airway)
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- Cricothyrotomy kit available
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- Video laryngoscope available; monitor positioned appropriately
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- IV catheters and isotonic fluids available
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- Individuals designated to provide cervical spine stabilization and airway assistance
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- Airway plan verbalized (primary plan and back-up plan)
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- Respiratory therapist notified; mechanical ventilator brought to bedside
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Pre-induction checklist for intubation of adult trauma patient* |
- Pre-arrival checklist completed
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- Airway plan confirmed between trauma and ED attending physicians (if necessary)
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- Induction and NMBA medications and doses confirmed, and drawn up in labeled syringes
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- Cervical spine stabilization initiated (if necessary)
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- Pre-oxygenation underway: mask at 15 L/minute and nasal cannula at 5 L/minute
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- Patient positioning optimized
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- Blood pressure cuff placed on arm opposite that of IV line and pulse oximetry probe
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