Summary: The Seven Ps of rapid sequence intubation

Action	Time
Preparation	10 minutes before intubation
Preoxygenation	5 minutes before intubation
Physiologic optimization	3 minutes before intubation (may be longer depending on necessary interventions and time available)
Paralysis with induction	Induction
Positioning with protection	30 seconds after induction
Placement (intubation) with proof	45 seconds after induction
Post-intubation management	60 seconds after induction

Used with permission from Brown III CA, Sakles JC, Mick N. The Walls Manual of Emergency Airway Management, 5th edition. 2018. Wolters Kluwer.

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