CHAPTER 10 RSI IN ED TRAINING

Rapid-sequence Intubation at an Emergency Medicine Residency: Success Rate and Adverse Events During a Two-year Period

Tayal VS, Riggs RW, Marx JA, et al. Acad Emerg Med. 1999;6(1):31–37

BACKGROUND

During the 1980s and early 1990s the use of neuromuscular blocking agents for rapid sequence intubation (RSI) was demonstrated to improve intubation success rates and outcomes for patients requiring airway management in the ED. While prior studies had shown that RSI was safe and effective in community EDs, little published data existed to support the safe use of RSI by EM trainees. Institutional and interdepartmental resistance to the use of paralytics by EM trainees persisted, in part due to this knowledge gap.

OBJECTIVES

To evaluate the rate of successful intubation, as well as major adverse events, related to RSI in an EM residency program.

METHODS

Observational study conducted at an urban, tertiary care ED and Level I trauma center with an EM training program between 1993 and 1994.

Participants

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