Prehospital RSI

[zmedic]

The problem with kiwi's data is what do you do with that in the US? It's apples and oranges. I think it's great that down there they have a great success rate, but like he said, they have medics with 6+ years of training and lots of experience. So I don't know what to do with that data when deciding if my medics (when I'm a med director) who have a year of training and 6 months of experience should be able to RSI.

I also think the need for RSI is going to go way down as more ambulances get BiPAP. It's reducing the number of tubes we're doing in the ER. And I think RSI is sorta an all or nothing thing. Either you are doing it all the time (like at least monthly) or you shouldn't get to do it. I don't want my medics trying to do RSI once a year.

[Kiwiology]

RSI is very handy to have for e.g. critical asthmatics, poorly oxygenating post-seizure or post-cardiac arrest and some severe trauma

It does however represent disproportinate clinical risk and is not something to be handed out lightly, its not like putting in a drip.

[ERDoc]

Hey zmedic, if you don't mind me asking, where are you doing your residency?

[zmedic]

New York City, manhattan.