RSI meds

Etomidate and sux is what we use on nearly everybody. Not supposed to use sux on burns due to related hyperkalemia (sux combined with cell destruction increases K release 24-48 hours post incident if I recall correctly.) Etomidate is supposedly very good due to it's minimal effect on hemodynamics.

Never used ketamine before. Need to learn more about it.

they recently took away out roc and replaced it with vec. i like them both. ketamine rules!

out of curiosity...

what meds do your docs like to use for RSI. anybody using ketamine, read that it can be useful in hypotensive pt.s and especially with status asthmaticus.

our docs like to use either Succ or Vec, when the residents rotate through they call for Etomidate but we dont use it in our hospital I wish we did.

Our docs almost always use sux and etomidate it seems. I have seen the vec used on occassion. I have also used versed on occassion for sedation as well.

it just depends on what doc is on. usually sux and versed. i've seen etomidate and vecuronium and rocuronium though. never seen ketamine.

Etomidate and sux is what we use on nearly everybody. Not supposed to use sux on burns due to related hyperkalemia (sux combined with cell destruction increases K release 24-48 hours post incident if I recall correctly.) Etomidate is supposedly very good due to it's minimal effect on hemodynamics.

Never used ketamine before. Need to learn more about it.

We use Etomidate and sux also. If we need to re-sedate prior to arrival, we give em another 20 of sux. If its a dialysis patient, and one with burns or crush injuries over 24 hours old(when would we run into this?) we would use vec. I have heard that Ketamine works well.

Pick up a copy of "Emergency Airway Management" by Walls. It will answer all of your emergency airway questions and more.

I like succinylcholine and etomidate for most. Ketamine is great for asthma (bronchodilation).

Never use vecuronium for initial induction, takes too long, rocuronium is quicker but lasts too long at the dose needed for quick induction.

Succs is the way to go in the ER even with burns (unless transferred in 2-3 days after event. Would only avoid with globe injury or muscular disease or delayed presentation after trauma or Hx of malignant hyperthermia.

mostly we use succs and versed and then a continued versed gtt.

mostly we use succs and versed and then a continued versed gtt.

Although this happens "in the field", I thought I'd answer because we do RSI. We use Versed, Vec & then Ativan.

:balloons: