Prepare Patient

Prepare Equipment

Prepare for Difficulty

Prepare Team

Check:

• Pulse oximeter
• BP (every 2 min)
• Capnography
• ECG

Optimal positioning:

• Ramping in obese patient.
• 30° head up for head injury
• Neck immobilization for suspected C-spine injury

Good IV access with fluid running.

Adequate preoxygenation.

Check for Oxygen Supply.

Check for Airway equipment:

1. Facemask
2. Airway adjuncts
3. Self-inflating bag
4. 2 laryngoscopes
5. Appropriate ET tubes
6. Suction

Check for Drugs:

1. RSI drugs
2. Vasopressor
3. Maintenance of sedation and paralysis

Prepare for difficult airway if anticipated:

1. VDO laryngoscope
2. LMA
3. Cricothyroidotomy kit

Difficult airway trolley present.

Oxygenation plan in event of failed intubation.

Other specific problems anticipated?

Confirm roles:

1. Intubate
2. Drugs
3. Cricoid pressure
4. In-line stabilization (C-spine injury)

Senior help accessible.