1062 MESA COUNTY EMS SYSTEM GUIDELINES: RAPID SEQUENCE INDUCTION (RSI)

***** THIS PROTOCOL ONLY APPLIES TO APPROVED ***** *****CRITICAL CARE CERTIFIED *****

RAPID SEQUENCE INDUCTION INTUBATION PROCEDURES

There are times when patients need to have their airway secured before they have lost their gag reflexes. The following guidelines will be followed by those in the Mesa County EMS System who have attained their Critical Care credential from the State of Colorado AND have been through the additional training and approval process mandated by the MCEMSD prior to attempting this procedure.

PROCEDURE

The following two pages outline the genera procedure for RSI as outlined by the State of Colorado Department of Health and the EMPAC. This will be the basis for proper procedure for RSI in Mesa County.

MEDICATIONS

In Mesa County, the following medications will be approved:

Induction – 1.5 mg/kg IV or averages as outlined in drug protocol

Paralysis – Rocuronium 1.2 mg/kg IV or averages as outlined in drug protocol

Post-paralysis – and

ADDITIONAL APPROVAL

This protocol applies ONLY to Paramedics in Mesa County who have successfully obtained the Critical Care endorsement from the State of Colorado, AND who have obtained approval from the EMSMD for the heightened training and CME requirements which accompany this skill.

There will be specific, personal education with the EMSMD

There will be live patient intubation requirements which must be attained to remain on this protocol

There will be ongoing additional CME requirements to remain on this protocol

THIS PROTOCOL WILL ONLY APPLY TO PATIENTS 13 YEARS OLD AND GREATER

Mesa County EMS System Guidelines Approved March 1, 2019. Next Revision: January 2020 1062 MESA COUNTY EMS SYSTEM GUIDELINES: RAPID SEQUENCE INDUCTION (RSI)

Mesa County EMS System Guidelines Approved March 1, 2019. Next Revision: January 2020 1062 MESA COUNTY EMS SYSTEM GUIDELINES: RAPID SEQUENCE INDUCTION (RSI)

Mesa County EMS System Guidelines Approved March 1, 2019. Next Revision: January 2020