We have it here in our county but it is closely monitored when it is used. There is criteria that must be met in order for RSI to be used, then there is post- care follow up. I don't think it should be the standard nationwide. Each dept. has to consider how many times it would be used based on run volume that includes the number of times where RSI would've been used. There is also the costs involved, not to mention the obvious trainings and cont ed. that goes along with RSI. As of now we use it only for trauma pt's. with a GCS <8 where we need to secure a patent airway ASAP. Bottom line...No for national standards but certainly should be looked at on an individual basis.