PAI/RSI Medications

[1EMT-P]

What medications do you use for PAI/RSI in the field? Diazepam & Morphine.

[chbare]

My employer allows the following:

Etomidate: the only agent we can use for induction.

Anectine

Zemuron: If contraindications to depolarizing NMB's exist

Post intubation meds:

Diazepam

Midazolam

Morphine

Fentanyl

Vecronium

Take care,

chbare.

[paramedicmike]

Etomidate and succs to start.

Versed, Vec and fentanyl/morphine to follow up.

[Yummymedic05]

Versed first, Succs, then Norcuron.

[medic001918]

20 mg Etomidate.

Shane

NREMT-P

[WendyT]

smile your on candid camera, disposable ones that is. :wink:

[Paradude]

:roll: [/font:40c7f14b74]

[Paradude]

Sorry, I'm getting used to this forum.

There are problems with RSI, when initial induction is achieved with sedation rather than paralytics. Studies have shown that there is a higher risk of aspiration. Sedation should only be done with the intention of making the patient more relaxed and unable to remember the incident.

We use:

Lidocaine

Versed

Norcuron (test dose) for defasciculation

Succunylcholine

**intubate**

Norcuron (full dose)

Further Versed

Fentanyl for analgesia

Works well, and we have been doing it for some time now.

-Paradude- 8)

[flightmedic46]

Just be aware if you use versed in the trauma pt it will bottom out the BP. Etomidate seems to work well but not as long.

[Paradude]

Well, I'll admit that etomidate is a better choice, we just don't have it. I will admit further that BP must be monitored due to versed's effect, but it doesn't have the effect you think. It has yet to happen yet with its use with us in about 8 years.

-Paradude-