Checklist for Intubations in the Emergency Department
TEAM
PATIENT
 Further help required
IV / DRUGS / MONITORING
 Pre-oxygenation optimal
 Fluids connected, IV/IO runs easily
 Team members introduced by
-
Nasal prongs
 Spare IVC
name & role, briefing by team
-
Consider NIV
 Monitor: ECG, BP, SaO2
leader:
 Patient position optimal
 NIBP opposite arm to IVC
-
Manual Inline Stabilisation
 Patient haemodynamics optimal
 Baseline BP seen
-
Laryngeal
 Fluid bolus
 RSI drugs drawn up, doses chosen
manipulation/cricoid
 Pressors
 Post-intubation sedation plan
-
Drugs
-
Assistant intubator
 Drugs drawn up
Does it look like it might be a:
EQUIPMENT
 Difficult intubation plan brief
 Difficult BVM
 Suction working
 Anticipated problems – does
 Difficult laryngoscopy
 BVM with EtCO2 connected
anyone have questions or
 Difficult supraglottic airway
 Oropharyngeal and 2 x
concerns?
 Difficult cricothyroidotomy
 Further help required
Nasopharyngeal airways available
 C-MAC as first-line
 2 x working laryngoscopes
-
correct blade size
 ETTs chosen, cuffs tested
 Bougie/stylet
 Tube tie or tapes ready
 Ventilator circuit attached
 LMA sized and available
 Surgical airway equipment available
Basic Generic Template for you to adapt to your local equipment and institution requirements