Airway Equipment !
Physiology Optimised Allocate roles e.g
! Oxygen/ Guedel/ NP airway ! IV access location(s)
! Bag valve Mask & Circuit Team leader Anticipated difficulty?
! (Waters or Ayres T-piece) !
! Fluid running
! Airway assessed
! etCO2 attached to HME/Catheter Mt.
! (Use during preoxygenation) Intubator (1st / 2nd) Verbalise Oxygenation/
! 2 working laryngoscopes & alternate !
Positioned Appropriately Intubation &
Ventilation plans
! (McCoy or straight blade) ! Bed tips and height adjusted
! Tubes (see overleaf if necessary)
!
! Suction on
(2 Adults, 3 Paeds)
!
! Manual In-line Stabilisation
required?
Airway Assistant
Plan A
! Ear to Sternal notch in
! Lubricating Jelly/Bougie/Stylet
! Syringe/Tube fixation !horizontal alignment Cricoid Plan B
Drugs Pharmacology Plan Plan C
! Induction, Paralysis & Emergency
drugs drawn up
!
! Drugs checked and labelled Drugs
! Verbalise Drug doses (mg/kg) Plan D
! Infusions ready
! (Sedation/Inotropes) ! Post Intubation Plan
Monitoring Equipment ! Difficult airway trolley Runner ! Ventilator set up checked
!
!
etCO2 – waveform seen
BP – Cycling ! ! Infusions connected
! CXR requested
! ECG ! Defibrillator location
! SPO2 ! Gastric tube required?
B@EASE checklist by H Eason. Content/references available from www.rapidsequencechecklist.com Design © H Eason /UHSM/CMFT/SRFT!
How to use the B@EASE Rapid Sequence Induction Checklist
!
Step ONE: Quick Team Brief at decision to RSI
Minimum of 3 people
Remember TEAM INTRODUCTIONS
Use the checklist at this point as an aide-memoire to organise the
equipment and prepare the patient
Use a reliable source of information for drug doses and intubation guidelines.
Paediatric drug doses are available on www.crashcall.net
The Difficult Airway Society produce adult & paediatric airway guidelines
Consider cardiovascular status together with the risk of awareness
when choosing an induction agent & dose.
Step TWO: Use the Checklist prior to Induction
When everything is ready, and whilst the patient is being pre-
oxygenated, the Team Leader reads the whole checklist out just prior
to drug administration
Each box requires an answer, either “Yes/No” or a brief comment
For example:
Q - “2 working Laryngoscopes”
A - “Yes”
Q - “Manual In-line Stabilisation Required”
A - “Not required”
Q - “Verbalise Drug Doses and Volumes”
A - “___mg/Kg Induction agent =___mg = ___mls ”
Q - “Intubator (1st/2nd)”
A - “Dr X / Dr Y”
Use the aide on the right if necessary to structure “verbalising
your plan” for failed ventilation/intubation
Step THREE: After the RSI, consider a team debrief
B@EASE checklist by H Eason. Content/references available from www.rapidsequencechecklist.com Design © H Eason /UHSM/CMFT/SRFT!
