Endotracheal intubation 7P's

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  • ENDOTRACH-EAL INTUBATION
    • 1. Preparation.
      • Kit dump
      • Plan A.B,C
      • Allocate roles
    • 2. Pre-oxygenate
      • 100% 15L via BVM
      • Adequate chest rise and fall
      • Sats >92%
      • ECG attached
      • 8 Emergency breaths
      • VERBALISE
    • 3. Plan
      • Communicate!
      • Plan for procedure
      • Fail planning and ensure assistant knows what is required of them
      • Equipment for plan and fallback is in place and ready
      • Kit Checklist completed
    • 4. Position
      • 360  degree access if possible
      • Supine
      • Consider lighting & environment
    • 5. Protection
      • Working Suction
      • BURP
      • Selicks
      • Thyroid cartilage pressure
    • 6. Placement- with proof!
      • Visualise and verbalise
      • Use a Bougie
      • Check length at teeth 22-24cm (adults)
      • Bilateral chest rise and fall
      • Bilateral auscultation in 4 places
      • ETC02
    • 7. Post-intubation care
      • Confirm ETT is secure prior to moving
      • Attach to ventilator or BVM
      • Keep monitor close by and in eyeline of primary clinician
      • Document
        • Pre-intubation assessment
        • Procedure
        • Observations

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