RSI Checklist

Emergency Consultant present or informed?

If difficulty anticipated, anaesthetics mobilised?

Allocate roles as required:

Preoxygenation optimal? Mask O2? Nasal prongs 15L? Consider CPAP?

IV access optimal? Fluid running opposite to BP cuff? Spare IV patent?

Patient condition optimised? BP seen? Fluid bolus required? Vasopressor required?

Patient position optimal? Occiput support? Ramping required?

Monitoring- BP? ECG? O2 Sats? ET CO2?

Drugs & Doses Checked? Induction agent? Paralytic agent? Vasopressor? Post RSI analgesia & sedation?

BVM attached to O2?

Suction working?

OPA/NPA?

Laryngoscope blade + light checked?

ETT selected + cuff checked?

Alternate ETT selected cuff checked?

Stylet + bougie?

Syringe for cuff inflation?

Tube tie?

Is this predicted to be a difficult airway?

If airway difficult could we wake the patient up?

What is Plan A

Plan B?

Plan C?

Plan D

Is equipment for plans B-D present?

Are any specific complications expected?

Immediate post-RSI care briefed?

Any questions from the team?

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