R.S.I. (Rapid Sequence Intubation)
A series of techniques using neuromuscular blockers designed to
paralyze a patients
small muscles such that ET / Combutube intubation can be accomplished.
Skill approved by the State of California Emergency Medical Service
On 01/14/97 Angie Mendoza of the EMSA office advised Mel Ochs, M.D., F.A.C.E.P. (Medical Director, County of San Diego, Department of Health Services, Division of Emergency Medical Services) that we have been officially approved by the State of California E.M.S. Authority for the San Diego County PreHospital RSI study and that the letter confirming this will be sent immediately. She was advised that we intended to begin the study as soon as possible and that our projected timeline was to begin 1 July. But, if it would be too disrupted by the transition to the new paramedic provider for the City of San Diego on that date, the implementation date would move back to 1 September.
Committees have been actively working on the training and implementation programs. We are official!
Doctor Ochs would like the thank you all for your help so far and of course, your support in the future!
> 100 Kg
> 225 lbs.
may repeat Q 30 min
|2 mg = 0.4 cc
1 mg = 0.2 cc
|2.5 mg = 0.5 cc
1 mg = 0.2 cc
|3 mg = 0.6 cc
1 mg = 0.2 cc
may repeat X 1 only
|80 mg = 4.0 cc
||120 mg = 6.0 cc
||160 mg = 8.0 cc
May repeat prm
|40 mg = 4.0 cc
10 mg = 1.0 cc
|60 mg = 6.0 cc
15 mg = 1.5 cc
|80 mg = 8.0 cc
20 mg = 2.0 cc
Repeat Q 3 min for BP > 160 and HR > 90
|2 mg||2 mg||2 mg|
Contact the county medical director: Send E-Mail to:
Mel Ochs, M.D., F.A.C.E.P. Medical
Director, County of San Diego, Department of Health Services, Division of
Emergency Medical Services.
Send E-Mail to:
The San Diego Paramedics.
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