What causes an anticipated clinical course or deterioration requiring rapid sequence intubation (RSI)?

Updated: Apr 07, 2020
  • Author: Keith A Lafferty, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Anticipated clinical course or deterioration (eg, need for situation control, tests, procedures), as follows:

  • Uncooperative trauma patient with life-threatening injuries who needs procedures (eg, chest tube) or immediate CT scanning
  • Stab wound to neck with expanding hematoma
  • Septic shock with high minute-ventilation and poor peripheral perfusion
  • Intracranial hemorrhage with altered mental status and need for close blood pressure control
  • Cervical spine fracture with concern for edema and loss of airway patency

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