meta_pixel
Tapesearch Logo
Log in
Trauma ICU Rounds

Episode 2 - Airway Management during the COVID-19 Pandemic: Rapid Sequence vs. "Protected" Intubation

Trauma ICU Rounds

Dr. Dennis Kim

Emergency General Surgery, Critical Care, Foam, Intensive Care, Education, Health & Fitness, Science, Life Sciences, Acute Care Surgery, Trauma Surgery, Medicine, Medical Education

4.8663 Ratings

🗓️ 3 April 2020

⏱️ 23 minutes

🧾️ Download transcript

Summary

In this episode we explain what rapid sequence intubation or RSI is and the indications for its use in securing a definitive airway. More importantly, we share lessons learned regarding COVID-specific considerations for intubating patients with acute hypoxemic respiratory failure. Support the show

Transcript

Click on a timestamp to play from that location

0:00.0

From the classroom to the emergency room, O.R. and beyond. You're joining trauma ICU rounds with your host, Dr. Dennis Kim.

0:11.8

I'd like to welcome you back to episode two of trauma ICU rounds. I'm your host, Dr. Dennis Kim. I hope that everyone is doing their very best to stay safe and healthy during these

0:21.7

trying times. I'd like to start the show today by giving a shout out to all of the brave and

0:26.4

fantastic folks out there that continue to be on the front lines, providing meals, security,

0:31.5

and care to those of us in need. I'd especially also like to thank all of my wonderful colleagues,

0:36.4

partners, and friends at Harbor, UCLA Medical Center in Torrance, California, for continuing to show up each and every

0:42.3

day to work and continuing to provide world-class care to our patients, their families, and loved

0:48.2

ones. And for our friends and colleagues on the East Coast and other epicenters of the coronavirus,

0:53.7

please know that you guys

0:54.8

are always in my thoughts and prayers, and please do let us know what we can be doing to further

0:59.4

support your efforts.

1:01.7

Now, in keeping with our airway and breathing theme for these first few episodes, today I want

1:06.2

to spend a little bit of time discussing rapid sequence intubation or RSI and contrast it with what's

1:12.6

come to be known or labeled as a protected airway or protected intubation. In doing so, I'd like to

1:19.3

share with you some of the findings and tips that we've learned during the course of routine

1:23.5

clinical care and in the process of running multidisciplinary in situ simulations,

1:28.7

to assess the response of our hospital-wide emergency airway response team, which is staffed

1:33.6

by friends in the ER and anesthesia. So by the end of rounds today, you should be able to,

1:38.8

number one, describe the steps involved in performing rapid sequence intubation, also referred to as drug-assisted intubation.

1:46.8

And the second objective of today's rounds is to really get you to pause, think, and prepare

1:52.7

before rushing into a patient's room to secure a definitive airway, particularly in this day and age.

1:59.4

As many of you have heard me say around the workplace,

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Dr. Dennis Kim, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Dr. Dennis Kim and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2025.