Run Time: 4 minutes

Author: Dr. Brent Levy

Educational Pearls:

• Etomidate: longer acting and causes less hemodynamic instability, but causes adrenal suppression – not good for septic patients.
• Propofol: quick acting, but causes hemodynamic instability – not good for hypotensive patients.
• Ketamine: does not suppress the breathing drive, but increases HR – not good for card patients.
• Succinylcholine: short acting paralytic, but not good for burn patients or hyperkalemia patients or patients with a history of malignant hypothermia.
• Rocuronium: longer acting paralytic, and is okay to give to the patients with the conditions described above.
• Delayed Sequence Intubation: good for patients who do not have adequate preoxygenation – normally a sedative is given prior to preoxygenation – may even avoid intubation all together.

References:  http://emcrit.org/wp-content/uploads/preox-deox-dsi-in-the-ed.pdf