Airway / Critical Care

B@EASE RSI Checklist

Structured Rapid Sequence Induction checklist for Emergency Department intubation. Covers equipment, airway assessment, staff allocation, and the failed airway emergency plan (Plans A-D).

0/27 items checked

Airway Equipment

Drugs

Monitoring

Physiology Optimised

Positioned Appropriately

Manual In-line Stabilisation Required?

Pharmacology Plan

Role Allocation

Post-Intubation Checklist

Failed Airway Algorithm

A

Direct Laryngoscopy

Attempt tracheal intubation. Optimise position, use bougie/stylet.

Succeed — Confirm with etCO2/Failed intubation
B

Supraglottic Airway (if appropriate)

Insert LMA or other supraglottic device. Consider FOI through SGA or video laryngoscopy.

Succeed — Oxygenate via SGA/Failed oxygenation
C

Revert to Face Mask

Oxygenate & ventilate with face mask. Consider 2-person technique, oropharyngeal airway, jaw thrust. If succeed, awaken patient.

Succeed — Awaken patient/Failed oxygenation
D

Rescue — "Can't Intubate, Can't Ventilate"

Cricothyroidotomy

  • Cannula cricothyroidotomy (needle technique)
  • Surgical cricothyroidotomy (scalpel-bougie-tube)
  • Call for senior help immediately (Anaesthetist / ENT)

B@EASE RSI Checklist © Dr H Eason. Algorithm adapted from DAS guidelines (Henderson JJ et al. Anaesthesia 2004). Enhanced with clinical pearls by Dr Sumit Mandal.