Reducing failure rate in rapid sequence intubation in emergency department

Establishment of a patent and secured airway is a fundamental and central component of any resuscitation of an unstable patient. Without oxygenation and adequate ventilation, all effort or life-saving manoeuvre will fail. 

Endotracheal intubation is a live saving intervention in emergency with little room for error and must be performed in a limited time frame. Longer or repeated intubation attempts are associated with adverse clinical outcomes. Airway management using technique of rapid sequence intubation (RSI) is an established technique of securing and protecting airway in emergency department (ED) for patients who are at risk of aspiration of food/blood into the lungs.