Rapid-Sequence Intubation ^*

1. Pre-oxygenate with 100% oxygen
2. Apply cricoid pressure
3. Induction: etomidate (0.3 mg/kg), propofol (0.5–2 mg/kg) or ketamine (2 mg/kg) IV push
4. Neuromuscular blockade: succinylcholine 1.5 mg/kg IV push
5. Wait 30–45 sec
6. Intubate when optimal conditions achieved

*Consider pretreatment with fentanyl (1–2 µg/kg) IV push (over 1–2 min) and lidocaine (1.5 mg/kg) IV push if concern for increased intracranial pressure or severe hypertension

*Consider defasciculating dose of paralytic if concern for increased intracranial pressure (see table for dosage)

*Atropine: 0.02 mg/kg IV push (for children < 1 y)