Core teaching points
- Oxygen plan ready
- Suction x2 tested
- BVM with PEEP/filter/adjuncts
- Position/ramp/C-spine plan
- VL and DL backup
- ETT, stylet, syringe, bougie
- SGA and cric kit
- EtCO₂ and monitoring
Teaching step
Step 1: Preparation
Make the room, the physiology, and the rescue plan ready before medications are pushed.
Pearls
Preparation is not a supply checklist. It is a failure-proofing process: oxygenation margin, clean view, first-pass mechanics, and rescue readiness.
Room script: Before meds: oxygen is on, suction works, BVM/rescue is ready, tube/device/bougie are ready, EtCO₂ is connected, and everyone knows their role.
Pitfalls
- Suction present but not turned on
- Video laryngoscope not plugged in or focused
- No syringe to check cuff/inflate balloon
- Bougie not within reach
- Cric kit “somewhere nearby” rather than staged