Clinical-use limit: Educational resource and cognitive-aid guide only; not a bedside order set or substitute for local protocol, medical direction, or clinical judgment.
Case management cards Tap each card to reveal the focused answer. The four cards match the airway workflow: before, during, after, and pitfalls.
Before intubation Preparation, physiology, positioning, equipment, and Plan B. Tap to reveal Before intubation Call help early and prepare a peri-arrest plan. Optimize oxygenation, acid-base status, vasopressors/inotropes, and definitive PE/RV pathway per local protocol. Discuss PEEP/pressure risk before the tube. During intubation Execution priorities during the attempt. Tap to reveal During intubation Use the best first attempt and minimize apnea. Transition gently to positive-pressure ventilation; avoid excessive pressures. Keep pressors/resuscitation running and monitor EtCO₂/MAP closely. After intubation Post-tube reassessment, ventilation, sedation, and handoff. Tap to reveal After intubation Use RV-protective ventilator strategy and avoid unnecessary high PEEP/pressures. Continue definitive PE/RV therapy and reassess shock. Watch for sudden EtCO₂ drop, hypotension, and arrest. Common pitfalls Predictable traps to avoid. Tap to reveal Common pitfalls Routine hypoxic airway approach without RV plan. High PEEP/pressures worsening preload/output. Ignoring acidosis and hypercarbia.