Rapid Sequence Intubation (RSI)
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Rapid Sequence Induction (RSI) remains the undisputed heavyweight champion of the airway. Why? Because RSI is awesome. It provides optimal conditions, a still patient, and the best chance at first-pass success. But "awesome" shouldn't mean "automatic." The Decision Matrix: The First Question The moment you decide a tube is needed, you must stop and ask: RSI or awake? Most of the time, the answer is RSI—as it should be. But that choice must be an active one, not a default habit. When to Skip the
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