What is rsi in medical terms
This step is applied to select patients. Pretreatment done a few minutes prior to induction and paralysis is meant to mitigate the physiological response of the body to the procedure, as a catecholamine surge can result in increased sympathetic activity elevated heart rate and blood pressure , increased intracranial pressure, and bronchospasm.
Some emergency physicians may pretreat with lidocaine or fentanyl in trauma patients who might already have increased intracranial pressure. Some may also consider pretreatment with atropine in children less than 1 year of age. Place towels, blanket, or a wedge under the head until the ears align with suprasternal notch. Visualize vocal cords, ask to be handed the ET tube without taking your eyes off the cords, and watch for passage through cords.
Then, inflate the cuff. Confirm proper placement. This can be done through auscultation of bilateral breath sounds, watching for equal chest rise, and end tidal CO2 the gold standard. Next is securing the tube, placing on the ventilator, obtaining a confirmatory chest x-ray, and determining a post-intubation sedation plan.
Hopefully this bare-bones approach to RSI is enough to get you acquainted with the process, terminology, and medications. The more you demonstrate a general knowledge of the procedure, the more likely it is that you will have the opportunity to intubate someone yourself as a medical student. Rapid Sequence Intubation Pharmacology. Special thanks to Abby Cosgrove, MD, for reviewing this clinical article.
Award Winners. Stress can also be a contributing factor. Jobs that involve repetitive movements can lead to RSI, such as working on an assembly line, at a supermarket checkout or on a computer. Your work environment should be as comfortable as possible. You should ideally have a workplace assessment so that any adjustments needed can be made.
Your employer has a legal duty to try to prevent work-related RSI and ensure anyone who already has the condition doesn't get any worse. The first step in treating RSI is usually to identify and modify the task or activity that is causing the symptoms.
If necessary, you may need to stop doing the activity altogether. To relieve symptoms, your GP may recommend taking paracetamol or a short course of a non-steroidal anti-inflammatory drug , such as ibuprofen. They may also suggest using a hot or cold pack, elastic support or splint.
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Preferences preferences. Other occupations that involve repetitive movements and may increase your risk include:. Your doctor will ask you questions about your work and other activities to try to identify any repetitive movements you do.
Your doctor may also order magnetic resonance imaging MRI or ultrasound to assess tissue damage. An electromyography EMG may be ordered to check on nerve damage.
For mild damage, your doctor may refer you to a physical therapist. If the damage is severe, they may also refer you to a specialist or surgeon. Your doctor and physical therapist can also suggest adjustments to your work station, such as readjusting your chair and desk if you work at a computer, or modifications to your movements and equipment to minimize muscle strain and stress.
Learn more: Tendon damage surgery ». Your outlook with RSI depends on the severity of your symptoms and your general health. You may be able to use conservative measures to modify your work routine and minimize pain and damage.
Or, you may have to stop certain tasks at work for a while to rest the affected area. Good posture is the key to avoiding unnecessary stress on your muscles.
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