Rapid Sequence Intubation Standardization and Improvement Process in the Pediatric Emergency Department

Background: Rapid Sequence Intubation (RSI) is the standard definitive airway management in the pediatric emergency department (PED). There are limited data describing time to intubation (TTI), adverse events (AE), and process variation for RSI in the PED. Prior studies demonstrate the first pass intubation success rate (FPISR) is between 26-85% and, the RSI-associated AE rate is between 20-61% in this setting. We report a low cost, multidisciplinary initiative to improve the safety of RSI in the PED. Methods: We conducted a single center quality improvement initiative (QII) at a tertiary care academic PED from 12/31/2015-1/31/2017. …