Mental Status
Ask patient to raise arm and leave in air for 15s
Ask patient to raise their head off the bed
Ask patient to cough (they should be able to generate a strong cough)
Place on pressure support 5; sit patient up to at least 45 degrees
Observe for 15-30
If sat <90%, HR >140, SBP >200, severe anxiety or decreased LOC discontinue attempt
Perform cuff leak test to assess airway patency (not needed for ED<unk>  for only few hours per Weingart article)
Predicts post-intubation stridor with sensitivity of 56-92%
Cuff leak refers to airflow around ETT with deflated cuff
Qualatative measurement: deflate and listen for air with stethoscope
Quantative measurement: measure difference between inspired TV while on ventilator and expired TV with deflated cuff (avg lowest 3 expired breaths over 6 cycles)
Positive cuff leak = volumes <110 mL or <12-24% of TV. This indicates decreased space between ETT and airway (laryngeal edema)
If positive test, consider course of steroids and delay<unk> 
Ask patient to raise arm and leave in air for 15s
Ask patient to raise their head off the bed
Ask patient to cough (they should be able to generate a strong cough)
Place on pressure support 5; sit patient up to at least 45 degrees
Observe for 15-30
If sat <90%, HR >140, SBP >200, severe anxiety or decreased LOC discontinue attempt
If sat <90%, HR >140, SBP >200, severe anxiety or decreased LOC discontinue attempt
Predicts post-intubation stridor with sensitivity of 56-92%
Cuff leak refers to airflow around ETT with deflated cuff
Qualatative measurement: deflate and listen for air with stethoscope
Quantative measurement: measure difference between inspired TV while on ventilator and expired TV with deflated cuff (avg lowest 3 expired breaths over 6 cycles)
Positive cuff leak = volumes <110 mL or <12-24% of TV. This indicates decreased space between ETT and airway (laryngeal edema)
If positive test, consider course of steroids and delay<unk>
Extubation
Intubation 
Intubation
Rapid sequence intubation
Delayed sequence intubation
Awake intubation
Extracorporeal membrane oxygenation
Thoracotomy