Further drop in pH during<unk>  can be catastrophic
NIV (SIMV Vt 550, FiO2 100%, Flow Rate 30 LPM, PSV 5-10, PEEP 5, RR 0)
SIMV on ventilator, not NIV machine
"Pseudo-SIMV" mode
Attach end-tidal CO2 and observe value
Push RSI medications
Turn the respiratory rate to 12
Perform jaw thrust
Wait 45sec
Intubate
Re-attach the ventilator
Immediately increase rate to 30
Change Vt to 8cc/kg
Change flow rate to 60 LPM (normal setting)
Make sure end-tidal CO2 is at least as low as before
SIMV on ventilator, not NIV machine
"Pseudo-SIMV" mode
Place an NG and suction out blood
Varices are not a contraindication
Metoclopramide 10mg IV
Increases LES tone
Varices are not a contraindication
Increases LES tone
Want to avoid bagging if possible
Use sedative that is BP stable with lower dose (etomidate, ketamine)
Use paralytics with higher dose (actually increases LES tone)
Bag gently and slowly (10BPM)
Consider placing LMA
Place in Trendelenberg
Place LMA
Use meconium aspirator
May need pressors, additional fluid (not antibiotic!)
Intubation
Extubation
Rapid sequence intubation
Awake intubation
Delayed sequence intubation
Extracorporeal membrane oxygenation
Blind digital intubation
Emergent delivery