Rapid Sequence Intubation for Hypotension and Shock.

• Preparation—isotonic fluid boluses or blood products

• Preoxygenation (as possible)—100% oxygen for 3 min or eight vital capacity breaths

• Pretreatment—phenylephrine hydrochloride (Neosynephrine), 50–100 μg IV push (if still hypotensive after IVFs or blood)

• Paralysis with induction:
• Ketamine, 0.5–0.75 mg/kg OR
• Etomidate, 0.1–0.15 mg/kg
• Succinylcholine, 1.5 mg/kg IV

• Laryngoscopy with intubation

• End-tidal carbon dioxide confirmation

• Postintubation management—continued volume resuscitation