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I am currently looking at developing a 'grab bag' for rapid sequence induction (RSI) drugs for use in the resuscitation area of my hospital as it has been identified by medical and nursing staff that the rate limiting step in administering RSI is the time taken to prepare the drugs. A recent simulation exercise comparing normal procedure to a grab bag version reduced preparation time by about 4 min 20 seconds, which is a long time when you have a deteriorating patient on a trolley.
I would be interested in hearing from other ED pharmacists or ICU pharmacists who have experience of preparing/using RSI drugs in this way. I am in the process of gathering information about possible pre-filled syringes for the drugs to limit the number of vials/syringes/needles etc in the pack.
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