EMS Facilitated Intubation Without Paralytics

Overview

4.4 out of 5 (5 Reviews)

Credits

1.00

Post-Assessment Questions

4

Start Date

1 Sep 2023

Last Review Date

28 Mar 2025

Expiration Date

31 Aug 2026

Estimated Time To Finish

60 Minutes


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Activity Description

Facilitated intubation, also known as medication- or sedation-assisted intubation, involves using a sedative or anesthetic induction agent during intubation without a paralytic agent (neuromuscular blocking agent). In contrast, rapid sequence intubation uses both an induction and a paralytic agent. Intubation with a sedative medication alone requires an awareness of the difference in physiological and anatomical responses that may occur in the absence of a paralytic agent, such as laryngospasm and increased intracranial pressure due to the stimulation of the laryngeal reflex. Understanding the nuances of facilitated intubation is crucial, especially in the prehospital setting, where the availability of paralytics is service-dependent, and in many cases, paralytics may not be available, particularly in ground emergency medical services (EMS). This activity reviews the indications, contraindications, complications, and techniques for intubation without a paralytic agent, emphasizing the vital role EMS providers play in the chain of survival of critically ill patients. 


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Assess the criteria for evaluating the need for intubation.

  • Identify the indications for intubation without paralytic agents.

  • Compare the different available induction agents for medication-assisted intubation and rapid sequence induction intubation. 

  • Communicate the importance of effective care coordination among the interprofessional team to improve outcomes for patients requiring intubation without paralytics.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Nurses: StatPearls designates this activity for 1.00 ANCC contact hour(s). Nurses should only claim credit commensurate with the extent of their participation in the activity.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the US Food and Drug Administration. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Matthew K. on 8/2/2022

Garrett P. on 11/30/2022

Brian G. on 1/10/2023

Bradley S. on 3/20/2023

Josiah B. on 3/14/2025

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Unlimited Nurse CE

Stay up to date on the latest medical knowledge with 6725 CE activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 7994.5 hours of CE.

Single Activity

Take this single activity

$25 1 activity

6 Month Unlimited Nurse CE

Access to all the Unlimited Nurse CE activities in all specialties.

$89 per half year per user

1 Year Unlimited Nurse CE

Access to all the Unlimited Nurse CE activities in all specialties.

$139 per 1 year per user