Resuscitation and Critical Care | Resource

DASH-1A Checklist

DASH-1A

Definitive Airway sanz Hypercapnia, Hypoxemia, Hypotension

1. Airway Ready Check

Airway Preparation
Operator CONFIRM... HOP OPTIMIZED?
Optimized
  • H+ ion (acidosis)
  • Oxygen (hypoxemia)
  • Pressure (hypotension)
Respiratory CONFIRM... SUCTION READY?
Ready
Respiratory CONFIRM... BVM + PEEP VALVE + INLINE EtCO₂?
Ready
Pharmacology & Backups
Medication Nurse VERBALIZE... INDUCTION DOSE?
Confirmed
Medication Nurse VERBALIZE... PARALYTIC DOSE?
Confirmed
Operator CONFIRM... BACKUP PLAN?
Three attempts, then supraglottic, then front of neck (cric)
PROCEED WITH INTUBATION

2. Post-Intubation Check

Physiology
Physiology CONFIRM... EtCO₂ WAVEFORM?
Confirm
Physiology CONFIRM... HOP STABLE?
Confirm
Tube Integrity
Tube Integrity CONFIRM... TUBE DEPTH?
Verified and recorded
Tube Integrity CONFIRM... TUBE SECURE?
Completed
Tube Integrity CONFIRM... CXR ORDERED?
Ordered
Ventilation Setup
Ventilation Setup CONFIRM... VENTILATOR SETUP?
Settings applied
Ventilation Setup CONFIRM... INLINE EtCO₂?
Visible
Sedation
Sedation CONFIRM... SEDATION INFUSION?
Started
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