When is rapid sequence intubation (RSI) indicated?

Rapid sequence intubation (RSI) is specifically indicated for patients who have a compromised airway. This medical procedure involves the use of sedatives and paralytic agents to facilitate the endotracheal intubation process in a controlled manner, allowing for secure airway management. Patients with a compromised airway may be unable to protect their airway due to decreased consciousness, extensive facial or neck trauma, or significant swelling that obstructs airflow. By performing RSI, healthcare providers can quickly establish a definitive airway, which is critical to maintaining adequate ventilation and oxygenation.

In contrast, the other situations described, such as stable patients with mild distress, those with minor injuries, or patients experiencing allergies, typically do not necessitate the urgent intervention of RSI. These conditions may not directly threaten the airway or may be managed with less invasive airway techniques or alternative treatments.