Foreword; Preface to the Second Edition; Preface to the First Edition; Aims and Objectives; Contents; List of Authors; Abbreviations; Chapter 1: Introduction; 1.1 Pre-hospital Anaesthesia (PHA); 1.2 Rapid Sequence Intubation (RSI); 1.2.1 Who Should Perform RSI?; 1.3 Pre-hospital RSI; 1.3.1 The Pre-hospital Environment; 1.3.2 The Evidence for Pre-hospital RSI; 1.3.3 Is There a Need for PHA?; 1.3.4 Who Should Perform PHA?; 1.4 Summary; References; Chapter 2: Indications and Decision Making; 2.1 Significance of Aspiration; 2.1.1 Incidence, Morbidity and Mortality of Aspiration

2.2 Laryngeal Mask Airway (LMA) vs. Endotracheal Tube (ETT)2.2.1 Pharmacologically Assisted LMA Insertion (PALM); 2.3 Summary; 2.4 Assessment of Need: Risk vs. Benefit; 2.4.1 Factors to Consider (The A B C D Approach); 2.4.1.1 Airway; 2.4.1.2 Breathing; 2.4.1.3 Circulation; 2.4.1.4 Disability; 2.5 Summary; References; Chapter 3: Pre-hospital Rapid Sequence Intubation (PRSI); 3.1 The Six P's (Fig. 3.1); 3.2 Preoxygenation; 3.2.1 Preoxygenation Strategies; 3.2.2 Apnoeic Oxygenation; 3.3 Preparation; 3.3.1 Preassessment; 3.3.1.1 Catastrophic Haemorrhage; 3.3.1.2 Airway; Difficult Airway

Difficult IntubationClinical Signs of Potential Difficult Intubation or Ventilation; Obese Patients; Edentulous Patients; "Chinless" Patients; "No-Neck" Patients; Bearded Patients; "Goofy" Patients; "Stiff-Neck" Patients; Bleeding (Oral) Patients; 3.3.1.3 Breathing; 3.3.1.4 Circulation; 3.3.1.5 Disability; 3.3.1.6 Exposure; 3.3.1.7 History; 3.3.2 Prepare Equipment and Drugs; 3.3.2.1 PRSI Checklist (Appendix "PRSI Checklist"); 3.3.3 Positioning; 3.3.4 Protection; 3.3.4.1 Cervical Spine Injury; Manual In-Line Stabilisation (MILS); 3.3.4.2 Cricoid Pressure; 3.4 Premedication

3.5 Paralyse and Sedate3.6 Passage of Tube; 3.6.1 Laryngoscope; 3.6.2 Bougie; 3.6.3 Plan A and Plan B; 3.6.4 Failed Intubation Drill (Appendix "Failed Intubation Protocol"); 3.7 Post Intubation; 3.7.1 Confirmation of Placement; References; Chapter 4: Crew Resource Management (CRM); 4.1 Situational Awareness; 4.2 Bandwidth and Stressors; 4.3 Teamwork and Leadership; 4.4 Communication; 4.5 Decision-Making; 4.6 Task Management; 4.7 Training; References; Chapter 5: Post-intubation Management; 5.1 A (and C-Spine) BCDEF Approach; 5.1.1 Airway (Box 5.1); 5.1.2 Cervical Spine (Box 5.2)

5.1.3 Breathing (Box 5.3)5.1.4 Over Ventilation or Fall in Cardiac Output; 5.1.5 Circulation (Box 5.4); 5.1.6 Disability (Box 5.5); 5.1.7 Exposure and Packaging (Box 5.6); 5.1.8 (F)Phone Ahead; 5.1.9 Handover and Documentation; 5.2 Conclusion; References; Chapter 6: Equipment and Minimum Monitoring Standards; 6.1 Monitoring; 6.1.1 Capnography; 6.1.2 Capnometer; 6.2 Other Equipment; 6.3 Ventilators; 6.3.1 How to Set a Ventilator (Fig. 6.9); References; Chapter 7: Drugs and Sedation; 7.1 Pre-treatment; 7.1.1 Fentanyl; 7.1.2 Alfentanil; 7.2 Induction Agents; 7.2.1 Ketamine