Survey of the use of rapid sequence induction in the accident and emergency department

Objectives-To determine the current position regarding the use of rapid seq uence induction (RSI) by accident and emergency (A&E) medical staff and the attitudes of consultants in A&E and anaesthetics towards this. Methods-A questionnaire was designed that was distributed to consultant ana esthetists and A&E physicians in hospitals receiving over 50 000 new A&E pa tients per year. Results-A total of 140 replies were received (a response rate of 72%). The breakdown of results is shown. There was wide difference of opinion between anaesthetists and A&E consultants as to who performs RSI at present in the ir A&E departments, however two thirds of anaesthetists thought A&E staff w ith appropriate training and support should attempt RSI either routinely or in certain circumstances. Conclusions-A&E staff in several hospitals routinely undertake RSI and the majority of A&E consultants thought that RSI would be undertaken by A&E sta ff if an anaesthetist were unavailable. There is disagreement regarding the length of anaesthetic training required before A&E medical staff should un dertake RSI.