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Peri-intubation shock — RCPSC EM MCQ

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HardResuscitation, procedures, airwayPeri-intubation shockRCPSC EM

A 62-year-old man in septic shock needs intubation for hypoxaemic respiratory failure. BP is 78/42 despite fluids, norepinephrine is running peripherally, lactate is 6.5, and SpO2 is 90% on high-flow oxygen. What is the most appropriate initial management?

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Correct answer: B — Optimise haemodynamics and oxygenation before RSI

Peri-intubation collapse is common in shock. Pre-intubation resuscitation, vasopressor readiness, careful induction dosing and ventilation planning reduce risk.

Reference: ACLS/ATLS/PALS principles adapted to Canadian ED practice