We all know rapid sequence intubation (RSI) is a powerful tool—but what happens when your patient isn’t quite ready for that paralytic push? In this episode, we break down the differences between RSI (Rapid Sequence Intubation) and DSI (Delayed Sequence Intubation), why DSI is gaining traction in EMS, and when slowing down might actually save your airway. We’ll talk about patient selection, sedation pearls, oxygenation strategies, and the real-world logistics of pulling off a DSI in the back of a rig. Whether you’re just learning airway management or want to level up your practice, this one’s for anyone who wants to get the tube safely—not just fast.

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