Stemming the Tide: Successful Pharmaceutically-Assisted Intubations

SS of Stemming the Tide PAITo “stem the tide” is a nautical term where the ship is turn headlong into a surging tide or wave, which could otherwise  tip a vessel if hit broadside.

Intubation, and specifically pharmaceutically-assisted intubation, is one of the most critical skills performed by a paramedic.  You are betting the ship, or better yet, your patient’s life that you can get the job done correctly, efficiently, and with no harm done to the patient.   This narrated slideshow education teaches you how to successfully face this tide head-on by optimizing patient positioning, making educated decisions on medication choice, and the best techniques for the actual intubation process.

The medications covered in this CE include atropine for pediatrics, lidocaine for suspected head injury or increased intracranial pressure, etomidate (Amidate), succinylcholine, vecuronium (Norcuron), midazolam (Versed), and ketamine.  You’ll learn the advantages and disadvantages for each medication and when one would offer superior effects compared to another.

The tools of intubation covered in this CE include both the Miller and Macintosh largyngoscope blades, the King Vision camera laryngoscope, and waveform capnography.  Videos take you through the actual intubation process with both standard and camera laryngoscopes.



Step 1: Media: This education is a case review housed on our Lubbock Prehospital/UMC EMS YouTube channel.  View it at


Step 2: Take the Quiz at QuestBase.  Log into your QuestBase account at  If you don’t have a free account yet, please visit our Contact Us page for information on how to obtain one.  Once you’ve logged in, look for the CE entitled:”Stemming the Tide: Pharmaceutically-Assisted Intubation“.


Step 3: Education you’ll earn upon successful completion:  

  • Texas state: Paramedic
    • 1 hour for the Airway Management and Ventilation component


  • NREMT for NCCP requirements: 1 hour towards:
    • Paramedic: Airway, Respiration, & Ventilation: Advanced Airway Management in the Perfusing Patient