As far as the procedure itself goes, medicaltransient, it seems as if your agency is ignoring most of the long-term implications and challenges posed by RSI to add a few more drugs (if you don't have it already). What numbers are we talking about here? Is there a population that you find yourself intubating frequently that would benefit from RSI? Do you have less invasive alternatives? Is your service going to buy video laryngyscopes and capnography if you don't already have it? Is your service going to reconsider a ventilator?
As for the personal insults, well, I'd greatly enjoy the chance to work a shift with you, simply in order to crush your pompous little soul into many little pieces. This is a profession where your ego and decisions can literally kill someone, and you don't get a free pass from me when you pull the self-righteous act and namedrop AEL when you're trying to suck up to your boss and get a high-risk, high-acuity cool guy skill authorized for your service without the proper supporting mechanisms. If you want to actually be an agent of positive change, open up, be willing to establish the proper groundwork first, THEN start worrying about training and minutia.
I'm disappointed that so few other posters have mentioned this. It's really not terribly important as to exactly how the procedure itself is performed when you have someone wanting to boil the whole thing down into an afternoon inservice. It's like trying to put an eighth grader into the NFL.
