07 / Anaesthesia · Simulation
The full stomach
A rapid sequence induction for an emergency laparotomy: preoxygenation that has to count, drugs in fixed order, the pressure drop that follows, and a stimulated middle.
Emergency laparotomy for perforated viscus54 y male · 80 kg · ASA 3ETwelve hours of peritonitis, vomiting on the ward, last ate this morning. Tachycardic and dry despite two litres of crystalloid.
Emergency laparotomy for perforated viscus · min 0 · Pre-induction
- HR
- 112
- SpO2
- 95%
- NIBP
- 104/62
- EtCO2
- 0.0 kPa
- RR
- 24
- Temp
- 38.1°
Pre-induction
min 0 · step 1/8
He arrives on the trolley: sweaty, guarding, an NG tube on free drainage. The machine is checked, suction is under the pillow, and the surgeon is scrubbing.
Why does this induction have to be a rapid sequence?
The case waits for your decision.
Teaching values for the printed patient, not a prescribing reference. The drug cart holds every drug here with its class, concentration and dose logic.