​RSI is one the most dangerous procedures in ED and RSI drugs are the most dangerous pharmacological agents used clinical practice . RSI drugs is categorised under very very risk category drugs . Only qualified Anaesthesiologists , intensivists and emergency physicians are authorised to load and administer this drugs . Intensivists and EPs should attend special session on its usage and to receive special privilege from institutional privilege committee. This drugs should not kept in ICU or ED drug storage along with other drugs . Its stock and release to use must be monitored and documented meticulously . It must be kept under locked storage system . Even if it is used in critical situation , you will get at least 10 minutes  prior to intubation during the preparation phase. So RSI drugs must kept in pharmacy in ED pharmacy is existing or it must be locked and kept under Team leader’s custody . If you don’t have SOP on it kindly make it and implement ASAP

DrVenu22.12.16