Critical Actions: Team recognized the need for intubation and notifies appropriate team members, including physician, nurses, respiratory therapist, pharmacist, and an ED technician. In-room providers were limited to the physician (two if resident intubates), respiratory therapist, and nurse. Learners proceeded to intubation in a decompensating patient without bagging or other unnecessary aerosolizing procedures. Learners selected rapid sequence intubation medications such as etomidate OR ketamine for sedation and rocuronium for paralysis, and verbalized exact doses. The endotracheal tube was connected directly to the ventilator. Team anticipated and effectively treated post-intubation hypotension.

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