Implementation of an evidence-based care bundle and audit of practice has created a safe environment for trainees to learn the core critical care skill of Rapid sequence intubation (RSI). In our setting, checklist use was associated with fewer complications.

Six hundred and fifty-five patients underwent RSI with FPS of 86.6%.

Complications were reported in 15.9%, mainly hypotension (10.9%) and desaturation (4.0%). FPS improved with bougie use (88.9% vs 73.0% without bougie, P < 0.001) and video-laryngoscopy (88.2% vs 72.9% using standard laryngoscopy, P < 0.001). Prospective observational study of RSIs performed in the EDs of two Queensland hospitals between January 2014 and December 2016.

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