Look for
- Propofol, midazolam, opioids, and sedatives can worsen hypotension in vulnerable patients.
- Under-resuscitated shock can collapse after induction and PPV.
- Treat with local pressor/fluids/blood strategy and adjust sedation plan.
Rescue pathway
Hypotension: medications
Induction and post-tube sedation can unmask or worsen shock.
Clinical review / use limits
Authored by: Airway of the Month education team. Last reviewed: July 2026. Audience: EM learners, faculty, EMS, RT, simulation educators, and airway teams.
This is an educational cognitive-aid scaffold, not a bedside order set. Verify medications, ventilator changes, pediatric dosing, and procedures against local ED, ICU, anesthesia, pharmacy, RT, EMS, and pediatric policies.
Resources · Editorial policy · ACEP intubation policy · ARDS ventilation reference