Airway management principles/drugs

Hello, CA1 here. Long time lurker and first time poster. I've seen a few airway mis-adventures this year, especially on the floor and ICU and wanted to know your thoughts. 1. RSI. When do you do true vs modified? From what i've seen and read, if patient has poor pulmonary reserve and starts de-satting while waiting for paralysis to kick in then it is OK to give gentle breaths. Do you give breaths or always wait for because fear of aspiration? What is the risk benefit of A) Waiting for... Airway management principles/drugs
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