1.Apnea
2.Airway compromise
3.Ventilation compromise
4.Oxygentaion compromise
5.Anticipate AVO compromise
a. Inhalational injury
b. Maxillo facial injury
6.Aspiration----vomitus,blood
7.Head injury GCS 8 and less
8.Enviromental contol
a.Transportion of patient with GCS less then 12
b.Polytrauma patient
c.Aggresive patient
d.For longer prosedure outside ED---CT brain
9.Respiratory fatigue/failure/distress
a.Asthma/COAD
b.DKA
c.Severe acidosis
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