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Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.In a particular context a clinician may consider them important to safe conduct of RSI. The optional nature of these elements does not imply that they are inconsequential. They may be incorporated into the practice of RSI at the clinicians discretion. These elements may theoretically contribute to the goals of RSI but their is insufficient evidence to either support or reject their inclusion as elements. These refer to elements contributing to the goals of RSI that should typically be adhered to but which clinicians may legitimately decide to omit in a particular context, while still being able to refer to the technique employed as RSI. The term ‘modified RSI’ should not be used. Any intubation technique including all essential elements can be referred to as RSI, independent of any other variations undertaken. While these other elements might become even more important during RSI and would be expected to be used, they are not defining characteristics of RSI. use of ETCO2 monitoring, pulse oximetry, etc.) may be viewed as essential to all safe airway management practice, irrespective of whether or not RSI was being undertaken. These represent the defining aspects that must be included in order for an intubation technique to be referred to as RSI. These refer to elements on which there is evidence &/or universal consensus on their contribution to the goals of RSI. It does not refer to rushing to reduce the time between the decision to intubate and securing the airway. 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