The PREPARE Phase: Resuscitation Before Intubation The Airway Playbook for Physiologic Control. Endotracheal intubation in the emergency department is often perceived as a procedural milestone—but in critically ill patients, it represents one of the most dangerous transitions in care. Peri-intubation hypoxia, hypotension, and cardiac arrest are not uncommon, and are frequently the consequence of inadequate physiologic preparation rather than technical failure. This session introduces a paradigm shift: The airway is a procedure—but resuscitation is the treatment. Using a systems-based, evidence-informed approach, this talk presents the PREPARE framework—a structured method to optimise oxygenation, haemodynamics, and metabolic physiology before intubation. Framed as an Airway Playbook, the session integrates key concepts including: Preoxygenation strategies (NIV, HFNO, positioning) Haemodynamic optimisation and peri-intubation shock prevention Identification and management of high-risk physiology (HOP killers) Delayed sequence intubation (DSI) and resuscitation sequence intubation principles Cognitive offloading through structured planning and team preparation The critical transition from unstable patient → controlled intubation A high-yield, clinically grounded talk for emergency and critical care clinicians looking to move from crash airways to controlled physiology-driven intubation.