Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Prehospital rapid-sequence intubation: a pilot training program.

Kory Kaye1, Ralph J Frascone, Timothy Held

  • 1Region Hospital EMS, St Paul, Minnesota, USA. kory.l.kaye@healthpartners.com

Prehospital Emergency Care
|April 25, 2003
PubMed
Summary

Paramedics can be trained to use rapid-sequence intubation (RSI) medications for endotracheal intubation, achieving a 99% success rate in prehospital settings. This training model, including animal labs, proved effective for difficult airways.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Medium-expansion water-based foam depopulation of sheep and goats.

Scientific reports·2025
Same author

The effects of prehospital TXA on mortality and neurologic outcomes in patients with traumatic intracranial hemorrhage: A subgroup analysis from the prehospital TXA for TBI trial.

The journal of trauma and acute care surgery·2024
Same author

Rationale and Strategies for Development of an Optimal Bundle of Management for Cardiac Arrest.

Critical care explorations·2020
Same author

Tranexamic acid administration in the field does not affect admission thromboelastography after traumatic brain injury.

The journal of trauma and acute care surgery·2020
Same author

Effect of Out-of-Hospital Tranexamic Acid vs Placebo on 6-Month Functional Neurologic Outcomes in Patients With Moderate or Severe Traumatic Brain Injury.

JAMA·2020
Same author

Supraglottic airway devices variably develop negative intrathoracic pressures: A prospective cross-over study of cardiopulmonary resuscitation in human cadavers.

Resuscitation·2020

Area of Science:

  • Emergency Medicine
  • Anesthesiology
  • Medical Education

Background:

  • Difficult endotracheal intubation presents significant challenges in prehospital care.
  • Paramedic scope of practice is expanding to include advanced airway management techniques.

Purpose of the Study:

  • To develop and evaluate a comprehensive training program for paramedics in rapid-sequence intubation (RSI).
  • To assess the safety and efficacy of paramedic-administered RSI for endotracheal intubation.

Main Methods:

  • A rigorous training program combining didactic education, mannequin simulation, animal intubation labs, and operating room experience.
  • Systematic review of RSI and non-RSI prehospital runs for patient selection and medication appropriateness.
  • Ongoing quality assurance including run reviews, quizzes, and practical tests.

Related Experiment Videos

Main Results:

  • Successful endotracheal intubation via RSI in 100 out of 101 patients (99% success rate) across diverse patient populations.
  • Demonstrated proficiency of paramedics in patient selection and medication administration for RSI.
  • Animal labs were crucial for practicing intubation on a human-like airway; the gum elastic bougie aided in critical cases.

Conclusions:

  • The developed RSI training model is a viable template for other prehospital agencies.
  • Key success factors include intense medical director involvement and the use of live animal labs.
  • Limitations include the cost and availability of animal labs for training.