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Paramedic orotracheal intubation: a feasibility study.

D A Guss, M Posluszny

    The American Journal of Emergency Medicine
    |September 1, 1984
    PubMed
    Summary

    Paramedics can be effectively trained in orotracheal intubation. A pilot study showed success in field conditions, leading to expanded training with an 86% success rate in 128 patients.

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    Area of Science:

    • Emergency Medicine
    • Medical Education

    Background:

    • Orotracheal intubation is a critical emergency procedure.
    • Assessing the feasibility of paramedic-performed intubation is essential for improving pre-hospital care.

    Purpose of the Study:

    • To evaluate the effectiveness of training paramedics in orotracheal intubation.
    • To determine the safety and success rate of paramedic-performed intubation in diverse field settings.

    Main Methods:

    • A pilot study trained 11 paramedics using didactic, cadaver, and clinical preparation.
    • Intubation attempts were recorded over a six-month period in various field situations.
    • Training was subsequently expanded, encompassing a larger cohort and more patient encounters.

    Main Results:

    • Initial pilot study: 28 successful intubations out of 33 attempts with no reported complications.
    • Expanded training: 128 total patients with an overall success rate of 86%.
    • Successful intubation was achieved across a range of challenging field conditions.

    Conclusions:

    • Paramedics can be safely and effectively trained to perform orotracheal intubation.
    • Paramedic-led orotracheal intubation is feasible and successful in diverse pre-hospital environments.
    • This skill enhances emergency medical services capabilities and patient outcomes.

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