Annette Nørregaard, Jacob Madsen, Peter Leutscher, Per Lambert
Journal of Paramedic Practice, Vol. 10, Iss. 3, 02 Mar 2018, pp 104 - 110

Background: Studies investigating the transfer of endotracheal intubation
skills from simulation training to out-of-hospital patient scenarios are limited.

Aims: The aim was to evaluate the outcome of endotracheal intubation
simulation training among paramedics and the safe transfer of skills to out-of-
hospital cardiac arrest (OHCA) patients.

Methods: Paramedics participated in a 1-day simulation training course including five Airtraq endotracheal intubation attempts using three different types of mannequins (n=15 attempts).
Performance and outcome of transfer of intubation skills to patients were monitored for the next 35 months. European Resuscitation Council international advanced cardiopulmonary resuscitation guidelines (Nolan et al, 2005) were followed to ensure patient safety.

Findings: Endotracheal intubation was attempted in a total of 417 patients with OHCA by 51 (96%) of the 53 participating paramedics. In 366 (88%) patients, intubation was successfully performed in the first or second attempt. Aspiration, airway secretion, a high modified Cormack Lehane score and insecure verification of tube placement were the most common reasons for failed intubation.

Conclusion: Endotracheal intubation with Airtraq in adult patients with OHCA can be performed safely by paramedics after receiving a 1-day simulation-based training course.

Return to article listing

To view this article

information Please use the options below to create a subscription. If you have any queries about your account please contact our subscriptions department or telephone free 0800 137201 (UK callers only) or +44 (0)1722 716997 for callers outside the UK.

Existing users sign in Personal subscription Pay per article

Sign in