Soiled Airway Tracheal Intubation and the Effectiveness of Decontamination by Paramedics

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

164 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-16

Study Completion Date

2019-02-28

Brief Summary

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In more than one-in-five cases of out-of-hospital cardiac arrest, airways are blocked by vomit and blood. Sometimes, paramedics cannot clear the airway using methods they have been taught. If the airway cannot be cleared, the patient will die.

Usually, these patients will have a breathing tube placed into their windpipe (intubation), as this provides protection from vomit and blood. To do this, the paramedic needs to be able to see the entrance to the windpipe.

A new method of clearing the airway called SALAD has been used in patients to help insert a breathing tube, but it is not known whether the method can help paramedics. This study will use a manikin to see if paramedics can insert a breathing tube more often on their first attempt, using SALAD.

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Detailed Description

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Conditions

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Airway Management Intubation, Intratracheal Laryngoscopy Vomiting

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

PROSPECTIVE

Interventions

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Training in SALAD technique

The training session will be delivered, and will take around 45 minutes to complete, including time for participant practice. The training intervention will adopt the Advanced Life Support Group/Resuscitation Council 4-stage approach of skills teaching, and is comprised of: A real-time demonstration of the SALAD technique by the researcher; A repeated demonstration with an explanation of the rationale of the steps taken when performing SALAD (not real-time); Another demonstration of the SALAD technique conducted by the researcher, but guided by one of the participants; An attempt by the same participant who guided the researcher in the previous step, followed by a practice attempt by the other participants.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Aged 18 and over
* HCPC registered paramedic employed by Yorkshire Ambulance Service
* Authorised to intubate within Yorkshire Ambulance Service
* No SALAD training in the last 3 months

Exclusion Criteria

* Not an HCPC registered paramedic employed by Yorkshire Ambulance Service
* Not authorised to intubate within Yorkshire Ambulance Service
* Allergy to artificial 'vomit' ingredients
* Unwilling to provide consent
* SALAD training in the last 3 months

Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No