Important update on airway management (updated)

Clinical Instruction

Following several adverse incidents relating to Endo-tracheal Intubation (ETI) that have resulted in Serious Incidents and the risk of harm, the Trust has reviewed all available evidence and made the risk based decision to remove ETI from the Paramedic scope of practice.

It is important to highlight that this decision has been taken to safeguard our patients and therefore the Trust will be implementing, with immediate effect:

Removal of tracheal intubation (Adult and Paediatric) as a paramedic competency; restricting it to those staff groups in a defined role:
Specialist and Advanced Paramedics in Critical Care

In the medium term, we will be looking to reintroduce intubation following a competency-based assessment for the following staff group:
Other defined role(s) targeted to cardiac arrests preferentially as agreed by the Clinical team and with access to the requisite infrastructure to support maintenance of competency.

The above is yet to be defined, but will be subject to implementing an infrastructure that can assure and govern those targeted staff groups to have provided adequate evidence of ongoing currency as well as successfully completing a competency-based assessment and will be in a position to maintain adequate evidence of training and skill maintenance.

There has been an amendment to the clinical instruction to reflect that that staff-side colleagues were informed of the decision prior to its release rather than in support of it.

The amended version has been uploaded to the document library and available below.


Published September 17th 2020

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