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Soiled Airway Tracheal Intubation and the Effectiveness of Decontamination by Paramedics

NCT03599687 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 164

Last updated 2020-08-13

Study results available
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Summary

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.

Conditions

  • Airway Management
  • Intubation, Intratracheal
  • Laryngoscopy
  • Vomiting

Interventions

OTHER

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.

Sponsors & Collaborators

  • College of Paramedics

    collaborator UNKNOWN

  • Yorkshire Ambulance Service NHS Trust

    lead OTHER_GOV

Principal Investigators

  • Richard Pilbery · Yorkshire Ambulance Service NHS Trust

Eligibility

Min Age
18 Years
Max Age
65 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2018-07-16
Primary Completion
2018-12-03
Completion
2019-02-28

Countries

  • United Kingdom

Study Locations

More Related Trials

Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03599687 on ClinicalTrials.gov