Soiled Airway Tracheal Intubation and the Effectiveness of Decontamination by Paramedics

Completed

• Conditions: Laryngoscopy; Intubation, Intratracheal; Airway Management; Vomiting

• Registration Number: NCT03599687
• Lead Sponsor: Yorkshire Ambulance Service NHS Trust

Brief 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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-07-12
• Study Start: 2018-07-16
• Study First Submitted QC: 2018-07-23
• Study First Posted: 2018-07-26
• Primary Completion: 2018-12-03
• Study Completion: 2019-02-28
• Results First Submitted: 2019-07-16
• Status Verified: 2020-07
• Results First Submitted QC: 2020-07-29
• Last Update Submitted: 2020-07-29
• Results First Posted: 2020-08-13
• Last Update Posted: 2020-08-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 164

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Difference in First-pass Intubation Success Rates Before and After SALAD Training	pre- and post-training as part of 2 hour study session	This measure is a comparison of Group AAB's first-pass intubation success rate, using an attempt which occurred before SALAD training, and Group ABB's intubation success rate, using an intubation attempt that occurred after SALAD training.

Secondary Outcome Measures

Name	Time	Method
Difference Between Mean Time Taken (in Seconds) to Perform a Successful Intubation on the First- Attempt, Before and After SALAD Training Approximately 30 Minutes Apart.	seconds
Difference in Success Rates Between Participants Who Have Two Post-training Intubation Attempts Versus Participants Who Only Have One Post-training Intubation Attempt	pre- and post-training as part of 2 hour study session

Trial Locations

Locations (1)

Yorkshire Ambulance Service NHS Trust; 🇬🇧 Wakefield, West Yorkshire, United Kingdom