Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Paramedic = Intubation III

As paramedics, we have become so identified with intubation that we have trouble thinking of EMS without intubation.

Maybe we will retain intubation, but only as an advanced paramedic skill. In some systems, no medics will intubate. In some systems, few medics will intubate. In some systems, a lot of medics will intubate. In some systems, all medics will intubate.

The differences among these various approaches will be based on how much time/effort/money/other resources we are willing to put into training/oversight.

This may be something that many medics will oppose, feeling that all medics have the right to should be permitted to intubate.

This is the wrong approach. We need to address what is best for the patient, not what we feel is best for the status of the medic. We are not the priority. Our skills are not the priority. The patient is the priority.

We need to address how the patient may benefit from the skills we allow paramedics to use. We need to decide if we are willing to do what is necessary to acquire and maintain those skills. If we are not willing, then we have already made the choice about whether paramedics should intubate.

Paramedic Intubation.

Intubation Airway Management.