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

- Rogue Medic

Paramedic = Intubation II

To continue on the topic of paramedics and lack of intubation success begun in Paramedic = Intubation I.

Why is it so hard to improve?

Explanations exist; they have existed for all time; there is always a well-known solution to every human problem — neat, plausible, and wrong. H. L. Mencken.

Unfortunately, Mr. Mencken appears to have anticipated the problems with EMS airway management.

We seem to produce medics faster than the NR can produce Not Responsible EMT-P patches.

Do we need a lot of medics?

No.

In a lot of places, we have so many medics, that the medics average only about one intubation per year, per medic. In other places – places with much fewer medics – the intubation success seems to be dramatically better. In these places, where medics are less common and used more carefully, medics are much less likely to be compared with blind squirrels. At least as far as paramedic skills are concerned.

So we just need to get rid of a lot of medics?

We do, but that is only a part of the solution to airway management.

Paramedic Intubation.

Intubation Airway Management.

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  1. […] of intubation. I have written about some of these studies here, here, here, here, here, here, here, here, here, here, and here. You know why they are called alternative airways? They are used as a last […]

  2. […] Still on the topic of paramedics and lack of intubation success begun in Paramedic = Intubation I, Paramedic = Intubation II, and Paramedic = Intubation […]