N/A
Completed N=164
Soiled Airway Tracheal Intubation and the Effectiveness of Decontamination by Paramedics
Airway Management · Intubation, Intratracheal · Laryngoscopy · Vomiting
Source: ClinicalTrials.gov NCT03599687 ↗
Enrolled (actual)
164
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcomePrimary: Difference in First-pass Intubation Success Rates Before and After SALAD Training — 44; 74 Participants
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Difference in First-pass Intubation Success Rates Before and After SALAD Training |
44; 74 | — |
| SECONDARY 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. |
15.4; 3.7 | — |
| SECONDARY Difference in Success Rates Between Participants Who Have Two Post-training Intubation Attempts Versus Participants Who Only Have One Post-training Intubation Attempt |
71; 73 | — |
Eligibility Criteria
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
Data sourced from ClinicalTrials.gov (NCT03599687). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.