An observational study in Airway Management, Intubation, Intratracheal and Laryngoscopy, sponsored by Yorkshire Ambulance Service NHS Trust. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-08-13.
Sponsored by Yorkshire Ambulance Service NHS Trust · Observational
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.
1,100 studies on the registry are indexed under Vomiting; 134 are open to participants now.
This study's enrollment of 164 is close to the median of 160 across 124 observational studies indexed under Vomiting.
Browse Vomiting studies →Yorkshire Ambulance Service NHS Trust is the lead sponsor of 5 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Participants will be NHS staff who are employed by Yorkshire Ambulance Service NHS Trust, and who are Health and Care Professions Council (HCPC) registered paramedics.
Exclusion Criteria:
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.
Difference in First-pass Intubation Success Rates Before and After SALAD Training
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.
Time frame: pre- and post-training as part of 2 hour study session
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.
Time frame: seconds
Difference in Success Rates Between Participants Who Have Two Post-training Intubation Attempts Versus Participants Who Only Have One Post-training Intubation Attempt
Time frame: pre- and post-training as part of 2 hour study session
| Milestone | Group AAB | Group ABB |
|---|---|---|
| Started | 82 | 82 |
| Completed | 82 | 82 |
| Not completed | 0 | 0 |
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.
| Participants | Group AAB | Group ABB |
|---|---|---|
| Difference in First-pass Intubation Success Rates Before and After SALAD Training | 44 | 74 |
| seconds | Group AAB | Group ABB |
|---|---|---|
| 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 ± 3.5 | 3.7 ± 3.4 |
| Participants | Group AAB | Group ABB |
|---|---|---|
| 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 |
Collected over Adverse events were monitored over the course of each study session, which lasted approximately 2 hours.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Group AAB | 0/82 (0%) | 0/82 (0%) | 0/82 (0%) |
| Group ABB | 0/82 (0%) | 0/82 (0%) | 0/82 (0%) |
| Age, Customized(Participants) | Group AAB | Group ABB | Total |
|---|---|---|---|
| Adults > 18 years | 82 | 82 | 164 |
| Sex/Gender, Customized(Participants) | Group AAB | Group ABB | Total |
|---|---|---|---|
| Gender Unknown | 82 | 82 | 164 |
| Race and Ethnicity Not Collected(Participants) | Group AAB | Group ABB | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Region of Enrollment(participants) | Group AAB | Group ABB | Total |
|---|---|---|---|
| United Kingdom | 82 | 82 | 164 |
| Intubation attempts in past 12 months(attempts) | Group AAB | Group ABB | Total |
|---|---|---|---|
| Median | 2.5 (0 to 6) | 3.0 (1 to 7) | 3.0 (1 to 6.5) |
| Successful intubation attempts in past 12 months(attempts) | Group AAB | Group ABB | Total |
|---|---|---|---|
| Median | 2 (0 to 5) | 2 (0 to 6) | 2 (0 to 6) |
| Years as a paramedic(years) | Group AAB | Group ABB | Total |
|---|---|---|---|
| Median | 5 (1 to 10) | 3.5 (0 to 10) | 4 (1 to 10) |
| Awareness of SALAD technique(Participants) | Group AAB | Group ABB | Total |
|---|---|---|---|
| Count of participants | 15 | 21 | 36 |
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Yorkshire Ambulance Service NHS Trust