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I was extremely interested in these papers in this months EMJ. [Joint Royal College Ambulance Liaison Committee Airway Working Group commentary The College of Paramedics (British Paramedic Association) position paper regarding the Joint Royal Colleges Ambulance Liaison Committee recommendations on paramedic intubation (Prehospital airway management)].
I wonder if anyone could tell me what are the...
I wonder if anyone could tell me what are the professional credentials of the members of the Airway Working Group in Pre-hospital care and their experience in working outside the comfort of the resus room or theatres. I have worked since the mid/late 70's on the roadside, was involved at the same time as Robin Glover in teaching Ambulance personnel advanced procedures such as cannulation, intubation and defibrillation. He to the Cambridge area and I to the Suffolk area. I have also taught proper paramedics in Suffolk, East Anglian and Kent ambulance services.
I still do BASICS, teach ATLS, ALS, in the past BTLS and PHTLS as well as Instruct instructors, so am very familiar with the Principles of Education and training. I have also been involved in teaching on human simulators as well. I have done probably more prehospital and resus room intubations over 33 years than any of the 'experts' on the panel. I have also done Anaesthetics in my even earlier years. Intubating in a Race gravel trap also features strongly in my 30 years on the circuits.
It beggars belief that they can base their decisions on such poor quality research and literature reviews, especially American papers. Also that they are not even attempting to investigate the new technologies that have been and are available for making ET intubation safer.
As an A/E consultant I have had the benefit of working night and day, summer and winter, hot and freezing cold, wet and dry at roughly more than 10,000 call outs plus working on many of these patients in my unit together with countless more to which I was not called out to the scene.
I really feel that the comments I have made about the experience of the panel are made from the standpoint of being infinitely more skilled than anyone around today. I have been on call 24/7 since the 70's except when on annual leave.
I sincerely trust someone somewhere will take your papers to heart and do some proper research