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Intubation Consensus Statement group

Intubation Consensus Statement group 
In May 2017 work began to write a position statement on paramedic Intubation. Leading experts in this subject area within the profession were gathered to review all the current available evidence. This group met to discuss and to develop the first draft of the statement. This statement was reviewed and amended by several key clinical groups and was released to the membership and wider Stakeholder organisations for Consultation from the 11th – 24th September 2017. The Intubation Consensus Statement group met again in October to review the analysis of the Consultation. As a result of this analysis a decision was made to carry out a Rapid Evidence Review which was completed in January 2018. A second formal consultation on the amended draft statement began on the 5th February and ran for 28 days until the 4th March. The group met again on the 29th March to analyse the consultation responses, review any new evidence and to amend the statement accordingly. The Intubation Consensus Statement was finalised in April, it was launched at the National Conference in May 2018 and published in the June edition of the British Paramedic Journal. The statement is available to download from the link on the right of this page.

The consensus statement 

This consensus statement provides profession-specific guidance in relation to tracheal intubation by paramedics ‒ a procedure that the College of Paramedics supports.

Tracheal intubation by paramedics has been the subject of professional and legal debate as well as crown investigation. It is therefore timely that the College of Paramedics, through this consensus group, reviews the available evidence and expert opinion in order to prevent patient harm and promote patient safety, clinical effectiveness and professional standards.

It is not the purpose of this consensus statement to remove the skill of tracheal intubation from paramedics. Neither is it intended to debate the efficiency of intubation or the effect on mortality or morbidity as other formal research studies will answer those questions.

The consensus of this group is that paramedics can perform tracheal intubation safely and effectively. However, a safe, well-governed system of continual training, education and competency must be in place to serve both patients and the paramedics delivering their care.

Paul Gowens
Vice Chair, College of Paramedics Chair, Consensus Working Group