In 1994, the Department of Transportation made endotracheal intubation an optional EMT-Basic skill.
To date, there have been no studies addressing the ability of this group to learn or perform this skill.
We used a standardized mannequin test to perform a prospective evaluation of the intubation skills of basic EMTs immediately after a 4-hour course on endotracheal intubation.
We hypothesized that the intubation success rates would be comparable with those of other types of providers newly trained in this skill.
Eighty-three EMTs were selected/recruited from four EMS provider agencies.
Ninety-six percent of the EMTs were men, and the average age was 38 years ; average length of EMT experience was 9.4 years.
Training was provided in classes of 6 to 14 persons and included 1 hour of didactic instruction, a 1-hour demonstration of intubation techniques, and 90 minutes of supervised practice with the mannequins in groups of 2 to 4 persons.
Testing followed American Heart Association guidelines.
Interrater reliability of test criteria was assessed.
Ninety-four percent (95% confidence interval 86% to 98%) of the EMTs passed the examination by intubating the mannequin within 35 seconds within 3 attempts.
Of the successful EMTs, 94% succeeded on their first attempt, 3% on their second attempt, and 3% on their third.
There were three esophageal intubations ; all were detected immediately. (...)
Mots-clés Pascal : Intubation, Voie intratrachéale, Evaluation professionnelle, Evaluation performance, Qualification professionnelle, Expérience professionnelle, Enseignement professionnel, Etats Unis, Amérique du Nord, Amérique, Education santé, Technique, Agent santé, Comparaison interindividuelle, Adulte, Homme, Soin intensif, Ambulancier
Mots-clés Pascal anglais : Intubation, Intratracheal administration, Professional evaluation, Performance evaluation, Professional qualification, Professional experience, Occupational education, United States, North America, America, Health education, Technique, Health worker, Interindividual comparison, Adult, Human, Intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0144380
Code Inist : 002B30A05. Création : 21/07/1998.