Intubation Guide (Adult)
 
                                                   
Was Intubation Successful?
                              Yes         No          
                                 
                                 
             
             
             
Does Pt's require sedation or paralysis to maintain intubation and ventilation
    Yes     No
Yes
    
 
Post Intubation Sedation
     
Post Intubation Paralysis
 
         
           
   
Care / Ventilation of Intubated Pt
 
Intubation Special Notes
The Medical Standards Committee has authorised endotracheal intubation by MICA Paramedics in selected Pt’s.
There are three intubation techniques available:
- Intubation without drugs (Unassisted Endotracheal Intubation)
- Intubation Facilitated by Sedation (IFS)
- Rapid Sequence Intubation (RSI)
The appropriate technique will vary according to the clinical setting and a Paramedic’s authorised scope of practice.
A MICA Paramedic operating alone may elect not to use IFS or RSI until a second MICA Paramedic is present.
All intubations facilitated or maintained with drug therapy will be reviewed as part of AV Clinical governance processes.
The use of cricothyroidotomy is restricted to AV MICA Paramedics specifically accredited in this skill by the Medical Standards Committee.