Prospective study of manikin-only versus manikin and human subject endotracheal intubation training of paramedics.
OBJECTIVE
To determine the effect of manikin-only training on field success of endotracheal intubation by paramedics.


METHODS
Prospective evaluation of individual field endotracheal intubation success rates for paramedics after they participated in a manikin-only or a manikin-plus-cadaver training program.


METHODS
Paramedics responding to emergency calls involving adult medical or trauma victims.


METHODS
All participants were trained using a controlled manikin training program; then, half were randomly selected for additional instruction using fresh human cadavers.


RESULTS
Individuals trained using only the manikin program had mean +/- SD individual success rates of 82 +/- 32%, and individuals who received additional cadaver training had mean individual success rates of 83 +/- 31%. Overall success rates for the two groups were 86% for the manikin-only group and 85% for the manikin-plus-cadaver-trained group. The sample size was not adequate to allow rejection of the null hypothesis.


CONCLUSIONS
Paramedics trained in endotracheal intubation using a systematic manikin-only teaching program can attain acceptable individual success rates in the actual field setting.
Stratton
S J
SJ
Los Angeles County Emergency Medical Services Agency Paramedic Training Institute, Torrance, California.
Kane
G
G
Gunter
C S
CS
Wheeler
N C
NC
Ableson-Ward
C
C
Reich
E
E
Pratt
F D
FD
Ogata
G
G
Gallagher
C
C
D002102:Cadaver; D004496:Education, Continuing; D004634:Emergency Medical Technicians / Q000193:education*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008348:Manikins; D011446:Prospective Studies; D013663:Teaching / Q000379:methods