title: [A Kumamoto model of clinical training in tracheal intubation for paramedics].
abstract: BACKGROUND
  Since July 2004, the Japanese Ministry of Health, Labor and Welfare approved certified paramedics to perform emergency prehospital tracheal intubation. A specialized training system in tracheal intubation has been established in Kumamoto Prefecture.
  
  
  METHODS
  The Kumamoto Prefectural Medical Control Organization, a tracheal intubation task force was established: consisting of the departments of Anesthesiology at Kumamoto University and 11 other major hospitals, along with Kumamoto Prefecture and the 14 prefectural fire-departments. This group published the Kumamoto training guidelines and a training system for paramedics.
  
  
  RESULTS
  Kumamoto Prefecture appealed for support of paramedic activity on television and in newspapers as public education. The prefectural governor officially asked hospitals to train paramedics. Because 9 of the 14 fire-departments had no regional teaching hospital, trainees were matched with other hospitals by the task force. The task force published a pamphlet to inform surgical patients about tracheal intubation training and to recruit patients as practice volunteers. Anesthesiologists undertook significant roles in making arrangements to facilitate the project at their hospitals, in addition to teaching paramedics prior to surgical procedures.
  
  
  CONCLUSIONS
  The Medical Control Organization, Kumamoto Prefecture, anesthesiologists and emergency response personnel worked together successfully to promote the training program for clinical tracheal intubation by paramedics.
authors.affiliation: Department of Anesthesia, Japan Labour Health and Welfare Organization, Kumamoto Rosai Hospital, Yatsushiro 866-8533.
authors.forename: Fumiharu
authors.initials: F
authors.lastname: Yanagi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kinoshita
authors.forename: Hidenori
authors.initials: H
authors.lastname: Terasaki
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Mitsuse
authors.forename: Tadashi
authors.initials: T
authors.lastname: Tanoue
authors.forename: Kimiaki
authors.initials: K
authors.lastname: Ezaki
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Yano
authors.forename: Michiaki
authors.initials: M
authors.lastname: Sadanaga
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Haratake
authors.forename: Jiro
authors.initials: J
authors.lastname: Takeshita
authors.forename: Kazuo
authors.initials: K
authors.lastname: Suzuki
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Ikuta
authors.forename: Kouichi
authors.initials: K
authors.lastname: Matsuo
mesh_terms: D000488:Allied Health Personnel / Q000193:education*; D000761:Anesthesia Department, Hospital / Q000458:organization & administration*; D002983:Clinical Competence; D004634:Emergency Medical Technicians / Q000193:education*; D006801:Humans; D007318:Inservice Training; D007442:Intubation, Intratracheal; D007564:Japan; D017145:Models, Educational; D014146:Training Support