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Completed

NCT Number: NCT03599687

Soiled Airway Tracheal Intubation and the Effectiveness of Decontamination by Paramedics

In more than one-in-five cases of out-of-hospital cardiac arrest, airways are blocked by vomit and blood. Sometimes, paramedics cannot clear the airway using methods they have been taught. If the airway cannot be cleared, the patient will die.

Usually, these patients will have a breathing tube placed into their windpipe (intubation), as this provides protection from vomit and blood. To do this, the paramedic needs to be able to see the entrance to the windpipe.

A new method of clearing the airway called SALAD has been used in patients to help insert a breathing tube, but it is not known whether the method can help paramedics. This study will use a manikin to see if paramedics can insert a breathing tube more often on their first attempt, using SALAD.

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Key information

Conditions

Airway Management Intubation, Intratracheal Laryngoscopy Pathological Conditions, Signs and Symptoms Signs and Symptoms Signs and Symptoms, Digestive Vomiting

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Yorkshire Ambulance Service NHS Trust

Wakefield, West Yorkshire, WF2 0XQ, United Kingdom

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 18 and over
  • HCPC registered paramedic employed by Yorkshire Ambulance Service
  • Authorised to intubate within Yorkshire Ambulance Service
  • No SALAD training in the last 3 months

Exclusion criteria

  • Not an HCPC registered paramedic employed by Yorkshire Ambulance Service
  • Not authorised to intubate within Yorkshire Ambulance Service
  • Allergy to artificial 'vomit' ingredients
  • Unwilling to provide consent
  • SALAD training in the last 3 months

Treatment and study plan

Training in SALAD technique

Other

The training session will be delivered, and will take around 45 minutes to complete, including time for participant practice. The training intervention will adopt the Advanced Life Support Group/Resuscitation Council 4-stage approach of skills teaching, and is comprised of: A real-time demonstration of the SALAD technique by the researcher; A repeated demonstration with an explanation of the rationale of the steps taken when performing SALAD (not real-time); Another demonstration of the SALAD technique conducted by the researcher, but guided by one of the participants; An attempt by the same participant who guided the researcher in the previous step, followed by a practice attempt by the other participants.

Primary outcomes

  1. Difference in First-pass Intubation Success Rates Before and After SALAD Training

    Time frame: pre- and post-training as part of 2 hour study session

    This measure is a comparison of Group AAB's first-pass intubation success rate, using an attempt which occurred before SALAD training, and Group ABB's intubation success rate, using an intubation attempt that occurred after SALAD training.

Secondary outcomes

  1. Difference Between Mean Time Taken (in Seconds) to Perform a Successful Intubation on the First- Attempt, Before and After SALAD Training Approximately 30 Minutes Apart.

    Time frame: seconds

  2. Difference in Success Rates Between Participants Who Have Two Post-training Intubation Attempts Versus Participants Who Only Have One Post-training Intubation Attempt

    Time frame: pre- and post-training as part of 2 hour study session

Sponsors and collaborators

Lead sponsor

Yorkshire Ambulance Service NHS Trust

Other Gov

Collaborators

  • College of Paramedics

Registry information

Official study title

Soiled Airway Tracheal Intubation and the Effectiveness of Decontamination by Paramedics (SATIATED): A Randomised Controlled Manikin Study

Acronym: SATIATED

Important dates

Study start
2018
Primary completion
2018
Study completion
2019
First posted
Jul 26, 2018
Registry last updated
Aug 13, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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