RSI delivered by EM clinicians is common place throughout the globe, in the UK however it still seems a contentious topic, with recent data showing only 20% of ED RSIs being performed by EM clinicians.
I was lucky enough to be asked to talk at the ICS SoA 2016 conference on the topic of EM doctors carrying out RSI’s in the UK and this podcast is a copy of that talk.
…..following the talk there were quite a few comments and questions flying round the room and social media. I caught up with Rob to run through the main issues raised
Together I hope these podcasts add some context both to UK practitioners and also to those from other countries, who may not understand what the big deal is all about.
Simon
References
The who, where, and what of rapid sequence intubation: prospective observational study of emergency RSI outside the operating theatre. Reid C, et al. Emerg Med J. 2004
Scottish Intensive Care Society: RSI
Difficult Airway Society Guidelines
RCOA Anaesthesia in the Emergency Department Guidelines; Chapter 6.1
RCoA & RCEM; Safe Sedation of Adults in the Emergency Department
John Hinds on RSI at RCEM 2015 Belfast
Draft; AAGBI Guidelines: Safer pre-hospital anaesthesia 2016
Absolute Belter!
I feel impassioned by this issue and glad you’re bringing it up. I think its a crushing indictment of training that we are a ‘global outlyer’ and sadly reflects the difficulty balancing service provision vs training. Thinking positively, I hope this debate can be used a spring board to formalising continued RSI competence beyond ACCS and ensure this is fundamental skill is maintained to enhance trainees, patients and departments.
Thanks Jamie. Having trainees like yourself being so passionate about the topic and the development of the specialty is half of the battle. I’m sure there will be many people looking to continue to develop our national training and service delivery in the right direction.
Cheers