This one day course aims to familiarise medical professionals with the practice of rapid sequence intubation in the unique pre-hospital environment. The course is intended for providers experienced in pre-hospital airway management techniques and seeking to acquire the ability to lead or assist in intubation interventions in critically ill patients in remote settings.
What will I learn ?
On completion of the PARSIC course, participants will have gained:
The knowledge to recognise definite indications for RSI in pre-hospital practice
The ability to direct an RSI attempt
The ability to perform an RSI attempt
What particular skills will I obtain?
RSI of a critically ill patient outside of hospital requires a goal-driven, team-centred approach and a high level manual skill set. Our learning objectives target the practice of pre-hospital RSI from three different aspects and emphasise the differences from classical techniques practised in more traditional settings.
Indications for pre-hospital RSI
Relevance of indications to pre-hospital patient care
Targets outcomes for pre-hospital RSI in different indications
Differences between in-hospital and pre-hospital RSI
Modifications to RSI techniques in pre-hospital practice to maximise success with limited resources
Markers of success in pre-hospital RSI, methods of recognising limitations and strategies for revising approaches in austere environments
Gauging colleagues' skills sets, experience and ability to participate in pre-hospital RSI
Directing a pre-hospital RSI effort from within the team and from outside it
Assuming various responsibilities within the team as appropriate
Regulating team members' responsibilities according to individual competencies
Planning for pre-hospital RSI interventions with the limited resource availability
Performing laryngoscopy and intubation in a non-RSI context
Performing laryngoscopy and intubation in an RSI context
Using a checklist system to minimise errors of omission in RSI interventions
Integrating airway decontamination manoeuvres into an RSI intubation routine
Achieving successful and safe RSI intubation in complex casualty simulations
How will I be assessed?
The PARSIC course incorporates CoROM standards of curriculum delivery and rigorous outcome measurement.
Small group teaching sessions
Small group simulation practices
Summative simulation-centred evaluation
Successful course completion will involve a written examination and participation in a simulated critically ill patient scenario within a classroom setting.
How is this course certified?
The PARSIC course is certified through the College of Remote & Offshore Medicine.