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.