Open AccessResearch paramedics’ observations regarding the challenges and strategies employed in the implementation of a large-scale out-of-hospital randomised trial
Author(s) -
Jonathan Green,
Maria Robinson,
Richard Pilbery,
Gregory Adam Whitley,
Helen Hall,
Madeleine Clout,
Barnaby C Reeves,
Kim Kirby,
Jonathan Benger
Publication year - 2020
Publication title -
british paramedic journal
Language(s) - English
Resource type - Journals
ISSN - 1478-4726
DOI - 10.29045/14784726.2020.06.5.1.26
Subject(s) - medicine , cluster randomised controlled trial , scale (ratio) , medical emergency , randomized controlled trial , airway management , clinical trial , emergency medical services , flexibility (engineering) , intubation , intervention (counseling) , psychological intervention , nursing , surgery , statistics , physics , mathematics , pathology , quantum mechanics
AIRWAYS-2 was a cluster randomised controlled trial (RCT) comparing the clinical and cost effectiveness of the i-gel supraglottic airway device with tracheal intubation in the initial airway management of out-of-hospital cardiac arrest (OHCA). In order to successfully conduct this clinical trial, it was necessary for research paramedics to overcome multiple challenges, many of which will be relevant to future emergency medical service (EMS) research. This article aims to describe a number of the challenges that were encountered during the out-of-hospital phase of the AIRWAYS-2 trial and how these were overcome.