LondonMedic
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So am I.Brown is an huge proponent of Paramedic RSI.
But I think that the answer, in the UK, is to have physicians do it until we can identify a small sub-group of paramedics who can be properly trained, properly supervised and sent to jobs where they're anaesthetising enough people in a week that they're maintaining their skills.
One of the big problem with paramedic RSI in the UK is that the average paramedic in London meets a patient who might benefit from the procedure less than once a month, and usually (hopefully) there will be more than one paramedic on scene, outside of the cities that drops even further. How can you maintain proficiency in anything like this if you do less than 10 a year?