Paramedic intubation during a pandemic: Where are the consensus guidelines?

Richard Armour, Jennie Helmer, Jon Deakin

Research output: Contribution to journalComment/debatepeer-review

2 Citations (Scopus)
24 Downloads (Pure)


There is no denying that paramedic-led intubation is a contentious issue in out-of-hospital care. Guidelines for the management of COVID-19 are developed with both patient-centred care as well as provider safety in mind, with intubation the preferred airway management strategy in patients suspected to have contracted COVID-19 requiring airway protection or invasive ventilation. However, this has re-ignited a debate which began during the Severe Acute Respiratory Syndrome (SARS) outbreak in the early 2000s around whether the benefit of paramedic-led intubation outweighs the risks to providers during a pandemic. The aim of this commentary is to revisit the evidence around paramedic-led intubation and provide a perspective on paramedic-led intubation during the COVID-19 pandemic. It is hoped this will stimulate further discussion around the benefits and risks of paramedic intubation in the setting of a pandemic.
Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalAustralasian Journal of Paramedicine
Publication statusPublished - 01 Jan 2020


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