The practice of safe and effective pre-hospital RSI, performed by non-physician providers or ECPs, relies on comprehensive implementation and adherence to all the components of the minimum standards. Furthermore, our results indicate a lack of clinical feedback, deficiency of an RSI database, infrequent clinical review meetings and a shortage of formal consultation frameworks. Only 50 (65.8%) participants reported the existence of a clinical governance system within their organisation. Most RSI and post-intubation equipment were reported to be available however, our results found that introducer stylets and/or bougies and end-tidal carbon dioxide devices are not available to some participants. The majority of participants ( n = 69, 90.8%) did not participate in an internship programme before commencing duties as an independent practitioner. Overall participants reported that their education and training were perceived as being of good quality. Most participants were operational in Gauteng ( n = 27, 35.5%) and the Western Cape ( n = 25, 32.9%). The survey response rate could not be calculated.
Eleven (12.6%) incomplete survey responses were excluded while 76 (87.4%) were included in the data analysis. ResultsĪ total of 87 participants agreed to partake. MethodsĪn online descriptive cross-sectional survey was conducted amongst operational ECPs in the pre-hospital setting of South Africa, using convenience and snowball sampling strategies. The research study aimed to investigate and describe, based on the components of the minimum standards of pre-hospital RSI in South Africa, specific areas of interest related to current pre-hospital RSI practice. In South Africa, pre-hospital RSI was first approved for non-physician providers by the Health Professions Council of South Africa in 2009 and introduced as part of the scope of practice of degree qualified Emergency Care Practitioners (ECPs) only. Rapid sequence intubation (RSI) is an advanced airway skill commonly performed in the pre-hospital setting globally.
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