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Funny enough, the latest JRCALC guidelines, which form the basis of paramedic (EMT) practice in the UK, also took a similar stance. Needless to say, most critical care paramedics are not pleased...

Clearly, the risk of RSI in inexperienced hands is being acknowledged.

This raises the next question. Should EM physicians who have limited exposure to anaesthetics (and also not get to undertake RSI on a regular basis to prevent skill-fade!!!) be allowed to undertake PHEA/Pre-hospital RSI??