• S J Stratton, G Kane, C S Gunter, N C Wheeler, C Ableson-Ward, E Reich, F D Pratt, G Ogata, and C Gallagher.
• Los Angeles County Emergency Medical Services Agency Paramedic Training Institute, Torrance, California.
• Ann Emerg Med. 1991 Dec 1;20(12):1314-8.

Study ObjectivesTo determine the effect of manikin-only training on field success of endotracheal intubation by paramedics.DesignProspective evaluation of individual field endotracheal intubation success rates for paramedics after they participated in a manikin-only or a manikin-plus-cadaver training program.Types Of ParticipantsParamedics responding to emergency calls involving adult medical or trauma victims.InterventionsAll participants were trained using a controlled manikin training program; then, half were randomly selected for additional instruction using fresh human cadavers.Measurements And Main ResultsIndividuals trained using only the manikin program had mean +/- SD individual success rates of 82 +/- 32%, and individuals who received additional cadaver training had mean individual success rates of 83 +/- 31%. Overall success rates for the two groups were 86% for the manikin-only group and 85% for the manikin-plus-cadaver-trained group. The sample size was not adequate to allow rejection of the null hypothesis.ConclusionParamedics trained in endotracheal intubation using a systematic manikin-only teaching program can attain acceptable individual success rates in the actual field setting.

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