Monash University
Thesis Pieter Francsois Fouche FINAL .pdf (30.18 MB)

Rapid Sequence Intubation by Paramedics in Out-of-hospital Non-traumatic Brain Pathologies

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posted on 2020-06-05, 01:37 authored by PIETER FRANSCOIS FOUCHE
Non-traumatic brain pathologies (NTBP) are acquired brain injuries that form a substantial proportion of presentations to emergency departments and emergency services. Endotracheal intubation techniques such as Rapid Sequence Intubation (RSI) are frequently used to manage the airways of NTBP. This thesis shows that RSI is common in NTBP (and NTBP common in RSI) and there is no high quality evidence to support RSI in NTBP. The brain trauma evidence cannot be used to support NTBP RSI. Also, RSI might be a cause of poorer survival in strokes. A randomized controlled trial to support RSI use is urgently needed.


Principal supervisor

Paul Jennings

Additional supervisor 1

Malcolm Boyle

Additional supervisor 2

Karen Smith

Additional supervisor 3

Stephen Bernard

Year of Award


Department, School or Centre

Primary and Allied Health Care

Additional Institution or Organisation


Campus location



Doctor of Philosophy

Degree Type



Faculty of Medicine, Nursing and Health Sciences