26 Assuming that a mean time of 60 seconds for endotracheal

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Villagers were to obtain immunisation in the closest health centre. In all villages, the government nurse continued to provide immunisation services for the duration of the study. When a camp was established in a village, any non immunised child younger than 5, from any village, was eligible for immunisation in the camp.

After insertion of the endotracheal tube, the study was concluded and anaesthetic preparation of the patient continued as normal. In patients where paramedic endotracheal intubation failed, the procedure was completed by the supervising consultant anaesthetist.Paramedics undertaking the study had all been trained in the use of the LM airway according to JRCALC guidelines and were clinically at a level of competence to attempt endotracheal intubation and LM insertion in the prehospital Designer Replica Bags setting.A previous study has reported a mean (SD) time of 40 seconds (1.9 seconds) for LM insertion by paramedics.26 Assuming that a mean time of 60 seconds for endotracheal intubation would be a clinically relevant difference, power calculations showed that 50 paired samples will give the study a power >0.90 taking significance as p 0.05.Statistical analysis was performed using the “Analyse it” add in for Microsoft Excel 2000 (Analyse it Software, PO Box 77, Leeds LS12 https://www.moreplicaa.com 5XA, UK). Descriptive data are presented using non parametric analysis.

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