Date: 7 March 2009

Dear Editor,

RE: Hughes J. The reasoning for paramedics to continue with the skill of laryngoscopy and tracheal intubation in the pre-hospital environment. Ambulance UK, 2009;24(1):13-14.

It is with significant regret that we write to you following your publication of the article written by J. Hughes,entitled “The reasoning for paramedics to continue with the skill of laryngoscopy and tracheal intubation in the pre-hospital environment”.

The composition of the article does nothing to meet the high standards of written material expected of respected clinical journals, and its publication is likely to be acutely embarrassing to any paramedic who takes pride in their profession. The fact that Ambulance UK has chosen to publish it will only serve to damage the morale of the paramedic profession and risks their excellent relationship those medical colleagues who work tirelessly to improve thestanding of paramedics in the NHS and with the other health professions.

Clearly the article has not been subjectedto any kind of editorial control or peer review. It is irrational at best and none of the comments it makes are backed up by any form of evidence and supporting references. More disconcertingly it is hugely derogatory to our anaesthetic colleagues who have supported the development of paramedic practice since the 1970’s. No self-respecting journal editor would accepta paper with such obviouslypoor standards of authorship and containing the arrogant, ignorant, and insulting tone of language used. The responsibility for the publication of this unpleasant and unscientific paper falls on the author, the journal editor, and your organisation as publishers.

For the record, Mr. Hughes approached a Council member of the College of Paramedics with a draft copy of the article in October of 2008 and was advised unequivocally notto use such aggressive language. He was also advised to back up his arguments with evidence supported by references and objective reasoning.

TheUK ambulance professions andparamedicsin particular are undergoing an important transition which willenhance the overall quality of education and professional development and thusimprove standards of carefor patients. Previous, current, and future professional advancements have and will only be possible through the support and acceptance of other professional groups within the health service, and the contribution of our anaesthetic colleagues is of particular importance. . The publication of this article riskssignificantly reducing the level of respect accorded to our profession,and the responsibility for this lies firmly with Mr Hughes and the editor and publisher of Ambulance UK.

Yours sincerely

The College of Paramedics

(British Paramedic Association)

Head Office: 28 Wilfred Street, Derby, DE23 8GF

Email: Web:

The British Paramedic Association. Registered in England No. 04340181. College of Paramedics. Registered in England. No 05062387.

Registered Office: 28 Wilfred Street, Derby, Derbyshire, DE23 8GF