EMS is dispatched to a cardiac arrest at a residence with bystander CPR in progress.
The paramedic and EMT partners arrive on scene to find BLS care being initiated by a company of four firefighters who are credentialed at either the EMR or EMT level.
The paramedic focuses on coordinating the resuscitation including ensuring the priorities of early defibrillation and high-quality CPR, as well as accomplishing the ALS tasks of obtaining IV/IO access and medication administration. While focusing on these priorities, the paramedic would like to off-load airway management to another on-scene provider so a supraglottic airway can be placed.
Supraglottic airway placement is not currently in the 2019 National Scope of Practice Model at the EMT level. However, some states, or where permissible EMS agencies, have placed this within the EMT scope.