Vol 15, No 3 (2021)
Case report
Published online: 2021-06-15

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Emergency replacement of an obstructed tracheotomy tube in patients receiving palliative or ventilatory care by paramedics — a proper conduct or overstepping of competencies?

Katarzyna Butna1, Krzysztof Wiśniewski2, Małgorzata Krajnik1
DOI: 10.5603/PMPI.2021.0018
Palliat Med Pract 2021;15(3):263-266.


This article describes the consequences of a situation when paramedics did not attempt to replace an
obstructed tracheotomy tube in a patient with respiratory failure treated at home. It also indicates the
possible reasons for paramedics’ misconduct and actions that should be taken to ensure that paramedics
know the scope of their competencies and are capable of replacing a tracheotomy tube at a patient’s
home. If no adequate action is taken, it may result in additional suffering stemming from the necessity to
transport the patient to the hospital.

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Palliative Medicine in Practice