Fixing Airway Skill Decay in EMS Systems

A system-level solution for EMS leaders facing declining intubation exposure, inconsistent proficiency, and rising performance risk.

For EMS agencies, medical directors, training divisions, and county decision-makers.

The Problem Is Not Just Training. It Is System Design.

Declining Exposure

Paramedics are getting fewer live airway opportunities, which makes skill retention harder to sustain.

Inconsistent Performance

High-acuity, low-frequency skills deteriorate when systems rely on occasional refreshers instead of continuous reinforcement.

Organizational Risk

When airway readiness varies across providers, leaders inherit the clinical, operational, and liability consequences.

A Continuous Airway Readiness Model

Sentinel Skills Systems helps agencies build a repeatable, operational approach to airway proficiency using station-based Acuity Packs, daily skill engagement, and alignment with QA/QI processes.

Install Acuity Packs

Integrate daily airway reps

Reinforce consistency across providers

Strengthen readiness, oversight, and outcomes

Built from Field Experience and Doctoral Research

Sentinel was developed through decades of EMS experience and doctoral research focused on the factors that influence paramedic airway performance, including training, skill retention, decision-making, and organizational practices.