Our Address

Northumberland Wing, The Imperial Centre, Grange Road, Darlington DL1 5NQ

Tel: 01325 487 263 - Fax: 01325 489 819







The Great North Air Ambulance has been delivering advanced prehospital critical care interventions since the introduction of doctor-paramedic trauma teams in 2004. As early-adopters of this model of care, GNAAS quickly recognised that no other organisations in the UK had developed a training course for prehospital anaesthesia. If GNAAS wanted to continue training the doctors and paramedics of the future, they would need to design a bespoke and cutting-edge training package of their own. After more than 12 months in development, the first PreHospital Emergency Anaesthesia (PHEA) course was run in March 2007.

Now in its eleventh year, the PHEA course has gone from strength to strength. In 2010, the original course manual was adapted into a published paperback, the ‘Pre-Hospital Anesthesia Handbook’ which is now in its second edition (independently reviewed here).
September 2017 marked the 25th sitting of the PHEA course. Almost 400 doctors and paramedics across the world have now been trained by the GNAAS faculty in the art and science of delivering cutting-edge prehospital critical care.


"Complex course, run brilliantly. Hard work but massively rewarding, cementing together practitioners from multiple backgrounds into a well-drilled future HEMS team." 

Course content and faculty

The two day PHEA course is aimed at doctors, paramedics and nurses, and uses a combination of classroom and realistic scenario-based training. There is a strong practical element to the course throughout, culminating in final day outdoor ‘moulages’ – simulated scenarios working with both Ambulance and Fire & Rescue services.

Topics covered include:

  • Decision making processes and safety standards
  • Preparation, “kit-dump” and checklists
  • Human performance and CRM
  • Drug and equipment familiarity
  • Post-intubation management
  • Adverse event management and failed intubation drills

At the heart of the course is the instructor faculty, which is made up of senior doctors and paramedics, all of whom work in this field in both the civilian and military settings. Key to the past success of the PHA course is the ability for candidates to tap into this considerable experience. The faculty remain present throughout the course and are friendly and approachable. 

The Great North Air Ambulance and the PHEA Faculty fully endorse the AAGBI guidelines on the safe conduct of pre-hospital anaesthesia.


The PHEA course teaches the delivery of advanced airway and critical care skills in the prehospital environment. It is assumed that candidates will already be familiar with aspects of basic trauma care/resuscitation, and should be accustomed to scenario-based learning.
These eligibility recommendations are for guidance only. If in doubt, please send us your no-obligation application form and our training team will be in touch.

  • Doctors in PHEM training (UK) or equivalent programmes
  • Junior doctors working towards PHEM training application in the future
  • Experienced prehospital doctors looking to familiarise with RSI techniques
  • Experienced Emergency Medicine or Anaesthetic doctors who don’t currently work in the prehospital environment

Qualified paramedics – whether just wanting to gain familiarity with RSI techniques, or for those looking to upskill for a particular role (CCPs, Trauma, HART, HEMS)
Nurses who already have prehospital experience (eg. BASICs/HEMS) looking to gain familiarity or upskill with RSI techniques.


Doctors - £480
Paramedic/Nurse - £295
Price includes the 2-day course including lunch, the course dinner and a copy of the Pre-Hospital Anesthesia Handbook

Course venue, dates and application

Applications for 2019 are now open. Click here to apply.

The PHEA course is held at a purpose-designed Fire & Rescue training centre in County Durham, North East England.

  • 14th/15th March 2019 
  • 10th/11th June 2019
  • 6th/7th September 2019


Booking terms and conditions

Click here for full terms and conditions.

Previous feedback

"Fantastic course. Instructors very personable, helpful and knowledgeable. Good mix of theory to practical."
"An absolutely fantastic two days. I have learnt so much and added to my clinical practice. Tutors are all excellent."
“A fantastic course which I have thoroughly enjoyed. Thank you very much to the GNAAS faculty for giving great sessions and feedback. I can’t find fault in the course."
“Thank you for two great days. I feel challenged and exhilarated. I can easily say best course I’ve been on." 
"Venue is superb. Teaching was marvellous. Staff friendly and knowledgeable. Very well put across."
“Outstanding course! The afternoon scenarios were immersive and realistic, I’m exhausted! I feel much more comfortable with the technique and I am enthused and passionate about the delivery of E in my area.”



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