Sharing the art and science of delivering cutting edge pre-hospital care.

PHEA 2022

Applications for the Pre-Hospital Emergency Anaesthesia (PHEA) are now closed. If you are successful, we will endeavour to inform you by the end of April 2022.
The courses will be delivered in accordance with Government guidance regarding COVID safety measures. We will be asking candidates to provide proof of either:

  • vaccination,
  • a negative Polymerase Chain Reaction (PCR) test carried out 48 hours prior to the course commencing, or
  • evidence of antibodies.


The Great North Air Ambulance has been delivering advanced pre-hospital critical care interventions since the introduction of doctor-paramedic trauma teams in 2004. As early-adopters of this model of care, GNAAS quickly recognised the importance of proper training and governance if pre-hospital anaesthesia was to be delivered safely. If GNAAS wanted to continue training the doctors and paramedics of the future, they would need to design a bespoke training package emphasising the importance of multidisciplinary team working, proper decision making and robust governance procedures. After more than 12 months in development, the first Pre-Hospital Emergency Anaesthesia (PHEA) course was run in March 2007 and subsequently renamed to the Pre-Hospital Emergency Anaesthesia course (in line with national guidance) in 2018.

Now in its fourteenth 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). More than 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.

Course content

  1. 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 and 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 pre-hospital 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 pre-hospital doctors looking to develop skills and confidence with PHEA
  • Experienced Emergency Medicine or Anaesthetic doctors who don’t currently work in the prehospital environment
  • Qualified paramedics – whether just wanting to gain familiarity with PHEA techniques, or for those looking to upskill for a particular role (CCPs, Trauma, HART, HEMS)
  • Nurses who already have pre-hospital experience (eg. BASICs/HEMS) looking to gain familiarity or upskill with RSI techniques.

2021 Dates

The PHEA April course runs from Monday 4 April 2022 to Tuesday 5 April 2022.

The PHEA September course runs from Monday 17 October 2022 to Tuesday 18 October 2022.

The course costs £600.

Applications are now closed. If you are successful, we will endeavour to inform you by the end of April 2022.

Translate »