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Prompt and skilful resuscitation during cardiac arrest can make a significant difference between life and death. There have been important advances in the science of resuscitation and various international resuscitation committees have formulated evidence-based recommendations for the performance of basic life support. The revised guidelines publis...
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Background: Out of hospital deaths due to cardiac arrest would commonly occur because of the lack of awareness about the quick and right action to be taken. In this context the healthcare students undergo training in basic life support. However the lay persons are not exposed to such training. The present study was intended to train the auto driver...
Citations
... in the initiation of CPR. [6] The public and at least the healthcare professionals like dental surgeons should know how to perform basic life support (BLS) as they encounter incidents of cardiac arrests often in their practice and training. [7] It is very important that every dental surgeon learns BLS during their graduation training and also regular hands-on training in BLS so that he can be prepared for emergency lifesaving situations such as CPR anytime, anywhere. ...
Aim
To determine the level of knowledge and skill of basic life support (BLS) among undergraduate, postgraduate students, and general practitioners with and without regular attendance of the BLS Healthcare Provider course.
Methodology
The study was carried out at two intervals with two groups. A random sample involving undergraduate students, postgraduate students, and dental professionals was selected for both study groups. Group 1 with 440 participants had not attended BLS for Healthcare Providers Course in the last two years. Group 2 with 410 participants had attended the BLS for Healthcare Providers course regularly once a year. First, participants in Group 1 were evaluated using an MCQ test with 30 questions about their knowledge and skills in BLS. Then, a well-trained BLS instructor team from Dental College & Hospital offered BLS healthcare provider courses to students and dentists. Subsequently, Group 2 participants who had completed a BLS course for healthcare providers last year were also assessed for their knowledge and skills in BLS using another MCQ test.
Results
The marks obtained in the tests were tabulated and analyzed. To determine the association between variables with respect to mean knowledge score, t-test was employed. Multiple group comparison was made using analysis of variance and P < 0.05 was considered statistically significant. The group 1 participants score a mean of 5.7 marks against the Group 2 with a mean score of 27.4 marks out of 30 marks. Knowledge and skill in BLS skills among those in Group 1 without prior BLS training was mainly low. Dental practitioners performed marginally better than students in both groups.
Conclusions
Based on the results, we make the following observations. With the introduction of BLS training into the academic curriculum and routine BLS hands-on workshops, all healthcare providers will be familiar with the BLS skills to effectively manage the life-threatening emergencies.
... In contrast survival chances decrease by 7-10% for every minute, if CPCR is delayed. Therefore, early recognition of clinical [3] signs of cardiac arrest and application of quality CPCR should be aimed at. High quality CPCR is the cornerstone of a system of care that can optimize outcomes beyond return of spontaneous circulation (ROSC). ...
INTRODUCTION: Cardiac arrest is an emergency situation in and outside hospital setup carrying high risk of mortality. But if early Cardio Pulmonary Cerebral Resuscitation (CPCR) is initiated, the survival rate can be improved. Therefore, the awareness and knowledge of CPCR in medical and paramedical professionals is an important factor deciding the outcome of CPCR and survival rate. MATERIALS AND METHODS: A cross sectional, questionnaire based study was conducted by assessing 10 questions each regarding awareness of CPCR and basic knowledge of practical skills of CPCR in all Postgraduate (PG) students of a medical college cum tertiary hospital. After applying exclusion criteria, the study was conducted in 233 PG students.The results were analyzed using an answer key based on 2015 guidelines of American Heart Association (AHA) for CPCR. RESULTS: 50.64% students secured >60% marks, while 38.20% and11.16% students secured 40-60% and <40% marks respectively in knowledge based questionnaire. 26.18% of students were familiar with the use of Automated External Debrillator (AED). All PG students (almost 100%) who participated in the study were interested in learning CPCR. Students who received previous CPCR training were17.16%. CONCLUSION: Though the knowledge score was excellent (>60%) in 50% of the study population, it was not adequate. Training of CPCR should be emphasizedmore as PG students are at the forefront of the tertiary level of health care system.
... Notwithstanding multiple research findings strongly suggested that CPR training, availability of the AED (automated external defibrillators) and early defibrillation have significant outcome in out of hospital cardiac arrest cases, but no actual estimates are available about the real status of BLS knowledge among the general public. Nevertheless, several studies have analyzed the awareness of BLS knowledge among the university students [14][15][16] and various communities in the different countries [17][18][19] of the world including Saudi Arabia. 16,[20][21][22] BLS involves nothing as far as resources are concerned and its importance and significance is undeniable. ...
... a The variation score in different categories was analyzed by ANOVA test using p-value 0.05 as a level of significance. 17 Resuscitation ''is the act of restoring life or consciousness of one apparently dead". 18 Good prognosis and event free survival post cardiac arrest is highly dependent on the availability of prompt defibrillation and BLS. ...
Background
Basic Life Support [BLS; including cardiopulmonary resuscitation (CPR)] is a part of medical skills utilized in case of an emergency medical care to save human lives. It is well established that the young students can become major healthcare supportive workforce for a community including the cases of emergency. Therefore, adequate knowledge of BLS is necessary for all the university attending students. This study evaluated the awareness of BLS knowledge and attitude towards BLS training among the students of Jazan University, Saudi Arabia.
Methods
A self-administered survey questionnaire using cross-sectional design was employed.
Results
Out of 360 participants, the majority were male students (84.2%). The participants have mediocre knowledge of BLS, and their mean score was 7.83 out of 14. The knowledge score, i.e., correct response of male and female students was almost similar. Not a single student answered all the questions correctly. About 28% participants had received BLS training previously during their study course and showed better BLS knowledge (mean score 10.41) in comparison with the other participants. In contrast with the students of health science related courses, the highest mean knowledge score (11.5) was opted by the students of emergency medical services, whereas the lowest score (6.58) was opted by the students of nursing background.
Conclusions
Overall, a majority of the students of Jazan University did not have complete knowledge of BLS (CPR). The outcomes of this study will be helpful for education and healthcare service providers of the Saudi kingdom as a whole and for Jazan region.
... Studies have shown that immediate CPR after collapse due to ventricular fibrillation doubles or even triples the chances of survival. In contrast survival chances decrease by 7-10% for every min, if CPR is delayed [6]. Individuals in the community at least the health care professionals should know how to perform BLS as they encounter such situation very often [7]. ...
... An immediate CPR can double or triple the chances of survival (Almesned et al., 2014). Survival chances decrease by 7-10% for every min, if CPR is delayed (Sarin & Kappoor, 2006). ...
It is important that every member of the community be trained in effective BLS technique to save lives. At least doctors including medical, dental and paramedical staff should be trained in CPR, as it is a basic medical skill which can save many lives if implemented timely.
Aim: To assess the awareness of Basic Life Support (BLS) among dental interns and dental practitioners in Mangalore, Karnataka, India.
Material and Methods: This cross-sectional study was conducted during November-December 2014 among dental interns and dental practitioners. This study was conducted by assessing response to twenty selected multiple choice questions pertaining to BLS among dental interns and dental practitioners. The results are present in the form of frequency and percentages.
Statistical Analysis:The data was collected and analyzed using software Statistical Package for Social Sciences (SPSS) version 12.0.
Result: In this study one hundred and twenty five responders were included them, 70(56%) were interns (Bachelor in dental surgery) and remaining 55(44%) were dental practitioners. Surprisingly none out of one hundred and twenty five had the complete knowledge of BLS. Looking closely at the individual groups dental practitioners scored 61.5%, as being aware with the BLS knowledge and skills but needs to be updated with change in protocols done by American Heart Association after every time period and sadly dental interns score 41.2% which shows that BLS course should be considered for inclusion in the Bachelor in dental surgery curriculum
Conclusions: This study suggests that dental interns and dental practitioners may not be adequately prepared in the management of medical emergencies and should improve the knowledge and skills regarding BLS.
General PrinciplesCollapseAsphyxiaManagement of Other Emergency SituationsRespiratory ProblemsHaemorrhagePoisoningPainTrauma and Minor InjuriesStings and BitesEye ProblemsForeign BodiesEmergency MidwiferyReferencesFurther ReadingUseful Addresses and Websites
Background:
Medical students today are tomorrow's future doctors. One of the key skills that students should develop during their graduation training is to be prepared for emergency life saving measures like cardiopulmonary resuscitation (CPR) anytime, anywhere. The students play integral role in learning, mastering and inculcating the most pragmatic clinical skill of CPR.
Objectives:
a) To evaluate the CPR awareness among undergraduate medical students. b) To screen the knowledge regarding accurate, effective CPR procedural techniques and various barriers of CPR failure in clinical practice from student perspective. c) To ascertain interest in CPR training programs and also inculcating CPR as an active part of clinical practice in future.
Materials and methods:
The questionnaire comprised of three parts, first one dealing with general questions to know the importance of CPR in clinical practice, second one comprised of the main goal and accuracy of CPR intervention and the last segment consisted of questions targeting the indications, methods and effectiveness of CPR.
Statistical analysis:
Descriptive statistics and multiple response analyses were done by using SPSS 17.
Results:
The students had good knowledge about the importance of CPR in clinical practice and stand average in knowing its indications and effectiveness. Whereas, only 1.2% of them were completely aware about the universal compression ventilation ratio, and 20.4% were aware of the current order of CPR being compression, airway and breathing.
Conclusion:
Though, CPR awareness is good among the students but skills of CPR have to be mastered by proper certified training programs at regular intervals and knowledge has to be updated with the changing trends in CPR.
Compared with no music (NM), does listening to 'Achy breaky heart' (ABH) or 'Disco science' (DS) increase the proportion of prehospital professionals delivering chest compressions at 2010 guideline-compliant rates of 100-120 bpm and 50-60 mm depths?
A randomised crossover trial recruiting at an Australian ambulance conference. Volunteers performed three 1-min sequences of continuous chest compressions on a manikin accompanied by NM, repeated choruses of ABH and DS, prerandomised for order.
37 of 74 participants were men; median age 37 years; 61% were paramedics, 20% students and 19% other health professionals. 54% had taken cardiopulmonary resuscitation training within 1 year. Differences in compression rate (mode, IQR) were significant for NM (105, 99-116) versus ABH (120, 107-120) and DS (104, 103-107) versus ABH (p<0.001) but not NM versus DS (p=0.478). Differences in proportions of participants compressing at 100-120 bpm were significant for DS (61/74, 82%) versus NM (48/74, 65%, p=0.007) and DS versus ABH (47/74, 64%, p=0.007) but not NM versus ABH (p=1). Differences in compression depth were significant for NM (48 mm, 46-59 mm) versus DS (54 mm, 44-58 mm, p=0.042) but not NM versus ABH (54 mm, 43-59 mm, p=0.065) and DS versus ABH (p=0.879). Differences in proportions of subjects compressing at 50-60 mm were not significant (NM 31/74 (42%); ABH 32/74 (43%); DS 29/74 (39%); all p>0.5).
Listening to DS significantly increased the proportion of prehospital professionals compressing at 2010 guideline-compliant rates. Regardless of intervention more than half gave compressions that were too shallow. Alternative audible feedback mechanisms may be more effective.
The American Heart Association encourages trained and untrained bystanders to perform, at a minimum, chest compressions on anyone who suddenly collapses. It is possible that people who are not in cardiac arrest may receive bystander cardiopulmonary resuscitation (CPR), from which the potential for injury is unknown.
To determine the number of victims who received bystander CPR but were not in cardiac arrest and to identify any injuries resulting from receiving bystander CPR.
Retrospective review of patient care records from a countywide emergency medical services (EMS) database. All patients treated by EMS between March 2003 and February 2009 who received bystander CPR were queried. Victims who were determined not to be in cardiac arrest upon EMS personnel assessment were identified as likely not in cardiac arrest. Hospital medical records for transported patients were reviewed for injuries possibly related to CPR. Patient demographics were collected and descriptive statistics were used for analysis.
Six hundred seventy-two incidents of bystander CPR occurred, with 77 (11.5%) cases not being identified as cardiac arrests by EMS. Twenty-three percent of the patients were less than 19 years of age. Emergency medical services arrived in less than 6 minutes for 68% of patients. Seventy-two patients were evaluable for injury; of those, 53% were admitted to the intensive care unit. One patient (1.4%) had an injury that was documented in the medical record as possibly CPR-related: rhabdomyolysis.
Bystanders provide CPR for patients who are not in cardiac arrest at a relatively low frequency. Short-duration bystander CPR caused injury in less than 2% of victims. Our results suggest that the benefits of bystander CPR for adults who suddenly collapse outweigh the risk of injury for those not in cardiac arrest.
