A survey of basic resuscitation knowledge among resident paediatricians.

Buss, Paul; McCabe, Michael J.; Evans, R.; Davies, Anne; Jenkins, Huw

doi:10.1136/adc.68.1.75

Cited by 50 publications

(34 citation statements)

References 11 publications

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“…Similar findings exist in the literature; frequency of CPR practice has been suggested as an important factor in maintaining knowledge (11). Other authors have described infrequency of CPR practice as an important factor leading to lower scores (12)(13)(14). Furthermore, the majority of Emergency Medicine resi- (15).…”

Section: Discussionsupporting

confidence: 73%

Determination of Advanced Life Support Knowledge Level of Residents in a Turkish University Hospital

Kıyan

Yanturali

Musal

et al. 2008

The Journal of Emergency Medicine

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Section: Discussionsupporting

confidence: 73%

Determination of Advanced Life Support Knowledge Level of Residents in a Turkish University Hospital

Kıyan

Yanturali

Musal

et al. 2008

The Journal of Emergency Medicine

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“…Not surprisingly, without an initial period of training the performance of resuscitation skills is poor. 5,6 Moreover, retraining is imperative because the retention of resuscitation skills is also poor. [7][8][9] Fewer studies have evaluated physician performance of advanced life support, which is an even more complex set of skills and knowledge-based decision making.…”

mentioning

confidence: 99%

Performance of Advanced Resuscitation Skills by Pediatric Housestaff

White

Shugerman

Brownlee

et al. 1998

Arch Pediatr Adolesc Med

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To describe pediatric housestaff resuscitation experience and their ability to perform key resuscitation skills.Design: Cohort study of 63 pediatric residents in a university-based training program.Participants and Methods: Investigators observed, scored, and timed resident performance on 4 key resuscitation skills. Cognitive ability was tested with 4 written scenarios. Housestaff provided self-reports of the number of months since their last American Heart Association Pediatric Advanced Life Support course, number of mock and actual codes attended, number of times skills were performed, and self-confidence with respect to resuscitation.Results: A total of 45 pediatric residents (71%) participated. Median cognitive score was 5 (range, 1-5). Of all residents, 44 (97%) successfully bag mask-ventilated the mannequin; 24 (53%) and 36 (80%) used the correct bag and mask size, respectively. Thirty-nine residents (87%) placed a tube in the mannequin trachea, 12 (27%) checked that suction was working prior to intubation, and 30 (67%) chose the correct endotracheal tube size. Forty residents (89%) discharged the defibrillator, and 25 (56%) and 32 (71%) correctly chose asynchronous mode and infant paddles, respectively. Thirty-eight residents (84%) inserted an intraosseous line; 35 (78%) had correct placement. Median times for successful skill completion were 83 seconds for bag mask ventilation, 136 seconds for intubation, 149 seconds for defibrillation, and 68 seconds for intraosseous line placement. Conclusion:Pediatric housestaff previously trained in pediatric advanced life support were generally able to reach the end point of 4 key resuscitation skills but less frequently performed the specific subcomponents of each skill. This poor performance and the prolonged time to skill completion suggest the need for greater attention to detail during training.

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“…A high percentage recognised the intraosseous route for achieving vascular access -significantly more than in a similar survey of more junior paediatricians in 1992. 6 Holders of the MRCP fared no better than their colleagues without the qualification. (Those without the MRCP frequently related that they were preparing for the examination.)…”

Section: Discussionmentioning

confidence: 99%