Cardiopulmonary resuscitation surprise drills for assessing, improving and maintaining cardiopulmonary resuscitation skills of hospital personnel

Farah, Raymond; Stiner, Eva; Zohar, Zmora; Zveibil, Fabio; Eisenman, Arie

doi:10.1097/mej.0b013e328285d6d6

Cited by 32 publications

(16 citation statements)

References 16 publications

(12 reference statements)

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“…Solche "On-site"-Teamtrainings lassen es eher zu, Teammitglieder aus verschiedenen Disziplinen und Berufsgruppen zu schulen. Dies kann ALS-Wissen [143] und -Fertigkeiten [144], Vertrauen und Vorbereitung [141] und das Vertrautsein mit der Umgebung [145] verbessern sowie verbreitete System-und Anwenderfehler identifizieren [142,146,147].…”

Section: Trainingsstrategien Auf Fortgeschrittenen-niveauunclassified

Ausbildung und Implementierung der Reanimation

Greif

Lockey

Conaghan

et al. 2015

Notfall Rettungsmed

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Section: Trainingsstrategien Auf Fortgeschrittenen-niveauunclassified

Ausbildung und Implementierung der Reanimation

Greif

Lockey

Conaghan

et al. 2015

Notfall Rettungsmed

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“…One possible supplement to actual resuscitation exposure is simulation training, which could help paramedics attain the higher survival rates achieved by paramedics with high exposure to actual OHCAs. In the hospital setting, simulation has been shown to improve practitioner skill performance, [29][30][31][32][33][34] and there is some indication that it may improve patient survival. 31,35 Another option is formal debriefing, which helps paramedics to learn from every OHCA that they attend.…”

Section: A B C D E Fmentioning

confidence: 99%

Paramedic Exposure to Out-of-Hospital Cardiac Arrest Resuscitation Is Associated With Patient Survival

Dyson

Bray

Smith

et al. 2016

Circ: Cardiovascular Quality and Outcomes

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A lthough out-of-hospital cardiac arrest (OHCA) is a major public health problem, 1 individual paramedics are rarely exposed to these cases. [2][3][4][5][6][7] Survival to hospital discharge from OHCA is infrequent (<10%) 8 and dependent on the quality and timing of treatment provided by paramedics. [9][10][11][12][13][14][15] Given that resuscitation skills decay over time 16 and OHCA treatment often falls short of the recommended standard, 9-14 the number of OHCAs that paramedics are exposed to may be contributing to low survival rates.The limited literature available indicates that exposure to OHCA for individual paramedics is rare 2-7 and declining. 2,3 For example, in our region, we found that on average paramedics and first responders only treat 1.4 OHCAs a year. 2Such low exposure may impact on the paramedics' ability to perform resuscitation skills according to the guidelines, which is vital to patient survival. However, data exploring the association between OHCA exposure and survival is lacking, with a recent systematic review 17 finding only one previous study involving prehospital physicans 18 and no studies involving paramedics.Therefore, in this study, we aimed to examine the association between paramedic exposure to OHCA resuscitation and patient survival to hospital discharge. We also examined the paramedics' decision to initiate resuscitation in OHCA and 2 other exposure variables: (1) paramedic career experience and (2) time since previous paramedic exposure to OHCA resuscitation. MethodsWe conducted a retrospective cohort study using 10 years of data from the Victorian Ambulance Cardiac Arrest Registry (VACAR) and the Ambulance Victoria (AV) employment database to measure the association between paramedic exposure to OHCA resuscitation and OHCA patient survival. This study was approved by the Monash University Human Research Ethics Committee (project number: CF13/971-2013000471). The need for patient consent was waived Background-Although out-of-hospital cardiac arrest (OHCA) is a major public health problem, individual paramedics are rarely exposed to these cases. In this study, we examined whether previous paramedic exposure to OHCA resuscitation is associated with patient survival. Methods and Results-For the period 2003 to 2012, we linked data from the Victorian Ambulance Cardiac Arrest Registry to Ambulance Victoria's employment data set. We defined exposure as the number of times a paramedic attended an OHCA where resuscitation was attempted in the 3 years preceding each case. Using a multivariable model adjusting for known predictors of survival, we measured the association between paramedic OHCA exposure and patient survival to hospital discharge. During the study period, there were 4151 paramedics employed and 48 291 OHCAs (44% with resuscitation attempted). The median exposure of all paramedics was 2 (interquartile range 1-3) OHCAs/year. Eleven percent of paramedics were not exposed to any OHCA cases. Increased paramedic exposure was associated with reduced odds of attempted resuscit...

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“…20 Other close studies confirmed this, too. 21,22 Only 5 MBBS interns and 3 nursing interns underwent training at the workshop and all of the participants studied BLS during UG classes and bedside clinics.…”

mentioning

confidence: 99%

Knowledge, attitude and practice study on cardiopulmonary resuscitation among medical and nursing interns

Mendhe

Burra

Singh

et al. 2017

Int J Community Med Public Health

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Background: Cardiac arrest is a substantial public health problem estimated to account for 15–20% of all death. It is documented that a timely performed cardiopulmonary resuscitation (CPR) can largely prevent sudden death. Being important members of the health care delivery team, medical professionals and nursing staff are deemed to pass the basic skills and expertise which are needed to perform CPR. The principle objectives of the research project are to assess knowledge and attitude of CPR and to compare knowledge regarding CPR among medical and nursing students.Methods: It was a cross sectional study for duration of 2 month from March 2013 to April 2013, conducted among 100 nursing and medical interns of a tertiary care institute in Vijayawada (A.P). Pre tested structured questionnaire of 2010 American health association guidelines for CPR and basic life support (BLS) Practice Test of National Health Care Provider Solutions of 30 questions were used to assess the knowledge, attitude and practice among study participants. Results: The median for knowledge score of MBBS interns was 6 with inter-quartile range 2 and the median for the knowledge score of nursing interns was 6 with inter-quartile range 1. The median for the practice score for MBBS interns was 5 with inter-quartile range of 2.25 and median for practice score in case of nursing interns was 4 with inter-quartile range 2. 36% of MBBS interns had poor knowledge score and 46% of nursing interns had poor knowledge score. Conclusions: The present study identified the knowledge and practice score of BLS or CPR which is poor in both medical and nursing students, even though they have positive and good attitude towards it. BLS training should be the part of the curriculum to solve this issue.

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Cardiopulmonary resuscitation surprise drills for assessing, improving and maintaining cardiopulmonary resuscitation skills of hospital personnel

Abstract: It is our belief that surprise resuscitation drills constitute an effective tool to improve performance in case of a real emergency resuscitation, both on a departmental and a general hospital level.

Cited by 32 publications

References 16 publications

Ausbildung und Implementierung der Reanimation

Ausbildung und Implementierung der Reanimation

Paramedic Exposure to Out-of-Hospital Cardiac Arrest Resuscitation Is Associated With Patient Survival

Knowledge, attitude and practice study on cardiopulmonary resuscitation among medical and nursing interns

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