European Resuscitation Council Guidelines for Resuscitation 2015

Greif, Robert; Lockey, Andrew; Conaghan, Philip G.; Lippert, Anne; Vries, W. de; Monsieurs, Koenraad G.; Ballance, John H.W.; Barelli, Alessandro; Biarent, Dominique; Bossaert, Leo; Castrèn, Maaret; Handley, Anthony J.; Lott, Carsten; Maconochie, Ian; Nolan, Jerry P.; Perkins, Gavin D; Raffay, Violetta; Ringsted, Charlotte; Soar, Jasmeet; Schlieber, Joachim; Voorde, Patrick Van de; Wyllie, Jonathan; Zideman, David

doi:10.1016/j.resuscitation.2015.07.032

Cited by 325 publications

(193 citation statements)

References 218 publications

(229 reference statements)

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“…Most often, the adult ratio of 30:2 was applied. According to the ERC guidelines, lay people, only trained in adult BLS, may use this ratio in the resuscitation of children [8, 16]. However, since asphyxial etiologies of cardiac arrest are more prevalent in children, medical professionals trained in PBLS are expected to resuscitate children with a ratio of 15:2.…”

Section: Discussionmentioning

confidence: 99%

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Retention of knowledge and skills in pediatric basic life support amongst pediatricians

et al. 2018

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Retention of resuscitation skills is usually assessed at a predefined moment, which enables participants to prepare themselves, possibly introducing bias. In this multicenter study, we evaluated the retention of knowledge and skills in pediatric basic life support (PBLS) amongst 58 pediatricians and pediatric residents with an unannounced examination. Practical PBLS skills were assessed with a validated scoring instrument, theoretical knowledge with a 10-item multiple-choice test (MCQ). Participants self-assessed their PBLS capabilities using five-point Likert scales. Background data were collected with a questionnaire. Of our participants, 21% passed the practical PBLS exam: 29% failed on compressions/ventilations, 31% on other parts of the algorithm, 19% on both. Sixty-nine percent passed the theoretical test. Participants who more recently completed a PBLS course performed significantly better on the MCQ (p = 0.03). This association was less clear-cut for performance on the practical exam (p = 0.11). Older, attending pediatricians with more years of experience in pediatrics performed less well than their younger colleagues (p < 0.05). Fifty-one percent of the participants considered themselves competent in PBLS. No correlation was found between self-assessed PBLS capabilities and actual performance on the practical exam (p = 0.25).Conclusion: Retention of PBLS skills appears to be poor amongst pediatricians and residents, whereas PBLS knowledge is retained somewhat better. What is Known: • Pediatricians and pediatric residents are not always competent in pediatric basic life support (PBLS) in daily practice. Poor retention of skills supposedly accounts for this incompetence. Without regular exposure, resuscitation skills usually deteriorate within 3 to 6 months after training.• Examination of resuscitation skills usually takes place after training. Also, in most studies evaluating retention of skills, participants are tested at a predefined moment. Inasmuch as participants are able to prepare themselves, these assessments do not reflect the ad hoc resuscitation capabilities of pediatricians and residents. What is New: • In this study, pediatricians and pediatric residents had to complete an unannounced PBLS exam at variable time intervals from last certification. Retention of PBLS skills was rather poor (pass rate 21%).• The PBLS skills of older, attending pediatricians with many working years in pediatrics appeared to be inferior to those of their younger colleagues.Electronic supplementary materialThe online version of this article (10.1007/s00431-018-3161-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…The ERC considers the use of lower fidelity manikins appropriate for all levels of training [8]. Moreover, the only skill guide available for the Resusci® Junior Basic until now does not generate quantitative, storable data, and does not provide feedback on all aspects of compressions and ventilations.…”

Section: Limitationsmentioning

confidence: 99%

Retention of knowledge and skills in pediatric basic life support amongst pediatricians

et al. 2018

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“…In 2010, almost half of Polish ICUs declaring use of TTM were treating more than 20 patients per year with TTM, compared to only 15% currently (Table 3; c 2 , p < 0.001). This may have an impact on the TTM experience of the staff, and may be associated with patient outcome [18].…”

Section: Discussionmentioning

confidence: 99%

Implementation of targeted temperature management after cardiac arrest in Polish intensive care units. What has changed in the last five years?

Krawczyk

Tarczynska²,

Dziadek³

et al. 2017

Kardiol Pol

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A b s t r a c tBackground: Studies conducted up to 2010 indicate the underuse of targeted temperature management (TTM) in Poland. Aim:This study evaluated the current degree of TTM implementation in Polish intensive care units (ICUs) and analysed the implementation process since 2010. Methods:A telephone survey, conducted from December 2014 to July 2015, was carried out to determine the number of ICUs using TTM in patients after cardiac arrest. We collected data on the details and prevalence of TTM, and the impact of organisational and financial issues and recently published papers on its use. Results:We obtained data from 271 of 396 ICUs (68.4%). In total, 79 (29.2%) ICUs indicated TTM use and 27 (34.2%) used dedicated TTM equipment. Overall, 62% of the ICUs used TTM regardless of the cardiac arrest rhythm. Target temperatures of 32-34°C and 34.1-36°C were reached by 44.3% and 43.0% of ICUs, respectively. The duration of TTM was 12-24 h in 58.2% of the ICUs. The most common barriers to TTM implementation were a lack of dedicated devices (36.3%) and organisational and logistical issues (31.2%). Any influence of recently published data on TTM practice modifications was reported by only 23.4% of the ICUs. Conclusions:Targeted temperature management is underused in Polish ICUs. There is a need for additional educational and implementation efforts supporting the translation of knowledge into clinical practice at the regional and national levels.

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“…In contrast to this demand a 2009 survey suggests that the reality of application of this training method lacks behind in Germany: only about 67% of the surveyed hospitals offered resuscitation training and only 55% thereof more often than once a year [10]. Whereas the optimal frequency of life support trainings is still unclear, it is suggested that frequent manikin-based refresher training may save costs and reduce the total time for retraining [11]. Looking at manikin-based resuscitation training as a simple version of simulation trainings these numbers could indicate very limited prevalence.…”

Section: Introductionmentioning

confidence: 99%

Simulation centres in German hospitals and their organisational aspects: Expert survey on drivers and obstacles

Rampel

Gross

Zech

et al. 2018

GMS Journal for Medical Education; 35(3):Doc40

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European Resuscitation Council Guidelines for Resuscitation 2015

Cited by 325 publications

References 218 publications

Retention of knowledge and skills in pediatric basic life support amongst pediatricians

Retention of knowledge and skills in pediatric basic life support amongst pediatricians

Implementation of targeted temperature management after cardiac arrest in Polish intensive care units. What has changed in the last five years?

Simulation centres in German hospitals and their organisational aspects: Expert survey on drivers and obstacles

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