Priorities for cardiac arrest survivorship science

Sawyer, Kelly N

doi:10.1016/j.resuscitation.2023.110065

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…However, even after training, remembering the CPR steps and administering them correctly can be a challenge. CPR training is another domain requiring urgent attention and regular training [20]. With only 36 out of 460 in-charges adequately trained in CPR, most facilities lack staff who are competent in this basic lifesaving technique.…”

Section: Discussionmentioning

confidence: 99%

Ecology of emergency care in lower-tier healthcare providers in Ghana: an empirical data-driven Bayesian network analytical approach

Afrifa-Yamoah,

Nunfam,

Kwanin

et al. 2024

Intern Emerg Med

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The healthcare landscape in Ghana is primarily composed of lower-tier providers, which serve as the initial point of contact for most medical emergencies. This study aimed to assess the emergency care preparedness and readiness of primary healthcare providers using a robust evaluation approach. A multicentre retrospective cross-sectional study was conducted on 460 healthcare facilities using the standardised Health Facilities Emergency Preparedness Assessment Tool (HeFEPAT). Data were analysed via Bayesian Belief network. Emergency preparedness was associated with facility location, type, ownership, and in-charge personnel. Over 70% of facilities lacked specialised emergency/critical care personnel. Although 65% of in-charges reported protocol knowledge, only 7.8% could execute cardiopulmonary resuscitation. 90% of facilities lacked onsite defibrillators, and over 80% had no cerebrovascular accident medications. Road traffic accident protocols were largely unavailable, with an estimated 53% probability of lacking such protocols. Private-owned facilities were more likely to lack protocols for road traffic accidents (76% vs 20% probability) and general acute care (62% vs 32%) compared to government-owned facilities. Significant gaps in emergency preparedness were identified across the studied health facilities, indicating limited capacity to manage critical situations effectively. Urgent investments in emergency medicine training, essential resources, and evidence-based protocols are needed. Standardised emergency preparedness assessments should be implemented for accreditation and quality improvement. Further research can inform the development of national guidelines and targeted interventions to strengthen emergency response capacities.

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Section: Discussionmentioning

confidence: 99%

Ecology of emergency care in lower-tier healthcare providers in Ghana: an empirical data-driven Bayesian network analytical approach

Afrifa-Yamoah,

Nunfam,

Kwanin

et al. 2024

Intern Emerg Med

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Life after (near) death: A personal perspective on improving lives of survivors and their key supporters after sudden cardiac arrest

Church

2024

Resuscitation

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Ecology of emergency care in lower-tier healthcare providers in Ghana: an empirical data-driven Bayesian Network analytical approach

Afrifa-Yamoah,

Nunfam,

Kwanin

et al. 2024

Preprint

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Introduction: The landscape of health system in Ghana is primarily composed of lower-tier providers, which are mostly the initial point of contact for most medical emergency cases. With the growing incidence of health emergencies, this study sought to provide a realist evaluation of the extent of emergency care preparedness and readiness of primary healthcare providers and empirically quantify the states of the emergency setups. Method: A multicentre retrospective cross-sectional study design was employed to assess the emergency care preparedness of 460 lower-tier healthcare providers, using a standardised Health Facilities Emergency Preparedness Assessment Tool (HeFEPAT). Data were analysed via Bayesian Belief network using the software product GeNIe 4.0. Results: Our study found associations between health facilities' emergency preparedness and location, facility type, ownership, and in-charge personnel. Specifically, more than 70% of the 460 facilities lacked specialised emergency/critical care personnel. Of the 460 in-charges surveyed, 297 (65.0%) reported protocol knowledge but only 36 (7.8%) could execute cardio-pulmonary resuscitation (CPR). 414 facilities 90.0% lacked onsite defibrillators. Over 80% of facilities reported no cerebrovascular accident medications available. Protocols for road traffic accidents were largely unavailable, even in public hospitals. The estimated probability that a given health facility would lack road traffic accident protocols was 0.53. Private facilities were more likely than government facilities to lack protocols for road traffic accidents (76% vs 20% probability) and general acute care (62% vs 32%). Conclusion: Major emergency preparedness gaps were found across health facilities in this study, indicating inability to effectively handle critical situations like cardiac arrests or strokes. To improve public health and safety, urgent investments are needed in emergency medicine training, essential medications/equipment, and evidence-based protocols. Standardised emergency preparedness assessments policy should be formulated and implemented for accreditation and quality improvement. Further research can support developing national guidelines and targeted interventions to strengthen emergency response capacities.

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Priorities for cardiac arrest survivorship science

Cited by 3 publications

References 28 publications

Ecology of emergency care in lower-tier healthcare providers in Ghana: an empirical data-driven Bayesian network analytical approach

Ecology of emergency care in lower-tier healthcare providers in Ghana: an empirical data-driven Bayesian network analytical approach

Life after (near) death: A personal perspective on improving lives of survivors and their key supporters after sudden cardiac arrest

Ecology of emergency care in lower-tier healthcare providers in Ghana: an empirical data-driven Bayesian Network analytical approach

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