Sports doctors' resuscitation skills under examination: do they take it seriously?

Lavis, M; Rose, John S.; Jenkinson, T

doi:10.1136/bjsm.35.2.128

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…Our present results are in agreement with those of several previous studies that documented the poor ventilation and chest compression skills of doctors (VanHoeyweghen et al 1993;Tham et al 1994;Bell et al 1995;Gaallagher et al 1995;Milander et al 1995;Gasco et al 2000;Lavis et Iirola et al 2002). Together, these observations have important implications because the quality of CPR skills correlates directly with successful resuscitation (Wik et al 1994) and with improved survival (VanHoeyweghen 1993).…”

Section: Discussionsupporting

confidence: 83%

“…Recent European studies, however, have shown that the CPR skills of resuscitation team members, including doctors, are often poor (Tham et al 1994;Bell et al 1995;Gasco et al 2000;Lavis et al 2001;Chamberlain et al 2002;Iirola et al 2002). The aim of the present study was to determine if this were true by evaluating the practical CPR skills of physician members of a resuscitation team in a Turkish university hospital and identifying factors affecting the performance of those skills.…”

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confidence: 99%

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Basic Life Support Skills of Doctors in a Hospital Resuscitation Team

Tok

Keleş

Tasyüz

et al. 2004

Tohoku J. Exp. Med.

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The aim of the present study was to evaluate the basic life support skills of doctors in a hospital resuscitation team and to identify potential factors affecting those skills. Twelve anesthesiology residents were induced in this study. Each doctor was asked to perform mouth-to-mouth ventilation for 10 minutes and then chest compression for another 10 minutes on a Laerdal Skillmeter Resusci-Anne manikin during the day (10 am) and at night (10 pm). The rates of correct ventilation, correct chest compression, ventilation errors (i.e., excessive inflation, stomach insufflation, insufficient ventilation), and compression errors (i.e., insufficient chest compression/decompression, excessive chest compression, incorrect hand placement) were determined for each 2-min interval up to 10 min. In addition, effects of sex, seniority, CPR duration, and time of day (day vs night) on those skills were assessed. The mean rates of correct ventilation were 53.3±23.9% (day) and 60.4±16% (night); the mean rates of correct chest compression, 76.9±15% (day) and 76.5±14.7% (night). During the first 2-minutes period of testing at night, men doctors more frequently achieved correct ventilation than did women doctors (p<0.05). Overall, the practical CPR skills of the study participants were not influenced by sex, seniority, CPR duration, or time of day; however, the participants' skills were poor. This suggests that all medical staff, especially members of in-hospital resuscitation teams, should undergo regular, periodic CPR training. basic life support skills; chest compression; mouth-to-mouth ventilation

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Section: Discussionsupporting

confidence: 83%

mentioning

confidence: 99%

Basic Life Support Skills of Doctors in a Hospital Resuscitation Team

Tok

Keleş

Tasyüz

et al. 2004

Tohoku J. Exp. Med.

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“…We note in particular the relative lack of attention to such areas as nutrition and appropriate medical screening before the race. Furthermore, there is a need for all medics, medically qualified or otherwise, to be trained in basic life support 19 and the management of trauma to Advanced Trauma Life Support (ATLS) standard. 20 The scope of such training should be a subject for future research and debate.…”

Section: Discussionmentioning

confidence: 99%

Patterns of illness and injury encountered in amateur ocean yacht racing: an analysis of the British Telecom Round the World Yacht Race 1996–1997

Price

2002

Br J Sports Med

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Objectives: To quantify the incidence and type of medical problem arising during an amateur circumnavigation yacht race, the BT Global Challenge. Methods: All cases from 14 participating yachts in a confidential medical log completed by an appointed medic were reported. Results: A total of 685 cases were reported, of which 299 (43.6%) were injuries and 386 (56.4%) illnesses. The subtype of injury, illness, and three evacuations at sea are described. Conclusion: Injury and other forms of medical problem are relatively common in an amateur long distance ocean yacht race. Most can be adequately managed at sea, provided that optimal communication, training, and equipment are provided and maintained.

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“…Postgraduate SEM training involves a range of qualifications including diploma, MSc, PhD and MD. This is reflected in the profile of the participants (see Table 1 ) and may present challenges to standardisation of practice 23 24 25 26 27 .…”

Section: Discussionmentioning

confidence: 99%

“…Postgraduate SEM training involves a range of qualifications including diploma, MSc, PhD and MD. This is reflected in the profile of the participants (see ▶table 1) and may present challenges to standardisation of practice[23][24][25][26][27].ly backed by evidence and experience, the lack of situation-specific training may leave SEM practitioners looking for guidance elsewhere. The specific knowledge and skills involved in choosing appropriate analgesic agents, formulating and administering appropriate doses and the variability in equipment calls for more formalised training and upskilling to be developed[19,28,29].…”

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confidence: 99%

Pitch-side Acute Severe Pain Management Decisions in European Elite Football

Doheny

Bury

2021

Int J Sports Med

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This is the first study on acute severe pain management involving sport and exercise medicine Doctors who are leaders in football medicine in their respective countries. An online survey was designed describing the management of acute severe pain in this expert cohort. The survey captured participant sex, age, years working in sports medicine, core specialty and use of clinical practice guidelines (CPGs). Finally, three clinical vignettes exploring the management of acute pain were presented. Forty-four senior team doctors across 55 European countries completed the survey. There were no consistent guidelines proposed, with 33 (75%) participants indicating they did not use any. Methoxyflurane was proposed by 14 (32%) and 13 (30%) participants for female anterior cruciate ligament rupture and male ankle fracture, respectively. Strong opioids were not used in 17 (39%) and 6 (14%) participants regarding female cruciate injuries and male fractures, respectively. Despite 75% of participants having paediatric life support training, eight (18%) participants expressed uncertainty administering medications in this population, and 15 (34%) would avoid using strong opioids altogether. There is a tendency to undertreat pain and avoid strong opioids for reasons including lack of monitoring equipment, anti-doping concerns and lack of comfort treating paediatric patients with opioids.

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Sports doctors' resuscitation skills under examination: do they take it seriously?

Cited by 7 publications

References 7 publications

Basic Life Support Skills of Doctors in a Hospital Resuscitation Team

Basic Life Support Skills of Doctors in a Hospital Resuscitation Team

Patterns of illness and injury encountered in amateur ocean yacht racing: an analysis of the British Telecom Round the World Yacht Race 1996–1997

Pitch-side Acute Severe Pain Management Decisions in European Elite Football

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