A peer-training model for instruction of basic cardiac life support

Introduction The concept of the chain of survival is widely accepted. The four links viz. early access, early cardiopulmonary resuscitation (CPR), early defibrillation and early Advanced Cardiac Life Support (ACLS) are related to survival after pre-hospital cardiac arrest. Owing to the dismal survival-to-discharge figures locally, we conducted this study to identify any weaknesses in the chain, looking in particular at bystander CPR rates and times to Basic Cardiac Life Support (BCLS) and ACLS. Methods and materials A retrospective cohort study was conducted in the Emergency Department of an urban tertiary 1500-bed hospital. Over a 12-month period, all cases of non-trauma out-of-hospital cardiac arrest were evaluated. Results A total of 142 cases of non-trauma out-of-hospital cardiac arrest were identified; the majority being Chinese (103/142, 72.5%) and male (71.8%) with a mean age of 64.3±7.8 years (range 23–89 yrs). Most patients (111/142, 78.2%) did not receive any form of life support until arrival of the ambulance crew. Mean time from collapse to arrival of the ambulance crew and initiation of BCLS and defibrillation was 9.2±3.5 minutes. Mean time from collapse to arrival in the Emergency Department (and thus ACLS) was 16.8±7.1 minutes. Three patients (2.11%) survived to discharge. Conclusion There is a need to (i) facilitate layperson training in bystander CPR, and (ii) enhance paramedic training to include ACLS, in order to improve the current dismal survival outcomes from out-of-hospital cardiac arrest in Singapore.

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Basic Cardiac Life Support: 2016 Singapore Guidelines

Singapore Medical Journal ◽

10.11622/smedj.2017063 ◽

2017 ◽

Vol 58 (7) ◽

pp. 347-353 ◽

Cited By ~ 1

Author(s):

SH Lim ◽

FC Wee ◽

TS Chee

Keyword(s):

Life Support ◽

Basic Cardiac Life Support

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(A100) Building Local Resilience and Competencies in Remote Haitian Communities

Prehospital and Disaster Medicine ◽

10.1017/s1049023x11001026 ◽

2011 ◽

Vol 26 (S1) ◽

pp. s27-s27

Author(s):

R. Gore ◽

C.M. Bloem ◽

B. Arquilla ◽

P. Roblin

Keyword(s):

Nursing Students ◽

Health Professionals ◽

Life Support ◽

Health Workers ◽

First Responders ◽

Training Model ◽

First Aid ◽

Medical Professionals ◽

Premature Deaths ◽

First Aid Training

Injury and trauma are major causes of premature deaths worldwide. At present, Haiti does not have an existing emergency medical system. Basic first responders training was developed for lay people and medical professionals in rural Haiti.MethodsThe training was conducted in Terrier Rouge, Haiti. Participants included medical professionals, laborers, health professionals, teachers, students, and truck drivers from six towns in northeastern Haiti. A three-day training course taught by U.S. board certified emergency medicine physicians was instituted. Basic life support (BLS), first aid, and BLS/first aid instructors courses were taught based on the American and Canadian Heart Associations curriculum. The BLS/first aid instructors course was limited to health professionals, whereas the first aid course was open to all members of the community. The program included the development of local teaching tools and manuals translated to local languages. Twelve newly trained local Haitian instructors assisted in the final day of training.ResultsThe course was well received by participants. A total of 54 people completed the BLS course, 67 completed the first aid course, and 12 participants completed the BLS/first aid instructors course. Ninty-five program participants completed the end of course survey. Forty-four of the participants were male, 49 were female, and 2 did not answer. Forty-one participants had no prior BLS/first aid training or exposure. The ages of participants ranged from 13 to 52 years. The course participants included two physicians, 22 students, eight nursing students, seven nurses, 20 teachers, 12 health workers, five drivers, and 14 laborers. Of those surveyed, 92 stated they would recommend this course to a friend. Eighty-eight participants stated that hands on learning helped them better learn the course material.ConclusionThis sustainable, locally controlled training model increased local skill level for basic first responders in rural Haiti.

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Evaluate the effectiveness of Structured Teaching Programme on knowledge and skill regarding basic cardiac life support among basic B.Sc. (N) 1st year Students

Asian Journal of Nursing Education and Research ◽

10.5958/2349-2996.2020.00084.1 ◽

2020 ◽

Vol 10 (4) ◽

pp. 396-400

Author(s):

Nisha Joshi

Keyword(s):

Life Support ◽

Teaching Programme ◽

Basic Cardiac Life Support ◽

Structured Teaching

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(P2-29) Educational Model for Pre-Hospital Disaster Management in Haiti and Beyond

Prehospital and Disaster Medicine ◽

10.1017/s1049023x11004730 ◽

2011 ◽

Vol 26 (S1) ◽

pp. s145-s145

Author(s):

R. Gore ◽

C. Bloem ◽

K. Elbashir ◽

P. Roblin ◽

G. Ostrovskiy ◽

...

Keyword(s):

Developing Countries ◽

Nursing Students ◽

Emergency Preparedness ◽

Life Support ◽

Medical Training ◽

Health Workers ◽

Care Delivery ◽

Training Model ◽

First Aid ◽

First Aid Training

IntroductionThere has been increased international awareness and a need to provide accessible and essential emergency preparedness training in developing countries that has resulted in the recognition of new teaching needs and number of new initiatives to meet these needs.MethodsThese teaching methods have been applied in Haiti before and after the 2010 earthquake. They include: - Established a “Train the trainer” model - Established civilian first responder training - Basic Life Support (BLS) and First Aid - Implemented medical training using the Meti Simulator models - Conducted post-training Disaster drill - Conduction of post training assessment - Succession model of training.ResultsA total of 54 people completed a BLS course and 67 completed a First Aid course. 12 participants completed the First Aid and BLS Instructors course. 95 program participants completed an end of course survey. 41 participants had no prior BLS/First Aid training or exposure. The course participants included 2 physicians, 22 students, 8 nursing students, 7 nurses, 20 teachers, 12 health workers, 5 drivers, and 14 laborers. 92 of those surveyed stated they would recommend this course to a friend. 88 participants stated that hands on learning helped them better learn the course material.ConclusionThis training model has been well received in rural Haiti and can be applied in other developing countries. We would like to standardize training protocols that will serve as a foundation for self-sustaining higher-level emergency, pre-hospital, disaster training and management. This will improve the general quality of health care delivery. Our next pilot of this program will be in other parts of Haiti and in Khartoum, Sudan.

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