The Potential Impact of Cardiopulmonary Cerebral Resuscitation (CPCR) Education

1985 ◽  
Vol 1 (S1) ◽  
pp. 70-74
Author(s):  
Peter Safar
Keyword(s):  
Life Support ◽  
Advanced Life Support ◽  
Heart Association ◽  
Pilot Project ◽  
World Federation ◽  
Ambulance Personnel ◽  
Knowledge And Skills ◽  
Training Systems ◽  
Resuscitation Training ◽  
Potential Impact

This is an introduction for a one-day CPCR course for intended instructors-coordinators. The course is a pilot project using a new manual. Its goal is to explore the feasibility of instructors using semi-self-training modes to acquire the necessary knowledge and skills for the organization of basic and advanced life support courses in CPR for all types of personnel, ranging from the lay public via ambulance personnel and nurses to physician generalists and physician specialists. The American Heart Association (AHA) CPR courses for instructors-to-be were originated in Pittsburgh in the early 1960s; this present course, sponsored by the World Federation of Societies of Anesthesiologists (WFSA) CPR Committee was given in 1981. The traditional 2 to 3 days CPR instructors' courses for physicians have spread knowledge and skills slowly. We believe that the dissemination and uniformity of resuscitation training could be enhanced by wider use of self-training systems, not only for doers but also instructors-to-be.

Pediatric Advanced Life Support (PALS): The Pharmacist's Role

1996 ◽  
Vol 9 (1) ◽  
pp. 42-56
Author(s):  
Paul C. Blahunka
Keyword(s):  
Pharmaceutical Care ◽  
Life Support ◽  
Advanced Life Support ◽  
Heart Association ◽  
Role Playing ◽  
Medication Administration ◽  
Patient Specific ◽  
Needle Stick Injury ◽  
Pediatric Resuscitation ◽  
Syncytial Virus

The provision of pharmaceutical care to the patient undergoing cardiopulmonary resuscitation (CPR) is an important evolving concept. Pediatric resuscitation and advanced cardiac life support (ACLS) presents a particularly challenging situation for the practicing pharmacist. Etiologies of pediatric arrests include pulmonary conditions such as bronchopulmonary dysplasia, respiratory distress syndrome, respiratory syncytial virus (RSV) infection, and a myriad of accidental factors. Important initial determinations on arriving at a pediatric arrest are described, such as determining the correct weight of the patient, assessing the need for vascular access and/or intubation, and establishing the "code" leader. Recent American Heart Association guidelines for the pharmacotherapy of pediatric ACLS are discussed in detail. Included are recommendations on oxygen delivery, routes of fluid and medication administration, recent changes in epinephrine dosing, and guidelines for the proper use of adjunct medications. A detailed description of a method of using adult emergency drug syringes in the pediatric arrest is provided. Proper use of this method can expedite drug dispensing in an arrest, minimize the potential for needle-stick injury, and optimize the delivery of a patient-specific dose of medication. A "mock code" program is described that includes involvement with pharmacists, nurses, medical residents, and respiratory therapists. This program provides a hands-on role-playing model of a simulated pediatric arrest and serves as a valuable teaching tool for those charged with the responsibility of patient care during an actual arrest. While the ultimate role of the pharmacist in the pediatric arrest continues to be defined, developing the competency to provide pharmaceutical care in this clinical setting can be extremely rewarding. Copyright © 1996 by W.B. Saunders Company

scholarly journals Awareness of basic life support (BLS) among Dental interns and Dental practitioners

2015 ◽  
Vol 05 (03) ◽  
pp. 014-018
Author(s):  
Muralee Mohan ◽  
S. M. Sharma ◽  
Tripthi Shetty ◽  
Prabhakar Gupta
Keyword(s):  
Basic Life Support ◽  
Life Support ◽  
Heart Association ◽  
Cross Sectional Study ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Knowledge And Skills ◽  
Dental Practitioners ◽  
The Individual

AbstractIt is important that every member of the community be trained in effective BLS technique to save lives. At least doctors including medical, dental and paramedical staff should be trained in CPR, as it is a basic medical skill which can save many lives if implemented timely. Aim: To assess the awareness of Basic Life Support (BLS) among dental interns and dental practitioners in Mangalore, Karnataka, India. Material and Methods: This cross-sectional study was conducted during November-December 2014 among dental interns and dental practitioners. This study was conducted by assessing response to twenty selected multiple choice questions pertaining to BLS among dental interns and dental practitioners. The results are present in the form of frequency and percentages. Statistical Analysis:The data was collected and analyzed using software Statistical Package for Social Sciences (SPSS) version 12.0. Result: In this study one hundred and twenty five responders were included them, 70(56%) were interns (Bachelor in dental surgery) and remaining 55(44%) were dental practitioners. Surprisingly none out of one hundred and twenty five had the complete knowledge of BLS. Looking closely at the individual groups dental practitioners scored 61.5%, as being aware with the BLS knowledge and skills but needs to be updated with change in protocols done by American Heart Association after every time period and sadly dental interns score 41.2% which shows that BLS course should be considered for inclusion in the Bachelor in dental surgery curriculum Conclusions: This study suggests that dental interns and dental practitioners may not be adequately prepared in the management of medical emergencies and should improve the knowledge and skills regarding BLS.

scholarly journals Part 2: Evidence Evaluation and Guidelines Development: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Circulation ◽  
2020 ◽  
Vol 142 (16_suppl_2) ◽  
Author(s):  
David J. Magid ◽  
Khalid Aziz ◽  
Adam Cheng ◽  
Mary Fran Hazinski ◽  
Amber V. Hoover ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
Life Support ◽  
American Heart ◽  
Systems Of Care ◽  
Advanced Life Support ◽  
Heart Association ◽  
Guidelines Development ◽  
Evidence Evaluation ◽  
Cardiovascular Care

The 2020 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care is based on the extensive evidence evaluation performed in conjunction with the International Liaison Committee on Resuscitation. The Adult Basic and Advanced Life Support, Pediatric Basic and Advanced Life Support, Neonatal Life Support, Resuscitation Education Science, and Systems of Care Writing Groups drafted, reviewed, and approved recommendations, assigning to each recommendation a Class of Recommendation (ie, strength) and Level of Evidence (ie, quality). The 2020 Guidelines are organized in knowledge chunks that are grouped into discrete modules of information on specific topics or management issues. The 2020 Guidelines underwent blinded peer review by subject matter experts and were also reviewed and approved for publication by the AHA Science Advisory and Coordinating Committee and the AHA Executive Committee. The AHA has rigorous conflict-of-interest policies and procedures to minimize the risk of bias or improper influence during development of the guidelines. Anyone involved in any part of the guideline development process disclosed all commercial relationships and other potential conflicts of interest.

Observational Study on the Effect of Duration from Pediatric Advanced Life Support (PALS) Certification on PALS Performance in Pediatric Interns in Simulated Cardiopulmonary Arrest

2021 ◽  
Author(s):  
Nancy M. Tofil ◽  
Stacy L. Gaither ◽  
Charli Cohen ◽  
Carrie Norwood ◽  
Jerry Lynn Zinkan ◽  
...  
Keyword(s):  
Life Support ◽  
Cardiopulmonary Arrest ◽  
Training Session ◽  
Advanced Life Support ◽  
Performance Score ◽  
Performance Skills ◽  
Score Following ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Key Events

AbstractPediatric advanced life support (PALS) training is critical for pediatric residents. It is unclear how well PALS skills are developed during this course or maintained overtime. This study evaluated PALS skills of pediatric interns using a validated PALS performance score following their initial PALS certification. All pediatric interns were invited to a 45-minute rapid cycle deliberate practice (RCDP) training session following their initial PALS certification from July 2017 to June 2019. The PALS score and times for key events were recorded for participants prior to RCDP training. We then compared performance scores for those who took PALS ≥3 months, between 3 days to 3 months and 3 days after PALS. There were 72 participants, 30 (of 30) in 3 days, 18 in 3 days to 3 months, and 24 in ≥3 months groups (42 total of 52 residents, 81%). The average PALS performance score was 53 ± 20%. There was no significant difference between the groups (3 days, 53 ± 15%; 3 days–3 months, 51 ± 19%; ≥3 months, 54 ± 26%, p = 0.922). Chest compressions started later in the ≥3 months groups compared with the 3 days or ≤3 months groups (p = 0.036). Time to defibrillation was longer in the 3 days group than the other groups (p = 0.008). Defibrillation was asked for in 3 days group at 97%, 73% in 3 days to 3 months and 68% in ≥3 months groups. PALS performance skills were poor in pediatric interns after PALS certification and was unchanged regardless of when training occurred. Our study supports the importance of supplemental resuscitation training in addition to the traditional PALS course.

scholarly journals A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers

Resuscitation ◽  
2012 ◽  
Vol 83 (9) ◽  
pp. 1055-1060 ◽  
Author(s):  
Chih-Wei Yang ◽  
Zui-Shen Yen ◽  
Jane E. McGowan ◽  
Huiju Carrie Chen ◽  
Wen-Chu Chiang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Life Support ◽  
Healthcare Providers ◽  
Advanced Life Support ◽  
Knowledge And Skills

scholarly journals How Prepared Are Pediatric Residents for Pediatric Emergencies: Is Pediatric Advanced Life Support Certification Every 2 Years Adequate?

2019 ◽  
Vol 6 ◽  
pp. 2333794X1987680 ◽  
Author(s):  
Sule Doymaz ◽  
Munaza Rizvi ◽  
Marguerite Orsi ◽  
Clara Giambruno
Keyword(s):  
Test Scores ◽  
Life Support ◽  
Clinical Skills ◽  
Statistical Significance ◽  
Clinical Skill ◽  
Multiple Choice ◽  
Advanced Life Support ◽  
Heart Association ◽  
Choice Test ◽  
Pediatric Residents

Objectives. We assessed pediatric residents’ retention of knowledge and clinical skills according to the time since their last American Heart Association Pediatric Advanced Life Support (AHA PALS) certification. Methods. Sixty-four pediatric residents were recruited and divided into 3 groups based on the time since their last PALS certification, as follows: group 1, 0 to 8 months; group 2, 9 to 16 months, and group 3, 17 to 24 months. Residents’ knowledge was tested using 10 multiple-choice AHA PALS pretest questions and their clinical skills performance was assessed with simulation mock code scenarios using 2 different AHA PALS checklists, and mean scores were calculated for the 3 groups. Differences in the test scores and overall clinical skill performances among the 3 groups were analyzed using analyses of variance, χ2 tests, and Jonckheere-Terpstra tests. Statistical significance was set at P < .05. Results. The pediatric residents’ mean overall clinical skills performance scores declined within the first 8 months after their last AHA PALS certification date and continued to decrease over time (87%, 82.6%, and 77.4% for groups 1, 2, and 3, respectively; P = .048). Residents’ multiple-choice test scores declined in all 3 groups, but the scores were not significantly different. Conclusions. Residents’ clinical skills performance declined within the first 8 months after PALS certification and continued to decline as the time from the last certification increased. Using mock code simulations and reinforcing AHA PALS guidelines during pediatric residency deserve further evaluation.

Sign in / Sign up

Export Citation Format

Share Document