Assessment of the knowledge level and experience of healthcare personnel concerning CPR and early defibrillation: an internal survey

Abstract Background In‐hospital cardiac arrest (IHCA) is a major public health problem with significant mortality. Rapid cardiopulmonary resuscitation and early defibrillation is extremely connected to patient outcome. In this study, we aimed to assess the effects of a basic life support and defibrillation course in improving knowledge in IHCA management. Methods We performed a prospective observational study recruiting healthcare personnel working at Azienda Ospedaliero Universitaria Pisana, Pisa, Italy. Study consisted in the administration of two questionnaires before and after BLS-D course. The course was structured as an informative meeting and it was held according to European Resuscitation Council guidelines. Results 78 participants completed pre- and post-course questionnaires. Only 31.9% of the participants had taken part in a BLS-D before our study. After the course, we found a significative increase in the percentage of participants that evaluated their skills adequate in IHCA management (17.9% vs 42.3%; p < 0.01) and in the correct use of defibrillator (38.8% vs 67.9% p < 0.001). However, 51.3% of respondents still consider their preparation not entirely appropriate after the course. Even more, we observed a significant increase in the number of corrected responses after the course, especially about sequence performed in case of absent vital sign, CPR maneuvers and use of defibrillator. Conclusions The training course resulted in significant increase in the level of knowledge about the general management of IHCA in hospital staff. Therefore, a simple intervention such as an informative meetings improved significantly the knowledge about IHCA and, consequently, can lead to a reduction of morbidity and mortality.

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Promotive and preventive programs about basic life support in Medan Barat district

ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat ◽

10.32734/abdimastalenta.v6i1.5104 ◽

2021 ◽

Vol 6 (1) ◽

pp. 40-45

Author(s):

Bastian Lubis ◽

Putri Amelia ◽

Ali Nafiah Nasution ◽

Melati Silvanni Nasution ◽

Silvanni Nasution

Keyword(s):

Cardiac Arrest ◽

Basic Life Support ◽

Life Support ◽

Public Health Problem ◽

The United States ◽

Practical Training ◽

Before And After ◽

Level Of Knowledge ◽

And Behavior ◽

And Training

Cardiac arrest remains a prominent public health problem and cause of death globally. Despite there is no national data of Indonesia available currently, around 350,000 people in the United States and Canada experienced an arrest every year, and half of them were dead. The community knowledge and awareness about basic life support, particularly among mothers, is still low. Therefore, they cannot contribute effectively in providing first-aid to reduce the mortality. To improve this situation, we need an education and training program about basic life support for the PKK mothers and Posyandu cadres in West Medan to reduce the mortality rate of cardiac arrest in Indonesia. The activity was conducted in several stages, from basic data collection, lectures, basic life support practical training, evaluation and guidebooks handover. It was attended by 26 people, 15 women (57.7%) and 11 men (42.3%), with a mean age of 39 years old. No significant change was found in the level of knowledge and behavior before and after the activity (Z-score: 0,001; p= 1,000).

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Knowledge and Skills of Lay Participants Training with Basic Life Support Program in Case of Cardiac Arrest

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.s01.12162 ◽

2021 ◽

Vol 104 (Suppl. 1) ◽

pp. S44-S48

Keyword(s):

Cardiac Arrest ◽

Training Program ◽

Basic Life Support ◽

Life Support ◽

Training Session ◽

Smartphone Application ◽

Knowledge And Skills ◽

Lay People ◽

Before And After ◽

Hospital Cardiac Arrest

Background: Out-of-hospital cardiac arrest is an important cause that leads to hospital admission and death. Improving lay people’s knowledge and skills in basic life support (BLS) may lead to reduced death associated with out-of-hospital cardiac arrest. “BLS NU KKU” is a BLS training program developed from up-to-date literature as a smartphone application used to train lay people in the community. Objective: To evaluate BLS-related knowledge and skills of participants before and after BLS training. Materials and Methods: A one group pretest-posttest design was used to implement the present study in Khon Kaen, Thailand. Participants were 350 individuals age 18 and older. An 8-hour BLS training session was offered to 10 groups of 35 participants over the period of 10 months between November 2018 and August 2019. Self-administered questionnaires were used to assess BLS knowledge and Cardiopulmonary resuscitation (CPR) skills. Results: The mean score for BLS-related knowledge significantly increased after the BLS training (mean = 15.05, SD = 2.51) compared to the scores before the training (mean = 10.47, SD = 3.43) (p<0.05). BLS skills improved from 0% to 100% (p<0.001) will all skills rated with mostly “excellent” and “good”. Satisfaction with the training program was also rated mostly with “excellent” and “good”. Conclusion: The BLS training program effectively improved participants’ knowledge and skills for basic life support. This program should be disseminated to train lay people in other settings. Keywords: Basic life support, Cardiac arrest, Mobile application

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A study on mosquito density in rural Kerala before and after floods

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190187 ◽

2019 ◽

Vol 6 (2) ◽

pp. 659

Author(s):

V. T. Krishnadas Menon ◽

Jerry Rachel ◽

C. R. Saju ◽

M. Mohamed Rafi ◽

Vidhu M. Joshy

Keyword(s):

Disease Outbreaks ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Mosquito Density ◽

Cross Sectional ◽

Training Centre ◽

Before And After ◽

Initial Survey ◽

Rural Training

Background: Mosquito borne diseases are a major public health problem in Kerala. Mosquito density assessed by larval surveys is easier and quicker to perform. The larval indices are an important practical predictor of outbreaks of mosquito borne disease and are valuable in taking preventive measures. This study is done to calculate standardized larval indices namely house index, container index and Breteau index and to identify the major breeding sources of mosquitoes in the residential environment in a rural of Thrissur, Kerala.Methods: A cross-sectional study selecting 80 houses from 1 wards of Konnikara village under Thrikkur Panchayath under the field practice area of rural training centre, Amala Institute of Medical Sciences Thrissur. Every water holding container indoors and outdoors was counted and searched for larval presence and noted on a pretested format.Results: In this study, 80 houses were surveyed in 2 days initially in June and in September. All the entomological indices were found to be above the critical level in the initial survey in June. House index=36% container index=44%; Breteau index=143% showing high chances for outbreaks of mosquito borne diseases. In September though the indices were very low house index 1.25% container index 2.77% and Breteau index.Conclusions: The area is prone for mosquito borne disease outbreaks like dengue fever and after interventions the vector indices and potential risks came down.

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EFFICACY OF ROLLING BOARD PERTURBATION TRAINING ON BALANCE AMONG HEMIPARETIC STROKE PATIENTS - A COMPARATIVE STUDY

THE RESEARCH RESERVOIR ◽

10.47211/trr.2020.v06i01.016 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Dr. Senthil kumar ◽

Dr. Franklin Shaju M.K m k ◽

Dr. Vijaya Senthil Kumar kumar ◽

Dr. A. velmurugan

Keyword(s):

Public Health Problem ◽

Berg Balance Scale ◽

Major Public Health Problem ◽

Stroke Patients ◽

Perturbation Training ◽

Before And After ◽

Group A ◽

Hemiparetic Stroke ◽

Conventional Physiotherapy ◽

Group B

Background of the study: Stroke is a major public health problem that ranks in the top four causes of death in most of the countries and is responsible for a large proportion of the burden of neurologic disorders. Patients with stroke have poor balance because they cannot control dynamically the size of the base of support or the location of the line of gravity. Perturbation training undergoes the maximal sway possible without losing his balance. Objective of the study: The objective of the study is to find the effects of rolling board perturbation training on balance among hemiparetic stroke patients. Methodology: Thirty clinically diagnosed hemiparetic stroke patients were selected based on the inclusion and exclusion criteria. They were randomly allocated into two groups (Group A and Group B) consists of 15 subjects each. Group A received conventional physiotherapy alone and group B received rolling board perturbation training along with conventional physiotherapy. Intervention lasted for 4 weeks, three days in a week and one hour per day. Balance was measured before and after 4 weeks of intervention by berg balance scale. Conclusion: Both conventional physiotherapy alone and rolling board perturbation training along with conventional physiotherapy significantly improved balance among hemiparetic stroke patients. When comparing both rolling board perturbation training along with conventional physiotherapy is more effective than conventional physiotherapy alone in improving balance among hemiparetic stroke patients.

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Abstract 246: The Relationship Between Favorable Neurological Outcome in Patients With Out-of-Hospital Cardiac Arrest Due to Cardiac Etiology and Regional Disparity of the Number of Physicians

Circulation ◽

10.1161/circ.138.suppl_2.246 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Tsukasa Yagi ◽

Ken Nagao ◽

Shigemasa Tani ◽

Eizo Tachibana ◽

Nobutaka Chiba ◽

...

Keyword(s):

Public Health ◽

Cardiac Arrest ◽

Neurological Outcome ◽

Multivariable Analysis ◽

Public Health Problem ◽

Regional Disparity ◽

Major Public Health Problem ◽

Favorable Neurological Outcome ◽

The Relationship ◽

Hospital Cardiac Arrest

Background: Cardiac arrest is a major public health issue worldwide. In Japan, the regional disparity of the number of physicians per 100000 population is also a major public health problem. However, it is unknown whether there is the relationship between favorable neurological outcome in patients with out-of-hospital cardiac arrest (OHCA) due to cardiac etiology and this regional disparity. The aim of the present study was to clarify this relationship using the data of the All-Japan Utstein Registry, a prospective, nationwide, population-based registry of OHCA. Methods: From the data of the All-Japan Utstein Registry between 2011 and 2015, we included adult patients who had OHCA due to cardiac etiology. 47 prefectures of Japan were divided into quartiles on the basis of the number of physicians in each prefecture, reported by Ministry of Health, Labor and Welfare in Japan. In addition, study patients were divided into four groups based on these quartiles. We compared favorable neurological outcome at 30 days after OHCA in each group, using the multivariable logistic-regression analysis. Results: Four quartile ranges of the number of physicians were set for this study (Figure). Moreover, of the 629,471 OHCA victims between 2011 and 2015, 358,993 met the inclusion criteria. Figure represented favorable neurological outcome at 30 days after OHCA in each quartile. In the multivariable analysis, the adjusted odds ratios for Quartile 2, Quartile 3 and Quartile 4 compared with Quartile 1 for favorable neurological outcome at 30 days after OHCA was 0.971 (95%CI 0.918- 1.027; P=0.307), 1.011 (95%CI 0.956- 1.069; P=0.703) and 0.850 (95%CI 0.809- 0.893; P<0.001), respectively. Conclusion: The regions in which the number of physicians per 100000 population was larger were inferior to the regions in which the number of these was smaller, in terms of neurological benefits in patients with OHCA due to cardiac etiology.

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Abstract 2003: More Chest Compressions and Fewer Shocks Are Given During Out-of-Hospital Cardiac Arrest Resuscitation With the 2005 AHA Guidelines

Circulation ◽

10.1161/circ.116.suppl_16.ii_433-a ◽

2007 ◽

Vol 116 (suppl_16) ◽

Author(s):

Lynn J White ◽

Sarah A Cantrell ◽

Robert Cronin ◽

Shawn Koser ◽

David Keseg ◽

...

Keyword(s):

Cardiac Arrest ◽

Life Support ◽

Survival Rates ◽

Automated Analysis ◽

Spontaneous Circulation ◽

Chest Compressions ◽

Convenience Sample ◽

Care Protocol ◽

Before And After ◽

Hospital Cardiac Arrest

Introduction Long pauses without chest compressions (CC) have been identified in CPR provided by EMS professionals for out-of-hospital cardiac arrest (OOHCA). The 2005 AHA ECC CPR guidelines emphasize CC. The 2005 AHA Basic Life Support (BLS) for Healthcare Professionals (HCP) course introduced a training method with more CPR skills practice during the DVD based course. The purpose of this before/after study was to determine whether CC rates increased after introduction of the 2005 course. Methods This urban EMS system has 400 cardiac etiology OOHCA events annually. A convenience sample of 49 continuous electronic ECG recordings of VF patients was analyzed with the impedance channel of the LIFEPAK 12 (Physio-Control, Redmond WA) and proprietary software. A trained researcher verified the automated analysis. Each CC during the resuscitation attempt and pauses in CC before and after the first defibrillation shock were noted. The time of return of spontaneous circulation (ROSC) was determined by medical record review and onset of regular electrical activity without CC. Medical records were reviewed for outcome to hospital discharge. The EMS patient care protocol for VF was changed on July 1, 2006 to comply with the 2005 AHA ECC guidelines. Cases were grouped by the OOHCA date: 9/2004 to 12/31/2006 (pre) and 7/1/2006 to 4/21/2007 (post). EMS personnel began taking the 2005 BLS for HCP course during spring 2006. Monthly courses over 3 years will recertify 1500 personnel. Results 29 cases were analyzed from the pre group and 20 from the post group. Compressions per minute increased from a mean (±SD) of 47 ± 16 pre to 75 ± 33 post (P < 0.01). The mean count of shocks given per victim decreased from 4.5 ± 4.0 pre to 2.8 ± 1.8 post (P < 0.04). The CC pause before the first shock was unchanged (23.6 ± 18.4 seconds to 22.1 ± 17.9). but the CC pause following that shock decreased significantly from 48.7 ± 63.2 to 11.8 ± 22.5 (p=0.008). Rates of ROSC (55% pre, 50% post) and survival to discharge (15% pre, 13% post) were similar. Conclusion Following introduction of the 2005 BLS for HCP course and the EMS protocol change, the quality of CPR delivered to victims of OOHCA improved significantly compared with pre-2006 CPR. The sample size was too small to detect differences in survival rates.

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Comparative analysis of Advanced and Immediate Life Support acquisition degree.

Revista Española de Educación Médica ◽

10.6018/edumed.471781 ◽

2021 ◽

Vol 2 (2) ◽

pp. 9-20

Author(s):

Antonio Cárdenas Cruz ◽

Eva Peregrina Caño ◽

Dolores Cárdenas Cruz ◽

Isabel Santiago Suárez ◽

Miguel Ángel Martín Piedra ◽

...

Keyword(s):

Medical Students ◽

Life Support ◽

Advanced Life Support ◽

Public Health Problem ◽

Developed Countries ◽

Major Public Health Problem ◽

External Evaluators ◽

The University ◽

De Medicina ◽

Comparison Data

La Parada Cardiorrespiratoria (PCR) es un problema de salud pública en los países desarrollados. De acuerdo con La Sociedad Española de Resucitación, en España hay alrededor de treinta mil muertes al año y unos veinte mil intentos de resucitación, y aun así hasta hace muy poco los alumnos de Medicina no recibían formación reglada en Soporte Vital Avanzado (SVA). Con la introducción en 2018 de una nueva asignatura afrontamos este problema, y sin embargo nos encontramos con que no está establecido qué tipo de Soporte Vital es el adecuado para nuestros estudiantes. Por ello, el objetivo de este estudio es analizar de manera comparativa el nivel de adquisición de competencias en SVA y SVI y su evolución temporal en estudiantes de quinto y sexto de Medicina de la Universidad de Granada (UGR). Para alcanzar este objetivo, obtuvimos datos en una primera evaluación de los alumnos de medicina que participaron en la asignatura optativa de SVA en la Universidad de Granada durante los meses de Octubre y Noviembre (2019). Meses después, se llevó a cabo una nueva re evaluación durante los meses de Febrero y Marzo de 2020 a la misma muestra de estudiantes, gracias a la cual obtuvimos los datos para la comparación. Dichos datos mostraron que el nivel de adquisición de competencias en SVI supera al de las competencias que componen el SVA y, además, el efecto de la Curva del Olvido para las competencias incluidas en el SVI es menor. De esta manera, se puede concluir que las competencias que componen el SVI presentan un mayor nivel de adquisición, y un menor efecto de la Curva del Olvido y por tanto deberían ser las que pasaran a formar parte de la formación para los estudiantes de Medicina de la Universidad de Granada. Cardiac arrest (CA) is a major public health problem in developed countries. According to the Spanish Cardiopulmonary Resuscitation Council, in Spain there are around thirty thousand deaths a year and about twenty thousand resuscitation attempts, and yet until very recently medical students did not receive formal training in Advanced Life Support (ALS). With the introduction in 2018 of a new subject, we faced the problem of not having established what type of Life Support was appropriate for our students. As a result, the aim of this study is to analyze in a comparative way the degree of acquisition of competences in ALS and Immediate Life Support (ILS) and their temporal evolution by the students of fifth and sixth year (Medicine Degree) of the University of Granada (UGR). To achieve that aim, we obtained the data in an initial evaluation to the medical students who enrolled in the optional subject of Advanced Life Support in the Faculty of Medicine (UGR), during the months of October and November (2019). This evaluation was carried out by external evaluators and was based on the ERC 2015 guidelines. Months later, a reassessment that was carried out during the months of February and March 2020 to the same sample of students gave us the data for the comparison. Data showed that the degree of acquisition of competencies related to the ILS exceeds the level of acquisition of the competences included within the ALS, and that the effect of the Oblivion Curve for the competences included in the ILS is lower than those included in the ALS. We could conclude that the competences that are integrated within the ILS present a higher level of acquisition and a lesser effect on the forgetting curve, so they should become part of the curricular content of the UGR Medical Degree.

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STUDI KOMPARASI: EFEKTIFITAS PSIKOEDUKASI TERHADAP ADAPTASI PASIEN FRAKTUR DI RSUD JOMBANG

Jurnal Ilmu Kesehatan ◽

10.24929/jik.v1i2.385 ◽

2018 ◽

Vol 1 (2) ◽

pp. 74-80

Author(s):

Zuhrotul Umaroh ◽

Elsye Maria Rosa

Keyword(s):

Intervention Group ◽

Public Health Problem ◽

Test Sample ◽

T Test ◽

Control Group ◽

P Value ◽

Major Public Health Problem ◽

Control Group Design ◽

Significant Difference ◽

Before And After

Background: The injury is still a major public health problem throughout the country, where two-thirds occur in developing countries, including Indonesia. In Indonesia, recorded injury cases in 2013 reached 84,277 people (8.2%). The negative impacts caused by the fracture appears, which includes; psychological, social, and spiritual. The Department of Health reported that 15% of patients experiencing psychological stress fractures to depression. Psychoeducation efficient in the treatment process and decrease the symptoms of depression that is a component in the psychological response on the existence of a disability condition. Aim: the research aimed todetermine the effectiveness of psychoeducation to the physical adaptation among fracture patients in public hospital of Jombang Method: this is a quasi-experiment research with pre-test and post-test control group design. There were 16 respondents in control group and another 16 respondents for intervention group which was gathered with consecutive sampling. The data were analyzed with parametric analysis using paired sample t-test dan independent t-test. For testing the data normality distribution, Shapiro-wilk analysis was operated. Result: Paired t test sample stated that there was significant difference in the physical adaptation among fracture patients before and after the intervention of psychoeducation (p value = 0,000 ; CI 95% <alpha = 0,05). In the unpaired t test was obtained p value = 0.000; CI 95% <alpha = 0.05, which indicates a significant difference of fracture patients’ adaptation who has given psychoeducation intervention and who has not. Conclusion: the psychoeducation intervention increasedphysical adaptation among fracture patients. Nurses must continue to develop and apply the procedures for implementing psychoeducation fractures primarily in patients with the aim to improve the adaptability of fracture patients.

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Abstract 368: A Cardiac Arrest Simulation-Based Feasibility Cadaver Study Investigating Time for Semi Surgical Cut Down Procedure Followed by Insertion of a Novel REBOA Catheter

Circulation ◽

10.1161/circ.140.suppl_2.368 ◽

2019 ◽

Vol 140 (Suppl_2) ◽

Author(s):

Helene Duhem ◽

Lionel Lamhaut ◽

Alice Hutin ◽

Alexandre Bellier ◽

Stephane Tanguy ◽

...

Keyword(s):

Cardiac Arrest ◽

Median Time ◽

Life Support ◽

Advanced Life Support ◽

Public Health Problem ◽

Balloon Occlusion ◽

Major Public Health Problem ◽

Introducer Sheath ◽

Human Cadavers ◽

Time Required

Aim: Non-traumatic cardiac arrest is a major public health problem that carries an extremely high mortality rate. The Resuscitative endovascular balloon occlusion of the aorta (REBOA) procedure is currently being discussed as a possible technique to be used during Advanced Life Support (ALS) in humans with Cardiac arrest (CA). The aim of this study was to assess the training of emergency physicians in the procedures related to insertion of a novel REBOA catheter. Methods: We developed a training program using a simulated CA model on human cadavers. CPR was performed using the LUCAS device (Stryker/Jolife AB, Lund, Sweden). All cadavers were hemodynamically monitored. The Neurescue REBOA catheter (Neurescue REBOA device, Neurescue ApS, Copenhagen, Denmark) was inserted using a semi-surgical cut-down and sheath placement technique. Time needed to perform the procedures was measured. The procedures were instructed by 2 experts using video, procedural simulation on manikin and full-scale training on cadavers. Results: Six human cadavers were enrolled and a total of 12 procedures were performed by 2 expert investigators and 10 novice investigators. Eight semi-surgical cut-down producers including placements of the introducer sheath were performed on the first attempt and 4 required a second attempt. The median time required for the semi-surgical cutdown procedure and sheath placement by the novice investigators was: 6 min 48 sec (Min: 3 min 45 sec and Max: 26 min 25 sec). The median time required for the insertion and occlusion of the REBOA catheter by the novice investigators was: 3 min 22 sec (Min: 1 min 22 sec and Max: 7 min 5 sec). The median time required for full insertion for the novice investigators was: 11 min 14 sec (Min: 6 min 49 sec and Max: 28 min 15 sec). The mean aortic pressure during compression was: 31.9 mmHg (±17.0). Conclusions: Semi surgical cut-down and introducer sheath placement were performed in 1 or two 2 attempts for all novice investigators with an insertion time compatible with ALS during refractory CA. Simulation training on cadavers brings clinical realism and could be an important addition to the use of manikin or animal training models.

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Faunistic study on scorpions and their health impact in Bashagard County, Hormozgan Province, Southern Iran

Nusantara Bioscience ◽

10.13057/nusbiosci/n130112 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Mehran Shahi ◽

Seyed Aghil Jaberhashemi ◽

Ahmad Ali Hanafi-Bojd ◽

Morteza Akbari ◽

Javad Rafinejad

Keyword(s):

Uv Light ◽

Demographic Data ◽

Public Health Problem ◽

Abundant Species ◽

Health Impact ◽

Healthcare Personnel ◽

Suitable Habitat ◽

Major Public Health Problem ◽

Scorpion Sting ◽

Southern Iran

Abstract. Shahi M, Jaberhashemi SA, Hanafi-Bojd AA, Akbari M, Rafinejad J. 2020. Faunistic study on scorpions and their health impact in Bashagard County, Hormozgan Province, Southern Iran. Nusantara Bioscience 13: 85-90. Scorpion sting is a major public health problem in tropical and subtropical countries, endangering thousands of lives annually. About 2300 scorpion sting cases including several deaths are reported from Hormozgan Province annually. This study aimed to determine the fauna of scorpions and epidemiological aspects of scorpion sting in one of the high-risk areas in this province. Scorpions were collected by diurnal searching and night catch using UV light during 2015-2016. Clinical and demographic data of scorpion sting were obtained from Hormozgan Health Center using the checklist of the Center for Disease Control (CDC) archive during the study period. Data analysis was performed using SPSS 21 software. A total of 382 scorpions comprising of 9 species belonging to Buthidae (76%) and Hemiscorpiidae (24%) families were collected and identified as Mesobuthus phillipsi, Androctonus crassicauda, Hottentotta sistanensis, Compsobuthus persicus, Hemiscorpius acanthocercus, Orthochirus farzanpayi, H. acanthocercus, and Odontobuthos sp. The most abundant species in the study area was M. phillipsi. During 2015-2016, a total of 1221 scorpion sting cases including four deaths were recorded in Bashagard County, while most of the cases occurring during summer. The climate of the eastern regions of Hormozgan Province provides a suitable habitat for one of the deadliest genera of scorpions, i.e. Hemiscorpius. This genus is the main cause of death due to scorpion sting in these regions. It is thus necessary to design appropriate programs for the prevention and treatment of scorpion sting, including health education programs for both community members and healthcare personnel.

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