scholarly journals The impact of basic life support training among KIBOGORA district hospital staff: A pilot study

2021 ◽  
Vol 3 (2) ◽  
pp. 218-223
Author(s):  
Jean C Uwimana

Background: The purpose of BLS is to maintain adequate ventilation and circulation until a means can be used to reverse the underlying cause of cardiac arrest.Worse outcomes are obtained when BLS is being done by non-trained persons. Objectives: To assess the knowledge of BLS among KIBOGORA district hospital staff and the impact of BLS training on retaining BLS skills among clinical and non-clinical KIBOGORA hospital staff. Materials and Methods: This pilot study was conducted in KIBOGORA hospital. A pre training test was given to every participant and after the training, a posttest was given to all participants. Before completing the pretest questionnaire, each participant had to choose a code made of at least 2 characters and the same code had to appear on the posttest questionnaire of the same participant. A grading system was used to categorize the level of participants’ knowledge on BLS skills. Results: Among 196 trained staff, 40 completed the pre training questionnaire .82.50 % of the subjects that completed the pre training questionnaire were clinical staff whereas 17.50% were non clinical staff. 54.55% and 33.33% of the clinical staff had respectively poor and fair knowledge on Basic Life Support (BLS) and only 6.06% were good at BLS however none of clinical staff was very good or excellent on BLS. All of the non-clinical staff that participated in the study had either a poor or fair knowledge on BLS. After the training, both clinical and non-clinical staff that completed the pre-training questionnaire, completed the post training questionnaire.30.30% of clinical staff that completed the questionnaire were good on BLS.The number of participants with an average or fair knowledge on BLSwere 27.27% in each category. 6.06% and 3.03% were excellent or very good on Basic Life Support. On the other hand, 42.86% and 28.57% of non-clinical staff had respectively poor and fair knowledge on BLS. Conclusion: After the training, knowledge on BLS improved both for clinical and non-clinical staff however more refresher courses are needed to reduce the gap seen in theoretical knowledge as well as practical skills

2016 ◽  
Vol 45 ◽  
pp. 163-166 ◽  
Author(s):  
Matthew Johnson ◽  
Amanda Peat ◽  
Leanne Boyd ◽  
Tanya Warren ◽  
Kathryn Eastwood ◽  
...  

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C Parisis ◽  
A Bouletis ◽  
M Ntaliani ◽  
D Palla ◽  
P Makri ◽  
...  

Abstract   The impact of Kids Save Lives program on Knowledge, skills and attitude of students. Preliminary results from 2 years of implementation Background Sudden cardiac death is one of the main issues worldwide, with more than 700.000 deaths annually. It is strongly believed that the implementation of “Kids Save Lives” project in schools can change this situation. The World Health Organization endorsed the “Kids Save Lives” project in 2015 in order to reduce mortality, while in countries, where children were taught cardiopulmonary resuscitation (CPR) in schools, have higher rates of bystander CPR and higher survival rates. In a lot of countries this project is a suggestion from Ministry of Education to schools. Purpose To evaluate the level of theoretical knowledge, willingness to perform Cardiopulmonary resuscitation (CPR) and active skills of Greek secondary school students on the subject of Basic life Support before and after a “Kids Save Lives” program. Material – Method: Data collection took place on the academic periods of 2017–2018 and 2018–2019 and was performed in secondary schools. A total of 3421 students (51,9% female, mean age 14.2 years) participated on the “Kids save Lives” program according to the European Resuscitation Council (ERC) and World Health Organization (WHO) statement. A 12-question questionnaire was answered by the students before and after the “kid saves lives” program, while practical skills were evaluated on manikins by experienced ERC Basic Life Support (BLS) Instructors. Results The training improves significantly the theoretical knowledge regarding Cardiopulmonary resuscitation (CPR), with the percentage of correct answers being 49.5% and 82,41%,before and after the course respectively (p<0.001). The participants willingness to perform bystander CPR significantly increased after the completion of the course (93,1% before to 97,3% after, p<0.001). Almost all of the participants (98.9%) could recognize the correct position near the victim and 91% performed chin lift maneuver and recognized cardiac arrest. More than 90% of the students performed chest compressions with the correct rate and placing their hands on the center of the chest (90,1% and 93.4%, respectively), whereas only 76.4% of the participants achieved the desired compression depth of 5 to 6 cm. Conclusions The overall results strongly depict the benefits of “Kids Save Lives” program by improving the theoretical knowledge, the practical skills and the attitude of students towards CPR and indicate the necessity of implementation in a greater scale nationwide. Funding Acknowledgement Type of funding source: None


Resuscitation ◽  
2019 ◽  
Vol 142 ◽  
pp. e66
Author(s):  
Elena Jimeno ◽  
Javier Llopis ◽  
Clara Fuster ◽  
Juan Manuel Chesini ◽  
José Peris ◽  
...  

Author(s):  
Carlos Méndez-Martínez ◽  
Santiago Martínez-Isasi ◽  
Mario García-Suárez ◽  
Medea Aglaya De La Peña-Rodríguez ◽  
Juan Gómez-Salgado ◽  
...  

Out-of-hospital cardiorespiratory arrest is one of the leading causes of death in the Western world. Early assistance with quality Cardiopulmonary Resuscitation (CPR) and the use of a defibrillator may increase the percentage of survival after this process. The objective of this study was to evaluate the effect of CPR training and the management of an Automatic External Defibrillator (AED). A descriptive, cross-sectional, observational study was carried out among students in the first year of a Nursing and Physiotherapy degree of the University of León. To achieve this goal, a theoretical-practical educational intervention of four hours’ duration which included training on CPR, AED and Basic Life Support (BLS) was carried out. A total of 112 students were included. The results showed an increase in theoretical knowledge on BLS as well as on CPR and AED, and practical skills in CPR and AED management. A theoretical exposition of fifteen minutes and the practical training of CPR wasenough for the students to acquire the necessary theoretical knowledge, although the participants failed to reach quality criteria in CPR. Only 35.6% of students reached the right depth in compressions. Also, ventilation was not performed properly. Based on the results, we cannot determine that the percentage of overall quality of CPR was appropriate, since 57.6% was obtained in this respect and experts establish a value higher than 70% for quality CPR. There was a clear relationship between sex, weight, height and body max index (BMI), and quality CPR performance, being determinant variables to achieve quality parameters. Currently, Basic Life Support training in most universities is based on training methods similar to those used in the action described. The results obtained suggest implementing other training methods that favour the acquisition of quality CPR skills.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
C Parisis ◽  
A Bouletis ◽  
K Chatzidimitriou ◽  
D-D Palla ◽  
P Makri ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Background Sudden cardiac death is one of the main issues worldwide, with more than 700.000 deaths annually. It is strongly believed that the implementation of "Kids Save Lives" project in schools can change this situation. The World Health Organization endorsed the ‘Kids Save Lives’ project in 2015 in order to reduce mortality. The first chain of survival concerns the recognition of cardiac arrest with chin lift and head tilt manoeuvre of the victim and the feel- look- listen approach. Purpose Τo evaluate the level of theoretical knowledge, as far the recognition of cardiac arrest is concerned in Greek secondary school students before and after the "Kids Save Lives" program. Material – Method: Data collection took place on the academic periods of 2017-2018 and 2018-2019 and was performed in secondary schools of Thessaly’s region. A total of 4922 students (51,9% female, mean age 14.2 years) participated on the "Kids save Lives" program according to the European Resuscitation Council (ERC) and World Health Organization (WHO) statement. A 12-point questionnaire was answered by the students before and after the "kid saves lives" program, while practical skills were evaluated on manikins by experienced ERC Basic Life Support (BLS) Instructors. The knowledge of the recognition of cardiac arrest is investigated in this subgroup analysis Results The training improves significantly the theoretical knowledge regarding the recognition of cardiac arrest, with the percentage of correct answers being 58,3% and 96,1%,before and after the course respectively (p < 0.001). In the practical part of the program, almost all of the participants (98.9%) could recognize the correct position near the victim and 91% perform chin lift manoeuvre and recognize cardiac arrest. Conclusions The overall results reveal that the "Kids Save Lives" program can play a important role in improving the theoretical knowledge and  the practical skills of Greek students towards towards the recognition of cardiac arrest and indicate the necessity of implementation in a greater scale nationwide.


2020 ◽  
Author(s):  
Caroline Wroe ◽  
Natasha Newell ◽  
Yitka Graham ◽  
Marcus Diamond ◽  
Michael O'Malley ◽  
...  

Abstract Background: More than 6000 people are waiting for an organ transplant in the UK. Although a recent change in organ donor legislation to an opt out system is hoped to address this disparity expert review highlights that ‘opt out’ is only one of several factors that impact organ donation rates. Studies show that ethnicity, religion and cultural influences impact opinions towards organ donation. The importance of education is well established and interpersonal educational interventions have been shown to be more effective than mass media approaches to changing behaviour around organ donation. This study evaluates the impact of an educational intervention delivered with Basic Life Support training prior to the change in legislation to positively influence views on organ donation.Methods: An educational film promoting organ donation was developed from patient’s stories, evaluated, reviewed and embedded into BLS training. All staff attending BLS training were invited to participate in the study, complete a baseline survey, watch the film and complete another survey 3-5 working days after the training.Results: During the study period 338 attended BLS training, 8 out of 10 agreed to participate in the study, 6 out of 10 stayed behaving for the intervention and 3 out of 10 completed all stages of the study. Support for organ donation was almost universal in the baseline survey and of those who completed the study, >9 out of 10 felt the intervention had helped them understand the need for organ donation and 1 in 2 had subsequently discussed organ donation with their family and friends. 1 in 4 did not support the forthcoming change in organ donation legislation.Conclusions: A brief targeted intervention delivered through BLS training is effective in promoting discussion and improves support for organ donation. The mandatory nature of BLS training reduces bias in engagement and offers huge potential for delivery of a limited intervention around organ donation at pace and scale. Further understanding of NHS staff awareness of and opinions to the change in organ donation legislation is warranted. Trial Registration#conversations was prospectively registered with the ISRCTN on 23/01/2019.ISRCTN 36338010IRAS project ID 233611


Author(s):  
Stirparo Giuseppe ◽  
Lorenzo Bellini ◽  
Nazzareno Fagoni ◽  
Salvatore Compatti ◽  
Marco Botteri ◽  
...  

Abstract Background: during the COVID-19 pandemic a total lockdown was enforced all over Italy starting on March 9th. This resulted in the shrinking of economic activities. In addition, all formal occupational security-training courses were halted, among them the 81/08 law lectures and Basic Life Support-Defibrillation (BLS-D) laymen training courses. The aim of the study was to evaluate the impact of the pandemic on BLS-D laymen training courses in the Lombardy region. Methods: BLS-D training courses records for the Lombardy region were analysed. The analysis was conducted from 2016 to 2020 as part of the Hippo project. Results: between 2017 and 2019 BLS-D trained laymen kept increasing, moving from 53,500 trained individuals up to 74,700. In 2020 a stark reduction was observed with only 22,160 individuals trained. Formal courses were not halted completely during 2020. Still, in the months available for training, the number of individuals enrolled showed a sharp 50% reduction. Conclusions: laymen training courses for emergency management are a fundamental component of primary prevention practice. The 81/08 and 158/12 Italian laws have decreed this practice mandatory on the workplace. Following the enforcement of the lockdown and the subsequent interruption of emergency management courses, efforts will be necessary to re-establish and guarantee the high quality training of the pre-pandemic period.


Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Abdullah Zoheb Azhar ◽  
Monil Majmundar ◽  
Shmuel Golfeyz ◽  
Tikal Kansara ◽  
Jonna Mercado ◽  
...  

Introduction: There are approximately 200,000 cases of in-hospital cardiac arrest (IHCA) annually in the United States. Of these cases, only 40-50% achieve return of spontaneous circulation (ROSC) and only 20-30% are discharged. Though most hospital staff are trained in cardiac arrest resuscitation, a significant disparity in resuscitation has been noted between different hospital settings. We thus instituted additional structured cardiac arrest training in an Internal Medicine residency program, to supplement the biennial advanced cardiac life support (ACLS) training. Hypothesis: We hypothesized that institution of a dedicated structured cardiac arrest team (code team) in addition to monthly training for those on the team, would improve the confidence, skills, and leadership level, of residents at managing an IHCA situation. Methods: A structured code team with specific roles for each resident was instituted in a New York City-based community hospital. Training was guided by audio-visual lectures and then reinforced by performing mock cardiac arrest drills. Resident assessments were done pre and post-training through an anonymous standardized questionnaire. Summative measures of mean confidence, mean ACLS skills, and leadership were evaluated. Uni and bivariate analysis, and T-tests for statistical significance were performed using STATA 15 software. Results: Our sample of 32 residents showed an increase in mean learning scores across all the three domains. Confidence scores increased from 7.23 to 8.44, ACLS skills increased from 7.40 to 8.57 and leadership scores increased from 6.56 to 7.88. Paired T-tests demonstrated high significance (P<0.000). Conclusion: This study demonstrates the effectiveness of additional structured cardiac arrest training on confidence, skills, and leadership of resident physicians in an Internal Medicine program. The next phase of this study will be to re-evaluate knowledge and confidence at 3 and 6 months after training.


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