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

2021 ◽  
Vol 104 (Suppl. 1) ◽  
pp. S44-S48

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

2020 ◽  
Vol 1 (1) ◽  
pp. 13-18
Author(s):  
Putra Agina Widyaswara Suwaryo ◽  
Zulfa Nur Ganda Sari ◽  
Barkah Waladani

Korban henti jantung bisa dialami oleh siapapun dan kapanpun tanpa mengenal tempat kejadian. Salah satu faktor penyebab tingginnya kematian akibat henti jantung adalah terlambatnya pertolongan yang diberikan kepada korban segera setelah henti jantung. Mayoritas kasus henti jantung terjadi di pra-Rumah Sakit, mencapai 72%. Pengetahuan dan ketrampilan orang awam yang baik, meningkatkan angka kelangsungan hidup korban henti jantung sebelum mendapatkan penanganan lanjutan di Rumah Sakit. Relawan adalah orang atau tim yang paling sering menjumpai kejadian henti jantung dan korban tidak sadar ketika melakukan pencarian dan evakuasi korban. Tujuan dilakukan pengabdian masyarakat ini untuk meningkatkan pengetahuan dan ketrampilan relawan bencana. Proses pengabdian masyarakat ini terdiri dari edukasi dan praktik dengan materi bantuan hidup dasar. Perubahan kognitif sebelum dan sesudah edukasi dievaluasi menggunakan pertanyaan, dengan nilai rata-rata 35 menjadi 85. Peserta sangat antusias dalam mengikuti program edukasi bantuan hidup dasar. Pengabdian masyarakat dengan memberikan pengetahuan untuk meningkatkan ketrampilan relawan dalam memberikan pertolongan kepada korban tidak sadar. Tindak lanjut dari pengabdian masyarakat ini yaitu membuat tim relawan kolaborasi dengan medis untuk menangani kasus medis diluar Rumah Sakit Kata kunci: bantuan hidup dasar; ketrampilan; pengetahuan; relawan bencana IMPROVEMENT OF KNOWLEDGE AND SKILLS BASIC LIFE ASSISTANCE IN DISASTER VOLUNTEERS ABSTRACT Victims of cardiac arrest can be experienced by anyone and at any time without knowing the scene. One of the factors causing the high death due to cardiac arrest is the late help given to victims immediately after cardiac arrest. The majority of cases of cardiac arrest occur in pre-hospital, reaching 72%. Good knowledge and skills of lay people, increase the survival rate of victims of cardiac arrest before getting further treatment at the Hospital. Volunteers are the people or teams that most often encounter cardiac arrest and the victim is unconscious when searching and evacuating victims. The purpose of this community service is to increase the knowledge and skills of disaster volunteers. This community service process consists of education and practice with basic life support materials. Cognitive changes before and after education were evaluated using questions, with an average score of 35 to 85. Participants were very enthusiastic in participating in the basic life support education program. Community service by providing knowledge to improve volunteer skills in providing assistance to unconscious victims. Follow-up from this community service is to create a team of volunteers collaborating with the medical to handle medical cases outside the hospital. Keywords: basic life support; disaster volunteer; knowledge; skills


2020 ◽  
Vol 4 (2) ◽  
pp. 115
Author(s):  
Vina Nirmalasari ◽  
Wiwin Winarti

Abstrak  Out-of-Hospital Cardiac Arrest (OHCA) merupakan keadaan hilangnya fungsi jantung secara tiba-tiba yang terjadi di luar rumah sakit dan membutuhkan pertolongan cepat. Bantuan Hidup Dasar (BHD) merupakan pertolongan pertama kepada korban OHCA yang dapat meningkatkan angka keberlangsungan hidup pasien henti jantung. Setiap lapisan masyarakat khususnya mahasiswa kesehatan harus memiliki pengetahuan dan keterampilan BHD. Pelatihan dapat meningkatkan pengetahuan dan keterampilan mahasiswa jurusan kesehatan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pelatihan bantuan hidup dasar terhadap pengetahuan dan keterampilan pada Himpunan Mahasiswa Kesehatan Masyarakat (HMKM) di UPN “Veteran” Jakarta. Penelitian ini menggunakan desain Quasi Experiment Design (Eksperimental Semu) dengan Pre-Post Without Control Group. Teknik Consecutive sampling digunakan untuk merekrut 23 mahasiswa sebagai responden penelitian. Hasil analisis menggunakan Paired t-test menunjukkan terdapat pengaruh yang signifikan antara pelatihan BHD  dengan pengetahuan (p=0,000) dan keterampilan (p=0,000). Hal tersebut menunjukkan terdapat pengaruh yang signifikan antara pelatihan BHD dengan pengetahuan dan keterampilan HMKM UPN “Veteran” Jakarta. Kata Kunci : BHD; Keterampilan; Pelatihan; Pengetahuan ABSTRACT Out of Hospital Cardiac Arrest (OHCA) is a state of a sudden loss of heart function that occurs outside the hospital and requires rapid relief. Basic Life Support (BLS) is the first aid that can increase the survival rate of patients with cardiac arrest of OHCA victims. Every level of society, especially healthcare students, is mandatory to have BLS knowledge and skills. Training can improve healthcare students' knowledge and skills. The purpose of this study was to determine the effect of basic life support training on the knowledge and skills of the members of the Public Health Student Association at UPN "Veteran" Jakarta. This study used a Quasi Experiment with Pre-Post Without Control Group design. The consecutive sampling method was used to recruit 23 students as respondents. The results of a Paired t-test showed that there was a significant effect of BLS training on the knowledge (p = 0,000) and skills (p = 0,000). This study showed that there is a significant effect of BLS training on the knowledge and skills of the members of the Public Health Student Association at UPN "Veteran" Jakarta. Keywords: BLS; Knowledge; Skill; Training


2020 ◽  
Vol 9 (1) ◽  
pp. 19-26
Author(s):  
Abdul Qodir

Out-of-hospital cardiac arrest (OHCA) is a major health problem throughout the world. The best survival rates are achieved when trained people provide OHCA victims with basic life support (CPR). This study aims to evaluate the effectiveness of training on  improving knowledge and skills  basic life support in lay people. One group pretes posttest design was conducted in this study in integrated laboratory Widyagama Husada School of health. A total 15 participants were ware selected by Consecutive Sampling. Data were collected on  respondent characteristics, knowledge and practical skills basic life support. Data were analyzed using paired  t-tests. The mean score in knowledge and skills ware 54,67 and 33,67 at pretest and 76,3 and 85,07 (p = 0.000) at posttest. The Training significant on  improving Knowledge and Skills  Basic Life support in Lay People.


Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Lynn J White ◽  
Sarah A Cantrell ◽  
Robert Cronin ◽  
Shawn Koser ◽  
David Keseg ◽  
...  

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.


Circulation ◽  
2019 ◽  
Vol 140 (24) ◽  
Author(s):  
Jonathan P. Duff ◽  
Alexis A. Topjian ◽  
Marc D. Berg ◽  
Melissa Chan ◽  
Sarah E. Haskell ◽  
...  

This 2019 focused update to the American Heart Association pediatric basic life support guidelines follows the 2019 systematic review of the effects of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) on survival of infants and children with out-of-hospital cardiac arrest. This systematic review and the primary studies identified were analyzed by the Pediatric Task Force of the International Liaison Committee on Resuscitation. It aligns with the International Liaison Committee on Resuscitation’s continuous evidence review process, with updates published when the International Liaison Committee on Resuscitation completes a literature review based on new published evidence. This update summarizes the available pediatric evidence supporting DA-CPR and provides treatment recommendations for DA-CPR for pediatric out-of-hospital cardiac arrest. Four new pediatric studies were reviewed. A systematic review of this data identified the association of a significant improvement in the rates of bystander CPR and in survival 1 month after cardiac arrest with DA-CPR. The writing group recommends that emergency medical dispatch centers offer DA-CPR for presumed pediatric cardiac arrest, especially when no bystander CPR is in progress. No recommendation could be made for or against DA-CPR instructions when bystander CPR is already in progress.


2019 ◽  
Vol 36 (8) ◽  
pp. 479-484 ◽  
Author(s):  
Mark H Ebell ◽  
Akke Vellinga ◽  
Siobhan Masterson ◽  
Phillip Yun

BackgroundOur objective was to perform a systematic review of studies reporting the accuracy of termination of resuscitation rules (TORRs) for out-of-hospital cardiac arrest (OHCA).MethodsWe performed a comprehensive search of the literature for studies evaluating the accuracy of TORRs, with two investigators abstracting relevant data from each study regarding study design, study quality and the accuracy of the TORRs. Bivariate meta-analysis was performed using the mada procedure in R.ResultsWe identified 14 studies reporting the performance of 9 separate TORRs. The sensitivity (proportion of eventual survivors for whom the TORR recommends resuscitation and transport) was generally high: 95% for the European Resuscitation Council (ERC) TORR, 97% for the basic life support (BLS) TORR and 99% for the advanced life support (ALS) TORR. The BLS and ERC TORR were more specific, which would lead to fewer futile transports, and all three of these TORRs had a miss rate of ≤0.13% (defined as a case where a patient is recommended for termination but survives). The pooled proportion of patients for whom each rule recommends TOR was much higher for the ERC and BLS TORRs (93.5% and 74.8%, respectively) than for the ALS TORR (29.0%).ConclusionsThe BLS and ERC TORRs identify a large proportion of patients who are candidates for termination of resuscitation following OHCA while having a very low rate of misclassifying eventual survivors (<0.1%). Further prospective validation of the ERC TORR and direct comparison with BLS TORR are needed.


2020 ◽  
Vol 1 (2) ◽  
pp. 146-154
Author(s):  
Sunarto Sunarto ◽  
Addi Mardi Harnanto

Background: Recent developments both in terms of science, population density, modern lifestyle, increased activity, congestion in terms of transportation and so on have a real impact on life in society. One impact that is not recognized is less concerned about the risks of these developments. Where this makes individuals vulnerable to a disease and other threats. One of them is a heart attack, the number of accidents has increased, so there is a risk of trauma, even resulting in cardiac arrest and stopping breathing. In line with this, first aid in emergency conditions really needs to be known by all people. So we need a guide for the flow of help, which is currently with algoritma basic life support AHA 2017. Community service goals: The community understands the flow or algorithm of first aid for people with cardiac arrest and respiratory arrest. Methods: In the implementation using question and answer lecture and demonstration models, with the module learning media. Pre-test and post-test is done by asking questions. Results: There is a difference in the results of the correct answer before and after the socialization of the AHA 2017 basic life support algorithm. The increase is between 3 and 6. Conclusion: After socialization of basic life support algorithm AHA 2017 knowledge  increased.


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