Awareness about basic life support and emergency medical services and its associated factors among students in a tertiary care hospital in South India

Background: Every medical student in India have to undergo a compulsory rotatory internship for completion of their course where they encounter various medical emergencies and apply their medical knowledge. An early encounter to a basic life support course and training will increase the efficacy of cardiopulmonary resuscitation and thus the outcome of the patient. This study was designed to test knowledge of MBBS students in a tertiary care hospital.Methods: This observational study was conducted in a tertiary care hospital in Uttar Pradesh and used a preformed validated questionnaire to test awareness and knowledge of basic life support and cardiopulmonary resuscitation in a sample of 500 MBBS students. Descriptive analysis was performed on the questionnaire responses. All data obtained from the questionnaire was evaluated and statistically analysed using software IBM SPSS Statistics software version 24 (IBM Corp., Armonk, NY, USA) for MS windows.Results: With a response rate of 47% among 500 MBBS students, the mean score obtained was 2.34±1.066 out of a maximum score of five. A maximum score of 2.804±1.055 obtained by 5th-year students. Surprisingly, first-year students achieved an average score of 2.66±0.97, which was higher than that of 2nd, 3rd, and 4th year students. 87% of students were like-minded to participate in the cardiopulmonary resuscitation (CPR) awareness program. Only 45% of students correctly answered the order of CPR as C-A-B (chest compression-airway-breathing).Conclusions: The study showed that though the awareness and importance of basic life support (BLS) are high among the medical students, the accurate knowledge required in performing BLS is inadequate. This study also showed that the National medical commission has taken a positive step in the incorporation of BLS in the curriculum.

Download Full-text

Quality of Life and its Associated Factors among Patients Undergoing Dialysis in a Tertiary Care Hospital, Puducherry, South India - A Cross-Sectional Analytical Study

Journal of Urology and Renal Diseases ◽

10.29011/2575-7903.001189 ◽

2020 ◽

Vol 05 (05) ◽

Keyword(s):

Quality Of Life ◽

Associated Factors ◽

Analytical Study ◽

South India ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Cross Sectional

Download Full-text

Fall with Syncope

Acute Care Casebook ◽

10.1093/med/9780190865412.003.0012 ◽

2018 ◽

pp. 52-57

Author(s):

Christopher J. Fullagar

Keyword(s):

Emergency Medicine ◽

Pain Management ◽

Patient Care ◽

Emergency Medical Services ◽

Basic Life Support ◽

Life Support ◽

Advanced Life Support ◽

Medical Services ◽

Emergency Medical

Syncope has a number of worrisome potential etiologies and often prompts a basic life support (BLS) emergency medical services (EMS) crew to call for advanced life support (ALS). Pain management may be another valid reason to call for ALS. EMS, and emergency medicine in general, is tasked with evaluating and mitigating the most worrisome causes of a patient’s presentations even if those causes are not necessarily the most likely. ALS is indicated for many patients who have suffered a syncopal episode although astute BLS assessment and intervention may be all that are indicated in certain cases. The importance of BLS care is often minimized or overlooked in EMS but can have a significant effect on patient care if well implemented. The case demonstrates how well-applied BLS effectively managed this patient presenting with syncope and a painful fracture.

Download Full-text

Out-of-hospital cardiac arrest: determinant factors for immediate survival after cardiopulmonary resuscitation

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.3453.2452 ◽

2014 ◽

Vol 22 (4) ◽

pp. 562-568 ◽

Cited By ~ 7

Author(s):

Daniela Aparecida Morais ◽

Daclé Vilma Carvalho ◽

Allana dos Reis Correa

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Emergency Medical Services ◽

Basic Life Support ◽

Life Support ◽

Advanced Life Support ◽

Medical Services ◽

Determinant Factors ◽

Emergency Medical ◽

Advanced Support

OBJECTIVE: to analyze determinant factors for the immediate survival of persons who receive cardiopulmonary resuscitation from the advanced support units of the Mobile Emergency Medical Services (SAMU) of Belo Horizonte.METHOD: this is a retrospective, epidemiological study which analyzed 1,165 assistance forms, from the period 2008 - 2010. The collected data followed the Utstein style, being submitted to descriptive and analytical statistics with tests with levels of significance of 5%.RESULTS: the majority were male, the median age was 64 years, and the ambulance response time, nine minutes. Immediate survival was observed in 239 persons. An association was ascertained of this outcome with "cardiac arrest witnessed by persons trained in basic life support" (OR=3.49; p<0.05; CI 95%), "cardiac arrest witnessed by Mobile Emergency Medical Services teams" (OR=2.99; p<0.05; CI95%), "only the carry out of basic life support" (OR=0.142; p<0.05; CI95%), and "initial cardiac rhythm of asystole" (OR=0.33; p<0.05; CI 95%).CONCLUSION: early access to cardiopulmonary resuscitation was related to a favorable outcome, and the non-undertaking of advanced support, and asystole, were associated with worse outcomes. Basic and advanced life support techniques can alter survival in the event of cardiac arrest.

Download Full-text