Assessment of Cardiopulmonary Resuscitation Expertise among Dental House Officers Working in A Dental Hospital, Multan

Background: Cardiopulmonary arrest (CPA) is an abrupt and an unpredicted halt in patients’ breathing as well as circulation due to several reasons. All wellbeing experts, including dental specialists, should be very much prepared to take care of and oversee health related crises. Aim: To examine House Surgeon’s medical practices of the recent CPR guidelines and to recognize the precautions that should be followed to correct the deficiencies identified. Setting: Multan Dental College Multan Methodology: Participants were selected randomly. Knowledge about CPR was evaluated by printed objective paper. Practical expertise/ skills were evaluated by SimMan (high-fidelity simulator). Objective paper comprised of 7 multiple choice questions and eighteen true false. Allotted time duration was 20 Minutes. One mark for every query and 50% marks were thought-off as passing scores Results: 34% of the participants scored 50% or more marks while 66% failed to do so. Regarding practical demonstration’s none of the participant was successful completely. Failure in initial assessment was attributed to 67% participants. Failure due to compression rate error, Failure due to ventilation rate error & Failure due to wrong hand position were reported by 70% participants. Conclusion: We conclude that level of knowledge as well as training regarding medicinal emergencies of dental house officers is below the required standard. Therefore, it is essential to place correct strategies & plans in place to fortify their recognized zones of weakness. Keywords: Cardiopulmonary Resuscitation (CPR), Dental House officers, Cardiopulmonary arrest (CPA),

Download Full-text

Evaluating Knowledge Level of the Medical Students about Children Cardiopulmonary Resuscitation in Aliebne University of Medical Science

The Journal of Tolooebehdasht ◽

10.18502/tbj.v20i1.6187 ◽

2021 ◽

Author(s):

Hamideh Shajari ◽

Seyed Mohammad Amin Hashemipour ◽

Ahmad Shajari

Keyword(s):

Medical Students ◽

Cardiopulmonary Resuscitation ◽

Cardiopulmonary Arrest ◽

Medical Science ◽

Basic Knowledge ◽

P Value ◽

Multiple Choice Questions ◽

Cross Sectional ◽

Pediatric Resuscitation ◽

Resuscitation Training

Introduction: Awareness of pediatric cardiopulmonary resuscitation (CPR) is obligatory for every graduated medical student. In fact, only correct and effective Cardiopulmonary resuscitation can increase the survival rate of patients with cardiopulmonary arrest and since CPR techniques and maneuvers should be done in a specific way for children, it is important to evaluate the knowledge of pediatric resuscitation. Methods: In a cross-sectional study, multiple-choice questions were designed about basic and advanced pediatric cardiopulmonary resusitation (under 8 years) and 100 medical students enrolled in undergraduate training. Results were analyzed using the software SPSS 15. Results: The interns' advanced awareness was significantly less than the basic knowledge (P-Value < 0.001). The awareness of students who studied in CPR was higher than students who did not (P-Value < 0.027). Moreover, students who participated in the rehabilitation of children were more aware (P-Value < 0.002) and interns who attended the Heart Ward had a higher level of awareness (P-Value < 0.001). Conclusion: In general, results obtained from the interns' awareness in the present showed the importance of pediatric resuscitation training courses and participation in resuscitation operations. So, this training course should be considered as a training strategy course in the internship program.

Download Full-text

Role of Dominant Hand Position during Chest Compression by Novice Rescuers: An Observational Simulation Study

Hong Kong Journal of Emergency Medicine ◽

10.1177/102490791402100607 ◽

2014 ◽

Vol 21 (6) ◽

pp. 382-386 ◽

Cited By ~ 1

Author(s):

Ch Jo ◽

Jh Ahn ◽

Yd Shon ◽

Gc Cho

Keyword(s):

Hong Kong ◽

Cardiopulmonary Resuscitation ◽

Training Program ◽

Chest Compression ◽

Simulation Study ◽

Hand Position ◽

Dominant Hand ◽

Cpr Training

Introduction The aim of this study was to determine the effect of hand positioning on the quality of external chest compression (ECC) by novice rescuers. Methods This observational simulation study was conducted for 117 included participants. After completion of an adult cardiopulmonary resuscitation (CPR) training program for 3-h, the participants selected which of their hands would be in contact with the mannequin during ECC and performed 5 cycles of single rescuer CPR on a recording mannequin. The participants were assigned to 2 groups: the dominant hand group (DH; n=40) and the non-dominant hand group (NH; n=29). The depth and rate of ECC were analysed to compare the effectiveness of ECC between 2 groups. Results The rate of ECC was significantly faster in the DH group (mean, 117.3 ±11.4/min) than in the NH group (mean, 110.9±12.2/min) (p=0.028). However, the depth of ECC in the dominant hand group (mean, 52.4±5.9 mm) was not significantly different from that in the non-dominant hand group (mean, 50.8±6.0 mm) (p=0.287). Similarly, the portion of ECC with inadequate depth in the dominant hand group (mean, 1.8±4.3%) was not significantly different from that in the non-dominant hand group (mean, 5.3±15.6%) (p=0.252). Conclusions ECC can be performed with an acceptably higher rate of compressions when the dominant hand of the novice rescuer is placed in contact with the sternum. However, the position of the dominant hand does not affect the depth of ECC. (Hong Kong j.emerg.med. 2014;21:382-386)

Download Full-text

Is the inter-nipple line the correct hand position for effective chest compression in adult cardiopulmonary resuscitation?

Resuscitation ◽

10.1016/j.resuscitation.2007.05.003 ◽

2007 ◽

Vol 75 (2) ◽

pp. 305-310 ◽

Cited By ~ 59

Author(s):

Jungho Shin ◽

Joong Eui Rhee ◽

Kyuseok Kim

Keyword(s):

Cardiopulmonary Resuscitation ◽

Chest Compression ◽

Hand Position

Download Full-text

An alternative method of chest compression from over-the-head during cardiopulmonary resuscitation

10.21203/rs.2.11675/v1 ◽

2019 ◽

Author(s):

Michał Ćwiertnia ◽

Marek Kawecki ◽

Tomasz Ilczak ◽

Monika Mikulska ◽

Mieczyslaw Dutka ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Chest Compression ◽

Artificial Respiration ◽

Hand Position ◽

Chest Compressions ◽

Confined Spaces ◽

Medical Response ◽

Emergency Interventions ◽

The Subject

Abstract Background Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial respiration using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient’s side, with compression carried out from behind the patient’s head. Methods The subject of the study were two methods of CPR – ‘standard’ (STD) and ‘over-the-head’ (OTH). The STD method consisted of 30 chest compressions from the patient’s side, and two attempts at artificial respiration after moving round to behind the patient’s head. In the OTH method, both compression and respiration were conducted from behind the patient’s head. Results Both CPR methods were conducted by 38 paramedics working in medical response teams. The average time of the interruptions between compression cycles (STD 9.184 s, OTH 7.316 s, p<0.001); the depth of compression 50–60 mm (STD 50.65%, OTH 60.22%, p<0.001); the rate of compression 100–120/min. (STD 46.39%, OTH 53.78%, p<0.001); complete chest wall recoil (STD 84.54%, OTH 91.46%, p<0.001); correct hand position (STD 99.32%, OTH method 99.66%, p<0.001). The remaining parameters showed no significant differences in comparison to reference values. Conclusions The demonstrated higher quality of CPR in the simulated research using the OTH method conducted by one person justifies the use of this method in a wider range of emergency interventions than only for CPR conducted in confined spaces.

Download Full-text

Outcomes of cardiopulmonary resuscitation in dialysis patients.

Journal of the American Society of Nephrology ◽

10.1681/asn.v361238 ◽

1992 ◽

Vol 3 (6) ◽

pp. 1238-1243

Author(s):

A H Moss ◽

J L Holley ◽

M B Upton

Keyword(s):

Cardiopulmonary Resuscitation ◽

Confidence Interval ◽

Cardiopulmonary Arrest ◽

Control Group ◽

Specific Information ◽

Comorbid Conditions ◽

Dialysis Patients ◽

Poor Survival ◽

Time Period ◽

Extended Survival

Patients with renal failure are believed to have a poor survival rate after cardiopulmonary resuscitation, but there is little specific information about the outcomes of cardiopulmonary resuscitation in dialysis patients. To be better able to inform dialysis patients and assist them in decision making about cardiopulmonary resuscitation, the eight-year experience with cardiopulmonary resuscitation in dialysis patients at a university dialysis program was analyzed and outcomes were compared with those of a control group of nondialysis patients undergoing cardiopulmonary resuscitation during the same time period in the same hospital. Of 221 dialysis patients experiencing cardiopulmonary arrest, 74 (34%) had CPR compared with 247 (21%) of 1,201 control patients (P = 0.0002). Six of 74 (8%; 95% confidence interval, 2 to 14%) dialysis patients survived to hospital discharge compared with 30 of 247 (12%; 95% confidence interval, 8 to 16%) control patients (P = not significant). At 6 months after CPR, 2 (3%) of 74 dialysis patients were still alive compared with 23 (9%) of 247 controls (P = 0.044); this difference was not explained by age or comorbid conditions. Twenty-one (78%) of the 27 successfully resuscitated dialysis patients died a mean of 4.4 days later; 95% were on mechanical ventilation in an intensive care unit at the time of death. It was concluded that cardiopulmonary resuscitation is a procedure that rarely results in extended survival for dialysis patients. In discussions about cardiopulmonary resuscitation with dialysis patients, nephrologists should provide this information.

Download Full-text

Abstract 48: Neurological Outcomes of Inpatient Cardiopulmonary Resuscitation in a University Hospital

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.6.suppl_1.a48 ◽

2013 ◽

Vol 6 (suppl_1) ◽

Author(s):

Lia M Thomas ◽

Miguel Benavides ◽

Pierre Kory ◽

Samuel Acquah ◽

Steven Bergmann

Keyword(s):

Cardiac Arrest ◽

Critical Care ◽

Cardiopulmonary Resuscitation ◽

Therapeutic Hypothermia ◽

Cardiopulmonary Arrest ◽

University Hospital ◽

Neurological Dysfunction ◽

Neurological Outcomes ◽

Shockable Rhythm ◽

Neurologically Intact

Background: Despite advances in out- of- hospital resuscitation practices, the prognosis of most patients after a cardiac arrest remains poor. The long term outcomes of patients successfully resuscitated from cardiac arrest are often complicated by neurological dysfunction. Therapeutic hypothermia has significantly improved neurological outcomes in patients successfully resuscitated from out- of- hospital cardiac arrests. The objective of this study was to look into the neurological outcomes in inpatients after successful cardiopulmonary resuscitation (CPR) in a university hospital setting. Methods: This was a retrospective observational study of 68 adult patients who experienced cardiac or respiratory arrest over an 18 month period at a metropolitan teaching hospital with dedicated, trained code teams. Arrests that occurred in the Emergency Department, Critical Care Units or Operating Rooms were excluded. Results: Of the 68 consecutive patients included in this study, 53% were resuscitated successfully. However, only 12 (18%) survived to discharge from the hospital and only 6 (10%) were discharged with intact neurological status. The initial survival was better in patients who received prompt CPR and in those with less co - morbidities. Pulseless electrical activity (PEA) or asystole were the most common rhythms (47% of the arrests). Most patients who survived and were neurologically intact had PEA (67%). We believe that most PEA arrests were more likely severe hypotension with the inability to palpate a pulse rather than true PEA. The mean time to defibrillation for all patients with an initial shockable rhythm (n=5) was 8.2 minutes. Patients who had an initial shockable rhythm and survived to discharge were shocked within 1 minute (n=2). Conclusion: Despite advances in critical care, survival from inpatient cardiopulmonary arrest to neurologically intact discharge remains poor. Therapeutic hypothermia should be expanded to those resuscitated from in - hospital cardiopulmonary arrest to determine if neurological outcomes would improve.

Download Full-text

Water Temperature and Drowning

PEDIATRICS ◽

10.1542/peds.87.5.747 ◽

1991 ◽

Vol 87 (5) ◽

pp. 747-747

Author(s):

MARK A NICHTER ◽

PERRY B. EVERETT ◽

ALBERT SALTIEL

Keyword(s):

Cardiopulmonary Resuscitation ◽

Water Temperature ◽

Effective Treatment ◽

Cardiopulmonary Arrest ◽

King County ◽

Rapid Cooling ◽

Neurologic Outcomes

To the Editor.— We read with interest the report by Quan et al.1 The authors described normal or near-normal neurologic outcomes after cardiopulmonary arrest in 8 of 38 victims. We are encouraged by these results and agree that early, effective cardiopulmonary resuscitation is the most effective treatment for pediatric submersion victims. Several additional factors, however, must be considered when interpreting the results of this study. Quan et al describe the King County, Washington climate as "temperate" and note that "submersion victims in this region did not receive the potentially beneficial rapid cooling that icy waters may provide."

Download Full-text