scholarly journals Preparation for Cardiopulmonary Resuscitation in Medical Schools in Australia: A Survey of Current Practice

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Peter J. M. Barton ◽  
Andrew A. Beveridge ◽  
Kay M. Jones

Introduction. Cardiopulmonary resuscitation (CPR) is acknowledged worldwide as a stressful clinical activity for all young doctors. The extent of standardisation of preparation for CPR within Australian curricula is unknown. Recent trends in the UK suggest the emergence of a common endpoint, Immediate Life Support (ILS) certification. The support for a similar shared endpoint in Australia is unknown. Methodology. A telephone questionnaire survey about the preparation for teaching CPR to medical students was undertaken in all Australian medical schools in early 2012; 88% of schools replied. Results. The majority favoured early basic CPR training. There was marked variation in how schools taught advanced CPR and how CPR competence was assessed. Only one school considered their graduates to be less than well prepared for CPR and all schools agreed that a common endpoint was desirable. Discussion. There is broad support for Immediate Life Support as a common end in resuscitation competence. Medical schools where students are prepared for a rural placement on graduation may still require a higher standard of competence.

2016 ◽  
Vol 3 (1) ◽  
pp. 25-30
Author(s):  
M Amatya ◽  
B Gorkhali

Background and Objectives: The role of effective basic life support (BLS) and cardiopulmonary resuscitation (CPR) is established. Reports on CPR knowledge assessment in Nepal are few and underline the gross lack of CPR knowledge.Material and Methods: A cross-sectional descriptive study was conducted among residents, students, and teachers in a few Nepalese health institutions. A questionnaire based on BLS guidelines 2010 was used, incorporating total 30 questions.Results: Total 145 complete responses (63 females, 82 males) were obtained and analyzed. Mean and median of correct answers was 18 out of 30 (60%, range 3-26); 9% could identify the correct sequence of action from a given set of 7 CPR steps. By ANOVA, score correlated significantly with the background of person (scores highest 19 in ‘clinical’ group and 18 in ‘dentistry’ to 16.38 in ‘nursing’ and 15.09 in ‘non-clinical’; p=0.000) but not with other variables (sex, age, designation, academic degree, institution, and previous CPR training).Conclusion: Lack in CPR knowledge and awareness are reported worldwide. Findings of this study are similar. Although those with clinical background had better knowledge, poor correlations with other variables indicate lack of importance being given to CPR knowledge and skill by most people, even those working in big health institutions of the country.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (1):25-30


2020 ◽  
Author(s):  
Hidetada Fukushima ◽  
Hideki Asai ◽  
Tadahiko Seki ◽  
Keisuke Takano ◽  
Francesco Bolstad

Abstract Background Immediate bystander cardiopulmonary resuscitation (CPR) is essential for survival from sudden cardiac arrest (CA). Current CPR guidelines recommend that dispatchers assist lay rescuers performing CPR (dispatch-assisted CPR: DACPR), which can double the frequency of bystander CPR. Laypersons, however, are not familiar with receiving CPR instructions from dispatchers. DACPR training can be beneficial for lay rescuers, but this has not yet been validated. The aim of this study was to determine the effectiveness of simple DACPR training for lay rescuers. Methods We conducted a DACPR simulation pilot study. Participants who were non-health-care professionals with no CPR training within 1 year prior to this study were recruited from Nara Medical University hospital. The participants were randomly assigned to one of two 90-minute adult basic life support (BLS) training course groups : DACPR Group (standard adult BLS training plus an additional 10-minute DACPR training) or Standard Group (standard adult BLS training only). In DACPR Group, participants practiced DACPR through role-playing of a dispatcher and an emergency caller. Six months after the training, all subjects were asked to perform a 2-minute CPR simulation under instructions given by off-duty dispatchers. Results Out of the 66 participants, 59 completed the simulation (30 from the DACPR Group and 29 from the Standard Group). The CPR quality was similar between the two groups. However, the median time interval between call receipt and the first dispatch-assisted compression was faster in the DACPR group (108 s vs. 129 s, p = 0.042). Conclusions This brief DACPR training in addition to standard CPR training can result in a modest improvement in the time to initiate CPR. Future studies are now required to examine the effect of DACPR training on survival of sudden CA.


Author(s):  
Abhishek Kumar ◽  
Pratishtha Yadav ◽  
Rakesh Garg

Cardiac arrest is the most significant reason for mortality and morbidities worldwide. With a better understanding of the pathophysiology of cardiac arrest, simple adaptations in basic life support to upcoming modifications in post-resuscitation care have been proposed by various resuscitation councils throughout the globe. Role of point of care cardiac ultrasound during cardiopulmonary resuscitation (CPR) has been explored and its contribution for identifying reversible causes and its real time management has been explored. A higher blood and tissue oxygenation levels contributed to an increased rate of return of spontaneous circulation (ROSC) which has to lead us to explore more options to increase the oxygenation. Starting from the CPR training, the use of sensors for spirometric feedback in ventilation maneuvers can help improve the quality of CPR. High flow nasal oxygenation during CPR has shown promising results. Extracorporeal CPR is another entity that has shown survival benefits in a selected group of patients. The aim of the newer advances has always been to decrease the morbidity and improve survival outcomes in terms of neurological deficit as well. These guidelines are reviewed and updated regularly to improve knowledge and training based on the current evidence. This chapter shall focus on recent advances in cardiopulmonary resuscitation.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Chiwon Ahn ◽  
Yongtak Cho ◽  
Jaehoon Oh ◽  
Yeongtak Song ◽  
Tae Ho Lim ◽  
...  

Objective. There are many smartphone-based applications (apps) for cardiopulmonary resuscitation (CPR) training. We investigated the conformity and the learnability/usability of these apps for CPR training and real-life supports.Methods. We conducted a mixed-method, sequential explanatory study to assess CPR training apps downloaded on two apps stores in South Korea. Apps were collected with inclusion criteria as follows, Korean-language instruction, training features, and emergency supports for real-life incidents, and analyzed with two tests; 15 medical experts evaluated the apps’ contents according to current Basic Life Support guidelines in conformity test, and 15 nonmedical individuals examined the apps using System Usability Scale (SUS) in the learnability/usability test.Results. Out of 79 selected apps, five apps were included and analyzed. For conformity (ICC, 0.95,p<0.001), means of all apps were greater than 12 of 20 points, indicating that they were well designed according to current guidelines. Three of the five apps yielded acceptable level (greater than 68 of 100 points) for learnability/usability.Conclusion. All the included apps followed current BLS guidelines and a majority offered acceptable learnability/usability for layperson. Current and developmental smartphone-based CPR training apps should include accurate CPR information and be easy to use for laypersons that are potential rescuers in real-life incidents.For Clinical Trials. This is a clinical trial, registered at the Clinical Research Information Service (CRIS, cris.nih.go.kr), numberKCT0001840.


2002 ◽  
Vol 17 (4) ◽  
pp. 209-212 ◽  
Author(s):  
Lam Kin-kwan ◽  
Lau Fei-lung ◽  
Chan Wai-kwong ◽  
Leung Kai-Shing ◽  
Chan Tsan-fai

AbstractUnited Christian Hospital initiated a doctor-based cardiopulmonary resuscitation (CPR) Program. It is a two-hour, focused, adult CPR course, suitable for adults of different age groups and of different educational levels. The course was rated highly by the participants. Most trainees acquired CPR knowledge and skills, and had confidence to perform CPR. This type of training could improve the rate of bystander CPR for out-of-hospital cardiac arrest patients in this region. Avoiding the complexity and pass-fail psychology that is used in the traditional CPR training curriculum, it can be an alternative to the traditional four-hour instructor-based Basic Life Support (BLS) course.


2012 ◽  
Vol 126 (4) ◽  
pp. 340-344 ◽  
Author(s):  
M M Khan ◽  
S R Saeed

AbstractObjectives:Despite longstanding concern, provision of undergraduate ENT teaching has not improved in response to the aims of the UK General Medical Council's initiativeTomorrow's Doctors. Previous studies have demonstrated poor representation of ENT within the undergraduate curriculum. We aimed to identify current practice in order to establish undergraduate ENT experience across UK medical schools, a timely endeavour in light of the General Medical Council's new 2011–2013 education strategy.Method:Questionnaires were sent to ENT consultants, medical school deans and students. All schools with a clinical curriculum were anonymously represented. Our outcome measures were the provision of mandatory or optional ENT placements, and their duration and content.Results:A compulsory ENT placement was available to over half (53 per cent) of the students. Ten of the 26 participating schools did not offer an ENT attachment. The mean mandatory placement was 8 days. Overall, 38 per cent of students reported a satisfactory compulsory ENT placement. Most ENT consultants questioned considered that newly qualified doctors were not proficient in managing common ENT problems that did not require specialist referral.Conclusions:Little improvement in the provision of undergraduate ENT teaching was demonstrated. An increase in the proportion of students undertaking ENT training is necessary. Time and curriculum constraints on medical schools mean that optimisation of available resources is required.


2019 ◽  
Vol 21 (1) ◽  
pp. 91-95
Author(s):  
Sittichoke Anuntaseree ◽  
Ekwipoo Kalkornsurapranee ◽  
Varah Yuenyongviwat

Introduction: A barrier to cardiopulmonary resuscitation (CPR) training in low-income countries is limited resources. Our goal was to build a CPR training model of simple design that would provide a good feedback system. Methods: We developed a low-cost, Basic Life Support training manikin made entirely of natural rubber. Our in-house manikin provides feedback when performing correct chest compression and rescue breathing. The properties of the manikin were tested using simulated chest compression in a laboratory and compared with a commercial manikin. Forty healthy nurse volunteers with CPR experience performed CPR in both types of manikins and responded to questionnaires. Results: A tensile test in a laboratory demonstrated that both types of manikins had acceptable ranges of properties for real-situation CPR in cardiac arrest patients. There were no differences in aesthetic properties, and the manikins felt to the volunteers like a real patient when they were performing chest compression. The feedback response was clear when chest compressions and rescue breathing were performed correctly, and the overall satisfaction with the manikin was good. In addition, the mean scores in terms of the manikin feeling like a real patient when performing rescue breathing and the positive feedback from the rubber manikin were statistically higher than those for the commercial manikin (p=0.001 vs. p=0.023). Conclusion: The in-house developed CPR manikin employing real-time feedback by simple mechanics is effective compared with a commercial manikin. The advantage of our manikin is that it is easy to build and costs substantially less than a commercial manikin. The use of an in-house developed manikin could make effective CPR training more available in limited-resource areas.


2021 ◽  
pp. 201010582097972
Author(s):  
Marcus Wei Xuan Yeow ◽  
Julia Yu Xin Ng ◽  
Van Hinh Nguyen ◽  
Anh Dung Quan ◽  
Huyen Trang Le ◽  
...  

Objectives: This is a first-of-its-kind cross-country collaboration between medical students from Singapore and Vietnam in conducting a cardiopulmonary resuscitation (CPR) workshop for Vietnamese high school students. Our objective was to assess the effectiveness of CPR training in improving students’ knowledge and attitudes towards CPR. Methods: The CPR workshop was conducted using active learning methods, including interactive lecture session, games, small group demonstration and hands-on practice on the mannequin. Knowledge and attitudes towards CPR were studied using a standardised questionnaire administered at three time points: before the workshop (TP1), immediately after the workshop (TP2) and three months after the workshop (TP3). Results: There was an improvement in the median knowledge score from 6.5/14 at TP1 to 13/14 at TP2 ( p<0.001) which was sustained at TP3 (10/14). Willingness and confidence in performing CPR on strangers increased from TP1 to TP2. From TP2 to TP3, however, there was a decrease in willingness to perform CPR on all groups, though confidence in performing CPR remained high at TP3. The most-cited concern about performing CPR was a lack of skills and knowledge. Most participants picked formal training courses to increase confidence in performing CPR. Conclusions: The CPR training was effective in improving the knowledge and attitudes of high school students towards CPR. Our study supports expanding this workshop to train more students in basic cardiac life support in the community and further collaboration internationally between medical schools in order to increase the number of students in the community competent in performing CPR.


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