Ohne Titel

BASIC RESUSCITATION

KNOWLEDGE AND ATTITUDE TOWARDS BASIC LIFE SUPPORT AMONG PRIMARY HEALTH CARE PHYSICIANS IN TAIF, SAUDI ARABIA, IN 2018: A REGRESSION ANALYSIS

DIFFERENCES IN THE PERFORMANCE OF RESUSCITATION ACCORDING TO THE RESUSCITATION GUIDELINE TERMINOLOGY DURING INFANT CARDIOPULMONARY RESUSCITATION: “APPROXIMATELY 4 CM” VERSUS “AT LEAST ONETHIRD THE ANTERIOR-POSTERIOR DIAMETER OF THE CHEST”

Basic Cardiac Life Support (BLS)

BLS is essential and can save lives

Especially among health care providers who encounter ill patients every day during their practice

The American Heart Association (AHA)

Introduced Cardiopulmonary resuscitation (CPR) into Saudi Arabia

1984

Currently

The Saudi Heart Association (SHA)

SHA is responsible for conducting BLS training courses

The Basic Cardiac Life Support

BLS course is now mandatory for all health care providers for their practice.

The course

is held in standard centers approved by the health authorities.

BLS is important for saving lives after cardiac arrest.

Steps of BLS

1. Immediate recognition of sudden cardiac arrest

2. Activation of the emergency response system

3. early CPR

4.Rapid defibrillation with an automated external defibrillator (AED

"Lack of BLS training and negative attitude towards it leads to inability of PHC physicians to cope with medical emergencies at their workplace and can lead to adverse consequences."

The article does not know the actual knowledge and the attitude

The PHC physicians in Taif

BLS courses

The percentage of PHC physicians in Taif who have a valid BLS certificate-

Research design and setting

They include all 350 physicians.

A pre-designed self-administered questionnaire was used to collect data from the physicians

Knowledge aspect

Personal data

History of attending training courses in BLS and having a BLS license.

Attitude aspect

The physicians were asked to respond to questions about BLS. The correct answers were given a score of “1” while the wrong or missing answers were given a score of “0”. The overall score was calculated for every physician.

One hundred eighty-three primary health care physicians were included in the study.

The majority of the physicians could recognize

The critical characteristics of high-quality CPR include starting chest compressions within 10 seconds of recognition of cardiac arrest, pushing hard and fast and minimizing interruptions (94%), the technique to open the airway of an unconscious casualty is head tilt and chin lift (91.3), the signs of airway obstruction are poor air exchange, high-pitched noise while inhaling and inability to speak (90.2%) and the correct ratio of chest compressions to rescue breaths for use in CPR of an adult casualty is 30 compressions: 2 rescue breaths (83.6%)

Adequate chest compression depth (CCD) is one of the key components for improving survival rate of out-of-hospital cardiac arrest

Recommended CCD for adult cardiac arrest patients had been adjusted from “at least 5 cm” to “approximately 5 cm” (2015)

International consensus of International Liaison Committee on Resuscitation reported that maximum survival was expected in the depth interval from 40.3 to 55.3 mm

fecha: 30/03/2020

Titulo: BASIC RESUSCITATION

Curso: Cuidado del adulto II

Docente: María Angelica Rojas

Nombre: Shelsi Gómez Pérez

REFERENCIAS:

1. Lee W, Yang D, Oh JH (2020) Differences in the performance of resuscitation according to the resuscitation guideline terminology during infant cardiopulmonary resuscitation: “Approximately 4 cm” versus “at least one-third the anterior-posterior diameter of the chest”. PLoS ONE 15(3): e0230687. https://doi.org/10.1371/ journal.pone.0230687

2. Cerón Polanco, M. C. (2014, diciembre). DESACONDICIONAMIENTO FÍSICO DE SISTEMAS OSTEOMUSCULAR Y TEGUMENTARIO EN PACIENTES EN UNIDAD DE CUIDADO INTENSIVO. Recuperado 24 marzo, 2020, de https://www.researchgate.net/publication/323687322_Desacondicionamiento_Fisico_De_Sistemas_Osteomuscular_y_Tegumentario_En_Pacientes_En_Unidad_De_Cuidado_Intensivo.

AHA and European Resuscitation Council guidelines maintained the recommended CCD as “at least 5 cm”, the 2015 Resuscitation Council of Asia and Korean guidelines for CPR changed the recommended CCD to “approximately 5 cm” according to the 2015 international consensus

confused

The word “approximately”

The CPR guidelines for infants recommend that the CCD should be “approximately 4 cm” or “at least one-third the anterior-posterior diameter of the chest”

There was a possibility that the different terminologies for the CCD might affect other CPR performance variables such as

Hand position, chest compression rate, chest wall recoil, hands-off time, and ventilation parameters.

The experiments were conducted with an infant cardiac arrest simulation model involving a three-month-old-sized infant manikin

All experiments were performed with a CPR duration of 2 minutes, and with a chest compression-to-ventilation ratio of 15:2. Using a face shield, mouth-to-mouth ventilation was administered.

The anterior-posterior diameter of the chest of the manikin was 12 cm. The manikin was laid on the floor in the supine position.

Collection instructed the participants to use the index and middle fingers of the dominant hand when they used TFT for chest com-pressions

Data were collected during the experiments by a sensor embedded in the manikin and were extracted through a computer

Thus, 40 participants were finally recruited

(Group A = 20, Group B = 20)

Conclusions: Using the CCD target of “at least one-third the anterior-posterior diameter of the chest” resulted in deep and adequate chest compressions during infant CPR when compared to with the CCD target of “approximately 4 cm”. Therefore, changes in the terminology used in the guidelines should be considered to improve the quality of CPR.