Cardiopulmonary Resuscitation, Chest Compression Only and Teamwork From the Perspective of Medical Doctors, Surgeons and Anesthesiologists

Abstract

Background:New resuscitation guidelines that were proposed by the European Resuscitation Council in 2010 have introduced a new method of cardiopulmonary resuscitation (CPR) by chest compressions only for untrained individuals.Objectives:We conducted this study to evaluate differences in attitudes towards CPR among medical doctors, surgeons and anesthesiologists in Osijek University Hospital. A call for help, chest-compression-only resuscitation, mouth-to-mouth ventilation and team-work were recognized as critical points that may influence the outcome. Unfamiliarity with these methods may be indicative of a lack of education in resuscitation and may result in poor outcomes for victims.Patients and Methods:An anonymous survey was conducted on 190 medical professionals: 93 medical doctors, 70 surgeons, and 27 anesthesiologists during year 2012 (mean age 41.9 years). The questions were related to previous education in resuscitation, current resuscitation practices and attitudes towards cardiopulmonary resuscitation. Data were analyzed using ANOVA and Fisher exact test. A P value of < 0.05 was considered statistically significant.Results:The only difference between groups was regarding the male and female ratio, with more male surgeons (45, 55, and 11, P < 0.001). All doctors considered CPR as important, but only anesthesiologists knew how often guidelines in CPR change. Approximately 45% of medical doctors, 48% of surgeons and 77% of anesthesiologists reported that they have renewed their knowledge in CPR within the last five years, whereas 34%, 25% and 22% had never renewed their knowledge in the CPR (P = 0.01 between surgeons anesthesiologists). Furthermore, chest-compression-only was recognized as a valuable CPR technique by 25.8% of medical doctors, 14.3% of surgeons and 59.3% of anesthesiologists (P < 0.001). Anesthesiologists estimated a high risk of infection transmission (62%) and were more likely to refuse mouth-to-mouth ventilation when compared to surgeons (25% vs.10%, P = 0.01). Anesthesiologists are most often called for help by their colleagues, only rarely surgeons call their departmental colleagues and nurses to help in CPR.Conclusions:An insufficient formal education in CPR was registered for all groups, reflecting the lack of familiarity with new CPR methods. A team education, involving doctors and nurses may improve familiarity with CPR and patient outcomes.

Knowledge, attitude, and skill of medical students in dealing with patients with cardiac disorders before and after the cardiac internship

“…In the study by Avazbakhsh et al, 18 the level of awareness of medical interns was moderate regarding the CPR of patients. Krajina et al, in examining the knowledge and attitude of pediatrics residents in the field of CPR, stated that the level of awareness of the residents was not favorable and that the majority of them also admitted the lack of adequate training in this regard; 19 these results are consistent with the findings of the present study.…”

“…The results of several studies performed in the field of CPR education in different treatment groups, the interventions have been evaluated positively and it was suggested that a physician be considered to be responsible for the administration of the CPR, and enhance the knowledge and skills through continuous education of students, nurses, and doctors during their education and employment, as well as their selfconfidence and long-term sustainability, in addition to increasing the students' satisfaction with more advanced education as well as by persuading the students to learn about the necessity of performing pulmonary CPR and managing the stages by the physician. 19,25 In another study conducted by Alijanpour et al, 26 it was suggested that in the education of CPR, in addition to traditional and practical education, multimedia educational methods be combined and integrated for better and more sustainable education. Furthermore, Sayyah 27 reported that interns did not have enough information on CPR during their internship and thus their information would not increase during the course, and the inclusion of a specific ward seemed to be serious for education of interns.…”

The Effect of Educational Training on Nurses' Clinical Function of Cardiopulmonary Resuscitation

“…They have established various factors which are associated with the amount of attention paid to guidelines of nursing principles, such as practicality of the guideline, job motivation potential, and organizational competence (10). It is suggested, that staff education, an early call for help, and team-work can increase the success rate, but it seems that a great number of medical staff had never renewed their CPR knowledge and the rest have only done so each 5 years (11).…”

Attitudes of Doctors Working in Abant İzzet Baysal University Health Research and Application Center on Cardiopulmonary Resuscitation

“…Acil ve etkin KPR (kardiyopulmoner resüsitasyon) yapılması kardiyak arest görülen hastalarda hayati önem arz etmektedir (3,4).…”

“…KPR'ye yaklaşımla ilgili bilgiler sürekli yenilendiği ve geliştiği için arest vakaları ile en fazla karşılaşma ihtimali olan sağlık personelinin belli aralık-larla eğitim görmeleri ve yeni gelişmelerden haberdar olmaları gerekmektedir. Ancak bu eğitimi iyi alan, eğitim sonrası başarı düzeyi yüksek olan ve gelişmeleri yakından takip eden kişiler etkin ve doğru KPR yapabilir (4,(6)(7)(8)(9).…”