Introduction: This study aims to evaluate the knowledge and confidence of
emergency healthcare workers (EHCW) in facing the COVID-19 pandemic.
Materials and Methods: A cross-sectional online study using a validated questionnaire
was distributed to doctors (MD), assistant medical officers (AMO), and staff nurses
(SN) at an urban tertiary Emergency Department. It comprised of 40 knowledge
and 10 confidence-level questions related to resuscitation and airway management
steps. Results: A total of 135 from 167 eligible EHCW were enrolled. 68.9% (n
= 93) had high knowledge while 53.3% (n = 72) possessed high confidence level.
Overall knowledge mean score was 32.96/40 (SD = 3.63) between MD (33.88±3.09),
AMO (32.28±4.03), and SN (32.00±3.60), P = 0.025. EHCWs with a length of service
(LOS) between 4–10 years had the highest knowledge compared to those with LOS
<4-year (33.71±3.39 versus 31.21±3.19 P = 0.002). Airway-related knowledge was
significantly different between the designations and LOS (P = 0.002 and P = 0.003,
respectively). Overall, EHCW confidence level against LOS showed significant
difference [F (2, 132) = 5.46, P = 0.005] with longer LOS showing better confidence.
MD showed the highest confidence compared to AMO and SN (3.67±0.69, 3.53±0.68,
3.26±0.64) P = 0.049. The majority EHCW were confident in performing highquality chest-compression, and handling of Personal Protective Equipment but
less than half were confident in resuscitating, leading the resuscitation, managing
the airway or being successful in first intubation attempt. Conclusions: EHCW
possessed good knowledge in airway and resuscitation of COVID-19 patients,
but differed between designations and LOS. A longer LOS was associated
with better confidence, but there were some aspects in airway management and
resuscitation that needed improvement.
Keywords: Airway; Confidence; COVID-19; Knowledge; Resuscitation (CPR).