Preparedness for cardiopulmonary resuscitation in primary care

Nurmi, Jouni; Castrèn, Maaret

doi:10.1080/02813430410006477

Cited by 9 publications

(11 citation statements)

References 17 publications

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“…However, the publications that we did find on this topic supported our findings [14, 28]. Others too have demonstrated that primary care clinics may be insufficiently prepared for resuscitation.…”

Section: Discussionsupporting

confidence: 88%

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Cardiopulmonary arrest in primary care clinics: more holes than cheese: a survey of the knowledge and attitudes of primary care physicians regarding resuscitation

Einav

Wacht

Kaufman

et al. 2017

Isr J Health Policy Res

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BackgroundPatients experiencing pre-arrest symptoms may first refer to their primary care physician. The study's aim was to determine the likelihood that a patient undergoing out-of-hospital cardiac arrest will receive appropriate resuscitation efforts in a primary care clinic in a country with a directive that clinics maintain resuscitation equipment and physicians undergo periodic resuscitation training.MethodsAn anonymous, 23-question online cross-sectional survey was created and administered to primary care physicians working in community clinics (10/1/2015-5/3/2015). Recruitment was accomplished by posting a link to the survey to all physicians listed as registered Society of Family Medicine members and in other online forums dedicated to residents and board-certified specialists in family medicine in Israel. The primary outcome measure was the proportion of respondents whose responses indicate that they fulfill all conditions for performing resuscitation.ResultsOf approximately 2400 potential respondents, 185 replied to the survey; the study's findings should be viewed as preliminary. Respondents' characteristics were generally similar to those of the study population, but respondents had a higher rate of family medicine specialists.Respondents were mostly female (n = 108, 58%) Israeli graduates who have practiced medicine for > 10 years (72%, n = 134). 55% (n = 101) had undergone basic life support (BLS) training within < 2 years.Although just 5% (n = 10) estimated call-to-Emergency Medical Service (EMS) arrival time to their clinic to be <5 min, only 64% (n = 119) knew the telephone number for summoning EMS. Most confirmed the existence of a resuscitation cart in their clinic (85%, n = 157); 68% confirmed the presence of a defibrillator (n = 126). Most respondents were aware of the location of the defibrillator in their clinic (67%, n = 123), stated its accessibility during working hours (63%, n = 116), and 56% (n = 103) knew how to use it. Only 28% of the questionnaires indicated that all requirements for mounting an effective BLS response had been fulfilled.ConclusionsThe study suggests that many primary care clinics are under-equipped and their physicians are under-prepared to initiate life-saving services. Steps must be taken to rectify this situation. In addition, to develop more reliable estimates of the phenomena reported in this preliminary study, these issues should be re-examined in the context of a high response rate physician survey.

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Section: Discussionsupporting

confidence: 88%

“…Others too have demonstrated that primary care clinics may be insufficiently prepared for resuscitation. In a survey conducted among the workers of 141 health centres in Finland, only 18% of respondents considered resuscitation training in their health centre to be sufficient and systematic [28]. …”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary arrest in primary care clinics: more holes than cheese: a survey of the knowledge and attitudes of primary care physicians regarding resuscitation

Einav

Wacht

Kaufman

et al. 2017

Isr J Health Policy Res

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“…15,16 No presente estudo, não foram realizadas análises distintas para as duas categorias profissionais, médicos e enfermeiros, pois entende-se que ambos devem ser igualmente habilitados para os primeiros socorros ao paciente vítima de PCR 1 Estudos conduzidos em outros países já destacaram a relevância do treinamento de profissionais da APS para assistência imediata à PCR. [19][20][21] Ainda existem poucos estudos no Brasil que abordam conhecimentos de profissionais da APS em relação ao atendimento de situações de urgência e emergência, em especial à PCR. 11,22 No presente estudo, também se registrou um impacto positivo da capacitação em Suporte Básico de…”

Section: Métodosunclassified

Avaliação de treinamento em suporte básico de vida para médicos e enfermeiros da atenção primária

Júnior

Souza²,

Almeida³

et al. 2016

Rev Bras Med Fam Comunidade

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Objetivo: Foram avaliados conhecimentos e habilidades sobre reanimação cardiopulmonar antes e após a capacitação em Suporte Básico de Vida (SBV) para médicos e enfermeiros que atuam na atenção primária. Métodos: Estudo quasi-experimental, com amostra aleatória de profissionais. Inicialmente, avaliou-se o desempenho cognitivo em um teste de múltipla escolha sobre o atendimento a uma parada cardiorrespiratória (PCR) e, em seguida, conduziu-se um atendimento simulado de PCR, para a avaliação de habilidades, usando um checklist baseado nas recomendações da American Heart Association (AHA). Após avaliação inicial, todos os profissionais participaram de curso teórico-prático em SBV, durante três encontros. Após o curso, todos se submeteram a nova avaliação. Resultados: Participaram do estudo 32 profissionais. O nível de conhecimentos e habilidades foi insatisfatório antes do curso. Após a capacitação, a média de acertos na avaliação teórico-prática apresentou aumento significativo (p<0,001). Conclusão: Registrou-se impacto positivo da capacitação em SBV para os profissionais da atenção primária.

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“…In a survey conducted among all primary care health centers in Finland (51% response rate), only a minority considered resuscitation training in their health center to be sufficient and systematic; and in health centers with an appointed person in charge of resuscitation training, the training was more often regular [6]. In Denmark direct mail to family physicians improved knowledge of changes in basic life support guidelines and thus might help to facilitate the translation of this knowledge into clinical practice [7].…”

Section: Maintaining Competencies Of Cardiopulmonary Resuscitation Inmentioning

confidence: 99%

Out of hospital Cardio-pulmonary arrest - Is there a role for the primary healthcare teams?

Vinker

2017

Isr J Health Policy Res

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Out of hospital cardiac arrest (OHCA) remains a major cause of morbidity and mortality. The survival rates are poor and even more frustrating are the rates of neurologically favorable outcomes at hospital discharge. In a recent IJHPR article, Einav et al. concluded that many primary care clinics are underequipped and the physicians underprepared to initiate life-saving services.The chance of having an OHCA in a primary care clinic is very low. But although the impact is small, primary care teams as well as other out-of-hospital healthcare personal should be familiar with the telephone number for summoning emergency medical services (EMS), be aware of the location of the defibrillator in their clinic, and know how to use it.The literature about effective ways to keep long-standing competencies in cardiopulmonary resuscitation among medical personnel outside the hospital is scarce. It is very difficult to evaluate the actual effectiveness of interventions on better outcome; the events are rare and unique in their nature and it hard to generalize the conclusions.The “chain of survival” concept involves a series of steps that should be taken at the scene in the community: early recognition of symptoms and activation of an emergency response system; early bystander cardiopulmonary resuscitation; rapid defibrillation, if needed; early advanced cardiac life support and integrated post-resuscitation care. In this “chain” there is an important role for healthcare personal in the community via improving their own skills and performance and via a deeper involvement in the education of the public.We should take all the needed steps so that community clinic personnel can be role models for effective and successful out of hospital cardiac resuscitation (OHCR).

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Preparedness for cardiopulmonary resuscitation in primary care

Cited by 9 publications

References 17 publications

Cardiopulmonary arrest in primary care clinics: more holes than cheese: a survey of the knowledge and attitudes of primary care physicians regarding resuscitation

Cardiopulmonary arrest in primary care clinics: more holes than cheese: a survey of the knowledge and attitudes of primary care physicians regarding resuscitation

Avaliação de treinamento em suporte básico de vida para médicos e enfermeiros da atenção primária

Out of hospital Cardio-pulmonary arrest - Is there a role for the primary healthcare teams?

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