Objectives: The level of expertise and degree of training in neonatal resuscitation (NNR) of emergency physicians is not standardized and has not been measured. We sought to determine the self-reported comfort with, knowledge of, and experience with NNR of emergency department (ED) staff in a general ED prior to the opening of a new neonatal intensive care unit (NICU) and to explore factors associated with NNR comfort. Methods: Using Dillman methodology, we electronically surveyed full-time emergency physicians and nurses. Participants rated knowledge, comfort, and experience on 5-point Likert scales. We used logistic regression to explore factors associated with NNR comfort. Results: The response rate was 67.3% (n 5 107). Only 4.2% of staff reported ever participating in a NNR, and only 38.7% reported any previous NNR training. Between 75 and 85% of participants rated their comfort level in caring for neonates, sense of preparedness, and knowledge of managing a sick neonate as poor or very poor. A recent neonatal clinical encounter was the strongest predictor of perceived comfort in NNR (OR 5 22.2, 95% CI 5.0-98.7), as was completion of the Neonatal Resuscitation Provider (NRP) course (OR 5 3.1, 95% CI 1.4-7.0). Conclusions: Perceived comfort with, knowledge of, and preparedness for NNR were poor in an urban, general ED prior to the opening of an NICU. Recent neonatal clinical encounter and participation in the NRP course were the strongest predictors of improved NNR comfort. In future work, we intend to assess the impact of simulation-based training on comfort with NNR among ED staff who primarily treat adults.
RÉ SUMÉObjectifs: Le degré de connaissances spé cialisé es et de formation des urgentologues en ré animation né onatale (RNN) n'est pas uniformisé et il n'a jamais fait l'objet de mesure. L'é tude visait donc à dé terminer, par autoé valuation, Conclusions: Le degré d'aise en RNN, les connaissances en la matiè re, et le degré de pré paration é taient perç us comme mé diocres dans un SU gé né ral, en milieu urbain, avant l'ouverture d'un SSNI. Les interventions cliniques ré centes en né onatologie et la participation au cours de ré animation né onatale se sont ré vé lé es les facteurs pré visionnels les plus puissants d'une amé lioration du degré d'aise en RNN. Il est de notre intention d'é valuer, dans le cadre d'un autre travail, l'incidence de la formation axé e sur la simulation sur le degré d'aise en RNN du personnel de SU, qui traite principalement des adultes.