EVALUATING THE IMPACT OF PRACTICAL EXPERIENCE ON CPR PROFICIENCY: A COMPARATIVE ANALYSIS
DOI:
https://doi.org/10.54112/bcsrj.v2024i1.655Keywords:
Cardiopulmonary resuscitation, Bystander, Basic life support, BLS training, Competence, Chest compressionsAbstract
Cardiopulmonary Resuscitation (CPR) is a critical life-saving skill, especially in healthcare settings where timely and proficient intervention can significantly impact patient outcomes. While theoretical CPR training provides foundational knowledge, integrating practical experience is essential for bridging the gap between theoretical understanding and practical real-world application. The primary objectives include evaluating how practical experience influences CPR proficiency between individuals with theoretical training only and those with one year of practical (real-time) experience. The study aims to provide valuable insights into the effectiveness of CPR training programs and the significance of practical exposure in improving outcomes. Seventy healthcare professionals, comprising 35 doctors with CPR training only (Group A) and 35 doctors with one year of practical CPR experience (Group B), were subjected to standardized Basic Life Support (BLS) testing on a manikin. Various CPR performance indicators were meticulously assessed, such as compression depth, rate, hand positioning, effective ventilations, and hands-off time. Statistical analyses were conducted to draw comparisons and highlight the impact of practical experience. With practical experience, Group B demonstrated significantly superior CPR performance compared to Group A. This was evident in shorter start-up time, enhanced compression depth and hand positioning, higher rates of effective ventilations, and reduced hands-off time. While compression rates remained similar between the groups, practical experience emerged as a crucial factor influencing diverse CPR quality indicators. The study concludes that practical experience is pivotal in improving CPR proficiency, emphasizing the need for hands-on components in training programs. These findings contribute to refining CPR training strategies for enhanced real-world application and improved emergency survival rates. Ongoing research in this field is crucial for continuous advancements in CPR protocols.
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References
Birkun, A., Gautam, A., and Trunkwala, F. (2021). Global prevalence of cardiopulmonary resuscitation training among the general public: a scoping review. Clinical and Experimental Emergency Medicine 8, 255.
Bouland, A. J., Halliday, M. H., Comer, A. C., Levy, M. J., Seaman, K. G., and Lawner, B. J. (2017). Evaluating barriers to bystander CPR among laypersons before and after compression-only CPR training. Prehospital Emergency Care 21, 662-669.
Bylow, H. (2021). Learning aspects of out-of-hospital cardiac arrest and learning activities in basic life support-a study among laypersons at workplaces in Sweden.
Hasselqvist-Ax, I., Riva, G., Herlitz, J., Rosenqvist, M., Hollenberg, J., Nordberg, P., Ringh, M., Jonsson, M., Axelsson, C., and Lindqvist, J. (2015). Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. New England Journal of Medicine 372, 2307-2315.
Hollenberg, J., Herlitz, J., Lindqvist, J., Riva, G., Bohm, K., Rosenqvist, M. r., and Svensson, L. (2008). Improved survival after out-of-hospital cardiac arrest is associated with an increase in proportion of emergency crew–witnessed cases and bystander cardiopulmonary resuscitation. Circulation 118, 389-396.
Hollenberg, J., Svensson, L., and Rosenqvist, M. (2013). Out‐of‐hospital cardiac arrest: 10 years of progress in research and treatment. Journal of internal medicine 273, 572-583.
Kragholm, K., Wissenberg, M., Mortensen, R. N., Hansen, S. M., Malta Hansen, C., Thorsteinsson, K., Rajan, S., Lippert, F., Folke, F., and Gislason, G. (2017). Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest. New England Journal of Medicine 376, 1737-1747.
Lund-Kordahl, I., Mathiassen, M., Melau, J., Olasveengen, T. M., Sunde, K., and Fredriksen, K. (2019). Relationship between level of CPR training, self-reported skills, and actual manikin test performance—an observational study. International journal of emergency medicine 12, 1-8.
Malta Hansen, C., Rosenkranz, S. M., Folke, F., Zinckernagel, L., Tjørnhøj‐Thomsen, T., Torp‐Pedersen, C., Sondergaard, K. B., Nichol, G., and Hulvej Rod, M. (2017). Lay bystanders' perspectives on what facilitates cardiopulmonary resuscitation and use of automated external defibrillators in real cardiac arrests. Journal of the American Heart Association 6, e004572.
Nord, A. (2017). "Bystander CPR: New aspects of CPR training among students and the importance of bystander education level on survival," Linköping University Electronic Press.
Riva, G., Jonsson, M., Ringh, M., Claesson, A., Djärv, T., Forsberg, S., Nordberg, P., Rubertsson, S., Rawshani, A., and Nord, A. (2020). Survival after dispatcher-assisted cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Resuscitation 157, 195-201.
Veettil, S. T., Anodiyil, M. S., Khudadad, H., Kalathingal, M. A., Hamza, A. H., Ummer, F. P., and Alnuaimi, A. S. (2023). Knowledge, attitude, and proficiency of healthcare providers in cardiopulmonary resuscitation in a public primary healthcare setting in Qatar. Frontiers in Cardiovascular Medicine 10.
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Copyright (c) 2024 MA RANA , J IQBAL , A CHAUDHARY , AM ABDELBAKY , AMH MOSTAFA , AHA AWAD , WG ELMASRY , R PERVAIZ , T SARWAR
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