Universität zu Köln

Koerber, Maria Isabel, Koehler, Thomas, Weiss, Verena, Pfister, Roman and Michels, Guido (2016). Quality of Basic Life Support - A Comparison between Medical Students and Paramedics. J. Clin. Diagn. Res., 10 (7). S. CC33 - 5. DELHI: PREMCHAND SHANTIDEVI RESEARCH FOUNDATION. ISSN 0973-709X

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Abstract

Introduction: Poor survival rates after cardiac arrest can partly be explained by poor basic life support skills in medical professionals. Aim: This study aimed to assess quality of basic life support in medical students and paramedics. Materials and Methods: We conducted a prospective observational study with 100 early medical students (group A), 100 late medical students (group B) and 100 paramedics (group C), performing a 20-minute basic life support simulation in teams of two. Average frequency and absolute number of chest compressions per minute (mean (+/- SD)), chest decompression (millimetres of compression remaining, mean (+/- SD)), hands-off-time (seconds/minute, mean (+/- SD)), frequency of switching positions between ventilation and chest compression (per 20 minutes) and rate of sufficient compressions (depth >= 50mm) were assessed as quality parameters of CPR. Results: In groups A, B and C the rates of sufficiently deep chest compressions were 56%, 42% and 52%, respectively, without significant differences. Male gender and real-life CPR experience were significantly associated with deeper chest compression. Frequency and number of chest compressions were within recommended goals in at least 96% of all groups. Remaining chest compressions were 6 mm (+/- 2), 6 mm (+/- 2) and 5 mm (+/- 2) with a significant difference between group A and C (p=0.017). Hands-off times were 6s/min (+/- 1), 5s/min (+/- 1) and 4s/min (+/- 1), which was significantly different across all three groups. Conclusion: Overall, paramedics tended to show better quality of CPR compared to medical students. Though, chest compression depth as an important quality characteristic of CPR was insufficient in almost 50% of participants, even in well trained paramedics. Therefore, we suggest that an effort should be made to find better ways to educate health care professionals in BLS.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Koerber, Maria Isabel UNSPECIFIED UNSPECIFIED UNSPECIFIED Koehler, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Weiss, Verena UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, Roman UNSPECIFIED UNSPECIFIED UNSPECIFIED Michels, Guido UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-270165
DOI:	10.7860/JCDR/2016/19221.8197
Journal or Publication Title:	J. Clin. Diagn. Res.
Volume:	10
Number:	7
Page Range:	S. CC33 - 5
Date:	2016
Publisher:	PREMCHAND SHANTIDEVI RESEARCH FOUNDATION
Place of Publication:	DELHI
ISSN:	0973-709X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOSPITAL CARDIAC-ARREST; RESUSCITATION COUNCIL GUIDELINES; CHEST COMPRESSION RATES; CARDIOPULMONARY-RESUSCITATION; INTERPRETIVE SKILLS; RETENTION; CPR; ASSOCIATION; EXPERIENCES; SIMULATION Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27016