A study on the effectiveness of emergency rotation to improve cardiopulmonary resuscitation skill among house officer

• Main Author: Ismail, Shahira Md
• Format: Thesis
• Language: English
• Published: 2018
• Subjects: R Medicine (General)
• Online Access: http://eprints.usm.my/48264/1/Dr.%20Shahira%20Md%20Ismail-24%20pages.pdf; http://eprints.usm.my/48264/
• Institution: Universiti Sains Malaysia

Introduction This study aimed to assess the effectiveness of emergency posting during housemanship in improving the skills of cardiopulmonary resuscitation (CPR) and in handling automated external defibrillator (AED) among house officers (HOs). It also aimed to identify the associated factors that improve the CPR skills and AED handling. Materials and Methods A prospective observational study was conducted in Emergency department (ED) Hospital University Sains Malaysia (HUSM) and ED Hospital Pulau Pinang (HPP) from June 2016 until May 2017 involving sixty five HOs. The HOs were assessed on CPR and AED handling in the first week of emergency posting and fourteen weeks after. Their assessment was based on the American Heart Association (AHA) Basic Life Support (BLS) for healthcare Providers Course Final Evaluation Skills with the maximum scores of fourteen for HUSM for and thirteen for HPP. Two assessors were involved in each session. The mean score from both assessors was chosen as final mark. Laerdal Little Anne Manikin and Laerdal AED was used during this study. Results There were significant mean differences for CPR skills before and after completing emergency posting in ED HPP, which the mean score increases from 9.15±2.75 to 11.45±1.45 with the p-value of <0.001. The study also showed similar statistical significant for the cohort in ED HUSM. The mean score increases from 8.37±2.92 to 12.97±1.22 with the p-value of <0.001.This study demonstrated that multiple real life hands on AED during emergency posting were significant in contributing to improvement of CPR skills in HUSM with the p-value of 0.04. Conclusions This study concluded that attending a period of fourteen weeks in emergency posting had significantly improved the CPR skills among HOs. Furthermore it also showed that HO with multiple real life AED handling during emergency posting had better performance in CPR skills.