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An audit to assess the effectiveness of CPR training in dental graduates
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Abstracts / British Journal of Oral and Maxillofacial Surgery 47 (2009) e1–e34
laxis amongst maxillofacial surgery patients in the NNUH and to compare against published protocol. Method: Over a 6 month period 90 patients who had undergone surgery under general anaesthesia for one of the following procedures; dentoalveolar, trauma, salivary gland surgery, head and neck malignancy, orthognathic surgery were randomly selected. The risk factors for each patient, disease and surgery as well as the type and duration of prophylaxis were noted. The prophylactic regime received by each patient was then compared with established national guidelines (THRIFT). Results: A large number of our patients were treated inappropriately when compared to the THRIFT guidelines. 100% of our low risk patients and 3% of our moderate risk patients were treated inappropriately, with one patient in this category developing a near fatal pulmonary embolism. Conclusion: Although the incidence of thromboembolic complications in omfs is extremely low (estimated at approximately 0.06%), errors in this field can have fatal consequences. This study demonstrated how a policy with a simple message, i.e. prescribing ted stockings for all adult patients can be effective in providing prophylaxis. This policy, in combination with pharmacological supplementation as required could be simple to enforce and cost effective and would help with the low morbidity and mortality of TED in the speciality. doi:10.1016/j.bjoms.2009.06.177 P 53 An audit to assess the effectiveness of CPR training in dental graduates Semina Visram ∗ , S. Parmar University Hospital Birmingham, Department of Oral and Maxillofacial Surgery, United Kingdom Introduction: Training in the management of medical emergencies is considered a core topic by the GDC and should be reflected in dentists’ continuous professional development. This includes regular and effective training in CPR. The Resus council UK update guidelines regularly, in order to ensure that best practice is being employed. Most junior staff in maxillofacial surgery are from a junior background. An audit was carried out to assess the effectiveness of CPR training. A total of 12 individuals participated, these included dentists and DCPs. Method: A pilot study was took place, in order to determine any shortfalls in the data collection method and to determine an appropriate standard. The standard set for the audit was that 90% of the CPR algorithm would be completed successfully and in sequence. Video recording of the scenarios was used to ensure effective data collection. Results: Following the pilot study, 2 further cycles were carried out. A mean score of 67% was achieved during the
first cycle. Consequently changes were implemented and a second cycle took place. A mean score of 90% was recorded during this cycle. Conclusion: Using a variety of methods, and carrying out training at more regular intervals improved participants’ knowledge and performance in CPR. Competence in CPR is essential for all dental graduates. Most maxillofacial juniors are from a dental background. This audit however, may be equally applicable to medical graduates. Keywords: Cardio-pulmonary resuscitation; Dental graduates; Continuous professional development. doi:10.1016/j.bjoms.2009.06.178 P 54 The activity of www.omfs.co.uk during a year of delivering access to educational information via the internet Stephen Walsh ∗ , Nicholas Lee Royal Surrey County Hospital, Guildford, United Kingdom www.omfs.co.uk was set up to provide a resource for maxillofacial surgeons, in particular trainee surgeons, that would allow surgeons to locate relevant courses, conferences and other educational aids to training and education. The site provides details of courses of an aesthetic interest, other courses related to the various disciplines within maxillofacial and head and neck surgery, a page linking to relevant associations and other useful online resources and a page providing information for the SpR training days in the London/KSS Deanery. A home page and 4 titled pages. Course brochures, contact details and dates are available through the site. The website does not generate income and is free from sponsorship. The content is the personal choice of the lead author. The statistics for the year 1/1/2008–1/1/2009 will be presented. The site had 12,055 page views during the year from 5905 unique visits. The most popular pages were: Courses of interest (1775 views). Controversies in Craniomaxillofacial Trauma Programme (Lond 2008) (1249 views). Aesthetic Surgery Courses (1038 views). SpR Training day information (666 views). Links and resources (546 views). Aesthetic Surgery Prospectus (171 Views). The most frequent domain accessing the site was .com followed by .net, .uk, .be, .it, .ch, .de demonstrating international appeal. Google.co.uk (38%), google.com (16%) and google.it (6%)were the 3 most frequent search engines that brought visitors to the site.
Abstracts / British Journal of Oral and Maxillofacial Surgery 47 (2009) e1–e34
laxis amongst maxillofacial surgery patients in the NNUH and to compare against published protocol. Method: Over a 6 month period 90 patients who had undergone surgery under general anaesthesia for one of the following procedures; dentoalveolar, trauma, salivary gland surgery, head and neck malignancy, orthognathic surgery were randomly selected. The risk factors for each patient, disease and surgery as well as the type and duration of prophylaxis were noted. The prophylactic regime received by each patient was then compared with established national guidelines (THRIFT). Results: A large number of our patients were treated inappropriately when compared to the THRIFT guidelines. 100% of our low risk patients and 3% of our moderate risk patients were treated inappropriately, with one patient in this category developing a near fatal pulmonary embolism. Conclusion: Although the incidence of thromboembolic complications in omfs is extremely low (estimated at approximately 0.06%), errors in this field can have fatal consequences. This study demonstrated how a policy with a simple message, i.e. prescribing ted stockings for all adult patients can be effective in providing prophylaxis. This policy, in combination with pharmacological supplementation as required could be simple to enforce and cost effective and would help with the low morbidity and mortality of TED in the speciality. doi:10.1016/j.bjoms.2009.06.177 P 53 An audit to assess the effectiveness of CPR training in dental graduates Semina Visram ∗ , S. Parmar University Hospital Birmingham, Department of Oral and Maxillofacial Surgery, United Kingdom Introduction: Training in the management of medical emergencies is considered a core topic by the GDC and should be reflected in dentists’ continuous professional development. This includes regular and effective training in CPR. The Resus council UK update guidelines regularly, in order to ensure that best practice is being employed. Most junior staff in maxillofacial surgery are from a junior background. An audit was carried out to assess the effectiveness of CPR training. A total of 12 individuals participated, these included dentists and DCPs. Method: A pilot study was took place, in order to determine any shortfalls in the data collection method and to determine an appropriate standard. The standard set for the audit was that 90% of the CPR algorithm would be completed successfully and in sequence. Video recording of the scenarios was used to ensure effective data collection. Results: Following the pilot study, 2 further cycles were carried out. A mean score of 67% was achieved during the
first cycle. Consequently changes were implemented and a second cycle took place. A mean score of 90% was recorded during this cycle. Conclusion: Using a variety of methods, and carrying out training at more regular intervals improved participants’ knowledge and performance in CPR. Competence in CPR is essential for all dental graduates. Most maxillofacial juniors are from a dental background. This audit however, may be equally applicable to medical graduates. Keywords: Cardio-pulmonary resuscitation; Dental graduates; Continuous professional development. doi:10.1016/j.bjoms.2009.06.178 P 54 The activity of www.omfs.co.uk during a year of delivering access to educational information via the internet Stephen Walsh ∗ , Nicholas Lee Royal Surrey County Hospital, Guildford, United Kingdom www.omfs.co.uk was set up to provide a resource for maxillofacial surgeons, in particular trainee surgeons, that would allow surgeons to locate relevant courses, conferences and other educational aids to training and education. The site provides details of courses of an aesthetic interest, other courses related to the various disciplines within maxillofacial and head and neck surgery, a page linking to relevant associations and other useful online resources and a page providing information for the SpR training days in the London/KSS Deanery. A home page and 4 titled pages. Course brochures, contact details and dates are available through the site. The website does not generate income and is free from sponsorship. The content is the personal choice of the lead author. The statistics for the year 1/1/2008–1/1/2009 will be presented. The site had 12,055 page views during the year from 5905 unique visits. The most popular pages were: Courses of interest (1775 views). Controversies in Craniomaxillofacial Trauma Programme (Lond 2008) (1249 views). Aesthetic Surgery Courses (1038 views). SpR Training day information (666 views). Links and resources (546 views). Aesthetic Surgery Prospectus (171 Views). The most frequent domain accessing the site was .com followed by .net, .uk, .be, .it, .ch, .de demonstrating international appeal. Google.co.uk (38%), google.com (16%) and google.it (6%)were the 3 most frequent search engines that brought visitors to the site.