- Email: [email protected]
Cardiopulmonary resuscitation skills retention in family members of cardiac patients
In this sady
the outcome
ofaubabhospila,
cardiac arrest (CA) was analyzed during the firs, 3 years
after installado” OPa mobile intensitve care unit (MICU).
The unit is slallrd by an a”esthesidogist as
the emergencysare physician and specially tra ned heallhaare personnel. Tk successof cardiopulmonary re~“~itation(CPR)wasdauiSed into threes&es: (I) CPR withtemporarycardiscautpP: (2)CPR primarily sueeerrRl wbb spontaneous rhythm and a palpable pulse: (3) CPR. definitely s-sful resuhing in the porient’s discharge rram the hospital without important neurological sequelae. AS patients are grouped according to the disease underlying the CA. The performance of bFta”der CPR was recorded. Tbc in. Suera the factors sex.age. responsefime, cardiac rhythm, lcatio” of the w,,apre and pried of iwstigation (1st year, 2nd year. 3rd year) had on the outcome was analyzed. Eighty-nine patients (32.%Yo) had a tern.. paary cardiac ou,pw 56 padems (20.74’ti) were primarily successfu,lyresuscilated;and 12 patients (4.44Y0) survived without m~por,an, neurological sequelae. Most of the diseasesunderlying the CA were in the internal disease group. Only 16 cases of bystander CPR performance were recorded. In the group with primarily successfulCPR. signbicantly importani factors arose with the increasing CPR successralc due to the Mriod of i”ves,i&“” (1st year: IO.wy/u. 2nd year: 19.61Yo.3rd vex: M.77%1 and due to cardiac
_
.
rhyi ‘vemricular fibrilladon’ (34.62”4 and ‘asystde (I LSSYo).Furthermore. signiiiintly impmtant factors were found lordeSni,eCPR successwheneomparingmales (,.72Yo)a”d fems,es(,0.64%)andcomparing the location althe collapw’in public pIaces’ @.bGV~y/o) and ‘at home’ (2.NFyoI. Our study shows that in spite of installing a MICU. ibe out&me CPR is poor without supplementary mc&s. We consider ihat systematicallyteaching the public abou! b?sic life support insures and tcacbine medical students about emergencymedicine will lead to a better CPR successrate in combi”aGuu with wnfinuing education of ,he MlC” personnel.
oi
Cardiopulmonary r~uuilntion skills retentlcmin family membersof cardbw patlen Moser DK. Dracup K, Guzy PM. Taylor SE. Brcu C 1.637 Focmr B/dg “CL.4 Sr,,w,ofNu,~~“& IO833 Lr Conrr Aw.. Las Angeles, CA pW.?I-1102 (O.S.“., AM. J. EMERG. MED.. 816 (1990) (498403,
this
of
The purpose of study was to determine if ,he use a rc,cn,i”n strategy would maintain cardio. pulmonary reswci,a,ion (CPR) skills in lamily members ofcardiac patients. Thirty-one subjects trained in CPR received retention packets 3 and 6 months after CPR training. Sixlemt subjects were tested for CPR retention at 7 months aiter initial training. and 15 at I2 months. Likelihood chisup 2 was used 10 compare the 7. and 12.month groups. There were no dilTere”cesbetwe” )-and 12.month groups. because CPR retention ovcra,, was poor. Only 19.4% of subjects reported using the retention packet; therefore, subjects were regrouped into practice and no practice groups for purposes ol fut lher sta,istical analysis. There were signbicant di,Tere”cesin retention in subjects who pracdccd compared with subjects who did not. These findings underscore the importance olpromoting practice/review aner inilial CPR training for family members of cardiac palients.
the outcome
ofaubabhospila,
cardiac arrest (CA) was analyzed during the firs, 3 years
after installado” OPa mobile intensitve care unit (MICU).
The unit is slallrd by an a”esthesidogist as
the emergencysare physician and specially tra ned heallhaare personnel. Tk successof cardiopulmonary re~“~itation(CPR)wasdauiSed into threes&es: (I) CPR withtemporarycardiscautpP: (2)CPR primarily sueeerrRl wbb spontaneous rhythm and a palpable pulse: (3) CPR. definitely s-sful resuhing in the porient’s discharge rram the hospital without important neurological sequelae. AS patients are grouped according to the disease underlying the CA. The performance of bFta”der CPR was recorded. Tbc in. Suera the factors sex.age. responsefime, cardiac rhythm, lcatio” of the w,,apre and pried of iwstigation (1st year, 2nd year. 3rd year) had on the outcome was analyzed. Eighty-nine patients (32.%Yo) had a tern.. paary cardiac ou,pw 56 padems (20.74’ti) were primarily successfu,lyresuscilated;and 12 patients (4.44Y0) survived without m~por,an, neurological sequelae. Most of the diseasesunderlying the CA were in the internal disease group. Only 16 cases of bystander CPR performance were recorded. In the group with primarily successfulCPR. signbicantly importani factors arose with the increasing CPR successralc due to the Mriod of i”ves,i&“” (1st year: IO.wy/u. 2nd year: 19.61Yo.3rd vex: M.77%1 and due to cardiac
_
.
rhyi ‘vemricular fibrilladon’ (34.62”4 and ‘asystde (I LSSYo).Furthermore. signiiiintly impmtant factors were found lordeSni,eCPR successwheneomparingmales (,.72Yo)a”d fems,es(,0.64%)andcomparing the location althe collapw’in public pIaces’ @.bGV~y/o) and ‘at home’ (2.NFyoI. Our study shows that in spite of installing a MICU. ibe out&me CPR is poor without supplementary mc&s. We consider ihat systematicallyteaching the public abou! b?sic life support insures and tcacbine medical students about emergencymedicine will lead to a better CPR successrate in combi”aGuu with wnfinuing education of ,he MlC” personnel.
oi
Cardiopulmonary r~uuilntion skills retentlcmin family membersof cardbw patlen Moser DK. Dracup K, Guzy PM. Taylor SE. Brcu C 1.637 Focmr B/dg “CL.4 Sr,,w,ofNu,~~“& IO833 Lr Conrr Aw.. Las Angeles, CA pW.?I-1102 (O.S.“., AM. J. EMERG. MED.. 816 (1990) (498403,
this
of
The purpose of study was to determine if ,he use a rc,cn,i”n strategy would maintain cardio. pulmonary reswci,a,ion (CPR) skills in lamily members ofcardiac patients. Thirty-one subjects trained in CPR received retention packets 3 and 6 months after CPR training. Sixlemt subjects were tested for CPR retention at 7 months aiter initial training. and 15 at I2 months. Likelihood chisup 2 was used 10 compare the 7. and 12.month groups. There were no dilTere”cesbetwe” )-and 12.month groups. because CPR retention ovcra,, was poor. Only 19.4% of subjects reported using the retention packet; therefore, subjects were regrouped into practice and no practice groups for purposes ol fut lher sta,istical analysis. There were signbicant di,Tere”cesin retention in subjects who pracdccd compared with subjects who did not. These findings underscore the importance olpromoting practice/review aner inilial CPR training for family members of cardiac palients.