DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20192227

Basic life support knowledge of family medicine residents at joint program of family medicine in Jeddah Saudi Arabia, 2017

Ammar A. Fatani, Nayef Al Johani, Adel M. Ibrahim

Abstract


Background: Healthcare professionals are expected to have adequate knowledge of basic and advanced cardiac life support to revive unresponsive patients. Little is known about that in health care professionals in Saudi Arabia.

Methods: we conducted this study in the joint program of family medicine to evaluate knowledge of physicians about basic life support, and to identify factors associated with the differences in their knowledge. Through a cross-sectional analytic study, all physicians in the Joint Program of Family Medicine in Jeddah were included in the study. For collection of data, a validated self-administered questionnaire was used.

Results: Out of responding physicians (n=150), females constituted 117 (78%), their mean age accounted for 27.3±2.2 years. all physicians (99.3%) reported that they had attended BLS courses before. Out of a maximum of “13”, the mean score of correct answers accounted for 6.2±1.6, only 18.7% of the physicians achieved above average scores. Only qualification had statistically significant impact on the level of knowledge, the average score percentage was higher among those who have MBBS qualification only compared to their colleagues who have postgraduate degrees (48.3%±11.57% vs 39.2%±13.78%) p<0.05.

Conclusions: Physicians in the Joint Program of Family Medicine have deficient level of knowledge about BLS, despite of their previous BLS training. Frequent training is strongly recommended to sustain adequate level of knowledge about BLS.


Keywords


Basic life support, Knowledge, Physicians

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References


Alotaibi O, Alamri F, Almufleh L, Alsougi W. Basic life support: Knowledge and attitude among dental students and Staff in the College of Dentistry, King Saud University. Saudi J Dental Res. 2016;7(1):51-6.

Aranzábal-Alegria G, Verastegui-Diaz A, Quinones-Laveriano DM, Quintana-Mendoza LY, Vilchez-Cornejo J. Factors influencing the level of knowledge of cardiopulmonary resuscitation in hospitals in Peru. Colombian J Anesthesiol. 2017;45(2):114-21.

Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European resuscitation council guidelines for resuscitation 2015 section 1. Executive summary. Resuscitation. 2015;95:1-80.

Stotz M, Albrecht R, Zwicker G, Drewe J, Ummenhofer W. EMS defibrillation-first policy may not improve outcome in out-of-hospital cardiac arrest. Resuscitation 2003;58(3):277-82.

Almesned A, Almeman A, Alakhtar A, AlAboudi A, Alotaibi A, Al-Ghasham YA, et al. Basic life support knowledge of healthcare students and professionals in the Qassim University. Int J Health Sci. 2014;8(2):141.

Mellor R, Woollard M. Skill acquisition by health care workers in the Resuscitation Council (UK) 2005 guidelines for adult basic life support. Int Emerg Nursing. 2010;18(2):61-6.

Steen P, Kramer-Johansen J. Improving cardiopulmonary resuscitation quality to ensure survival. Current Opinion Critical Care. 2008;14(3):299-304.

Bandeira AC, Delmondes T, Oliveira A, Maia J, Guanaes A, Cruz V, Vilas-Boas F, et al. Assessment of the general knowledge of emergency physicians from hospitals of the city of Salvador (Brazil) on the care of cardiac arrest patients. Critical Care. 2007;11(3):100.

Mokdad A, Jaber S, Aziz MIA, AlBuhairan F, AlGhaithi A. The state of health in the Arab world, 1990-2010: an analysis of the burden of diseases, injuries, and risk factors. The Lancet. 2014;383(9914):309-20.

El Bcheraoui C, Memish Z, Tuffaha M, Daoud F, Robinson M. Hypertension and its associated risk factors in the kingdom of saudi arabia, 2013: a national survey. Int J Hypertension. 2014;2014.

Abolfotouh M, lnasser M, erhanu A, l-Turaif D, lfayez A. Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation. BMC Health Services Res. 2017;17(1):674.

Roccia WD, Modic PE, Cuddy MA. Automated external defibrillator use among the general population. J Dental Educ. 2003;67(12):1355-61.

Ong M, Yap S, Chan K, Sultana P, Anantharaman V. Knowledge and attitudes towards cardiopulmonary resuscitation and defibrillation amongst Asian primary health care physicians. Open Access Emerg Med OAEM. 2009;1:11.

Handley A, Koster R, Monsieurs K, Perkins G, Davies S, Bossaert L, et al. European Resuscitation Council Guidelines for Resuscitation 2005: Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation. 2005;67:S7-S23.

Roshana S, Batajoo K, Piryani R, Sharma M. Basic life support: knowledge and attitude of medical/paramedical professionals. World J Emerg Med. 2012;3(2):141.

Flynn J, Archer F, Morgans A. Sensitivity and specificity of the medical priority dispatch system in detecting cardiac arrest emergency calls in Melbourne. Prehospital Disaster Med. 2006;21(2):72-6.

Buck-Barrett I, Squire I. The use of basic life support skills by hospital staff; what skills should be taught? Resuscitation. 2004;60(1):39-44.

Howell P, Tennant I, Augier R, Gordon-Strachan G, Harding-Goldson H. Physicians' Knowledge of Cardiopulmonary Resuscitation Guidelines and Current Certification Status at the University Hospital of the West Indies, Jamaica. The West Indian Med J. 2014;63(7):739.

Price C, Bell S, Janes S, Ardagh M. Cardio-pulmonary resuscitation training, knowledge and attitudes of newly-qualified doctors in New Zealand in 2003. Resuscitation. 2006;68(2):295-9.

Chandrasekaran S, Kumar S, Bhat S. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesthesia. 201054(2):121.

Sener S, Ersoy G, Õzsaraç M, Aksay E, Koyuncu N. The current status and factors affecting the level of knowledge regarding basic life support measured in resident physicians. Tip Fakültesi Dergisi. 2006;2:95-101.

Iirola T, Lund VE, Katila AJ, Mattila-Vuori A, Pälve H. Teaching hospital physicians' skills and knowledge of resuscitation algorithms are deficient. Acta Anaesthesiologica Scandinavica. 2002;46(9):1150-4.

Yang C, Yen Z, McGowan J, Chen H, Chiang W, Mancini ME, et al. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation. 2012;83(9):1055-60.

Lo B, Devine A, Evans D, Byars D, Lamm O, Lee RJ, et al. Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation. 2011;82(11):1440-3.

Ecc Committee. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2005;112(24 Suppl):IV1.

Einav S, Wacht O, Kaufman N, Alkalay E. Cardiopulmonary arrest in primary care clinics: more holes than cheese: a survey of the knowledge and attitudes of primary care physicians regarding resuscitation. Israel J Health Policy Res. 2017;6(1):22.