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Cardiopulmonary resuscitation, chest compression only and teamwork from the perspective of medical doctors, surgeons and anesthesiologists

, : Cardiopulmonary resuscitation, chest compression only and teamwork from the perspective of medical doctors, surgeons and anesthesiologists. Iranian Red Crescent Medical Journal 17(3): E18208-E18208

New resuscitation guidelines that were proposed by the European Resuscitation Council in 2010 have introduced a new method of cardiopulmonary resuscitation (CPR) by chest compressions only for untrained individuals. We conducted this study to evaluate differences in attitudes towards CPR among medical doctors, surgeons and anesthesiologists in Osijek University Hospital. A call for help, chest-compression-only resuscitation, mouth-to-mouth ventilation and team-work were recognized as critical points that may influence the outcome. Unfamiliarity with these methods may be indicative of a lack of education in resuscitation and may result in poor outcomes for victims. An anonymous survey was conducted on 190 medical professionals: 93 medical doctors, 70 surgeons, and 27 anesthesiologists during year 2012 (mean age 41.9 years). The questions were related to previous education in resuscitation, current resuscitation practices and attitudes towards cardiopulmonary resuscitation. Data were analyzed using ANOVA and Fisher exact test. A P value of < 0.05 was considered statistically significant. The only difference between groups was regarding the male and female ratio, with more male surgeons (45, 55, and 11, P < 0.001). All doctors considered CPR as important, but only anesthesiologists knew how often guidelines in CPR change. Approximately 45% of medical doctors, 48% of surgeons and 77% of anesthesiologists reported that they have renewed their knowledge in CPR within the last five years, whereas 34%, 25% and 22% had never renewed their knowledge in the CPR (P = 0.01 between surgeons anesthesiologists). Furthermore, chest-compression-only was recognized as a valuable CPR technique by 25.8% of medical doctors, 14.3% of surgeons and 59.3% of anesthesiologists (P < 0.001). Anesthesiologists estimated a high risk of infection transmission (62%) and were more likely to refuse mouth-to-mouth ventilation when compared to surgeons (25% vs.10%, P = 0.01). Anesthesiologists are most often called for help by their colleagues, only rarely surgeons call their departmental colleagues and nurses to help in CPR. An insufficient formal education in CPR was registered for all groups, reflecting the lack of familiarity with new CPR methods. A team education, involving doctors and nurses may improve familiarity with CPR and patient outcomes.


PMID: 26019895

DOI: 10.5812/ircmj.18208

Other references

Mangan, D.F.; Won, T.; Lopatin, D.E., 1983: Nonspecific induction of immunoglobulin M antibodies to periodontal disease-associated microorganisms after polyclonal human B-lymphocyte activation by Fusobacterium nucleatum. The production of antibodies to oral bacteria was determined in lymphocyte cultures stimulated with sonicated Fusobacterium nucleatum, a potent inducer of polyclonal B-cell activation. After 9 days the cultures were examined by a microenzyme-linke...

Gulland, A., 1998: Heartfelt concerns. Should nurses have spoken out when unexpectedly high numbers of babies died after heart operations by two surgeons? Parents of some of the dead children believe so. Anne Gulland reports.

Guglielmi, G.; Diacinti, D.; van Kuijk, C.; Aparisi, F.; Krestan, C.; Adams, J.E.; Link, T.M., 2008: Vertebral morphometry: current methods and recent advances. Vertebral fractures are the hallmark of osteoporosis and are associated with increased morbility and mortality. Because a majority of vertebral fractures often occur in absence of specific trauma and are asymptomatic, their identification is radio...

Scott, W.A., 1977: Mutations resulting in an unsaturated fatty acid requirement in Neurospora. Evidence for delta9-desaturase defects. Biochemistry 16(24): 5274-5280

Szaboky, C., 1984: Corrections and new microlepidopterous species of the Hungarian fauna (Lepidoptera). The author presents corrections and additions to the microlepidopterous fauna of Hungary. The species mentioned include Argyresthia conjugella, A. pruniella and Gelechia senticetella.

Wilson, L.F., 1962: Host and location preference for oviposition by the Spruce budworm, Choristoneura fumiferana (Clem.), (Lepidoptera: Tortricidae). In field and laboratory studies, White Spruce was preferred to Balsam Fir for oviposition, and the latter to Black Spruce and Tamarack. Preliminary tests indicated that the moths are attracted to White Spruce by its smell. In tests in which part o...

Orr, K.J.; Miller, C.D., 1955: Description and quality of some mango varieties grown in Hawaii and their suitability for freezing. The authors describe 21 Hawaian varieties of mango and give some of their physical and chemical characteristics. Freezing studies were carried out for 2 seasons, but only 2 varieties, Joe Welch and Fairchild, were classed as satisfactory in both s...

Sieiro, C.; Poza, M.; Vilanova, M.; Villa, T.G., 2003: Heterologous expression of the Saccharomyces cerevisiae PGU1 gene in Schizosaccharomyces pombe yields an enzyme with more desirable properties for the food industry. The Saccharomyces cerevisiae PGU1 gene was successfully expressed in Schizosaccharomyces pombe. The optimum pH and temperature for the recombinant enzyme were 5 and 40 degrees C, respectively, these being around 0.5 U higher and 5 degrees C lower...

Baumert, M.; Starc, V.; Porta, A., 2013: Conventional QT variability measurement vs. template matching techniques: comparison of performance using simulated and real ECG. Increased beat-to-beat variability in the QT interval (QTV) of ECG has been associated with increased risk for sudden cardiac death, but its measurement is technically challenging and currently not standardized. The aim of this study was to invest...

Mattheis, J.P.; Rudell, D.R.; Buchanan, D.A., 2004: Ethylene intensifies but is not a requirement for methyl jasmonate-enhanced anthocyanin synthesis by 'Fuji' apple fruit. Exogenous methyl jasmonate (MJ) stimulates anthocyanin accumulation in apple (Malus sylvestris var. domestica [M. pumila]) fruit peel. Anthocyanin synthesis in some apple cultivars reportedly is also stimulated by exogenous ethylene, however, the...