Effect of Intermittent Online Training on Adult Cardiopulmonary Resuscitation Management in A Tertiary Care Setting

Effect of Intermittent Online Training on Adult CPR

Abstract

Background: Cardiac arrest is a clinical event that occurs often in emergency rooms and has a high mortality rate. The purpose of this study was to assess the impact of education on the quality of cardiopulmonary resuscitation(CPR) performed on patients with out-of-hospital and in-hospital cardiac arrest, as well as to analyze other factors influencing Return of Spontaneous Circulation(ROSC).

Materials and Methods: This study was conducted in the Gulhane Training and Research Hospital's Emergency Department. Cardiopulmonary arrest patients' data were collected using the "Resuscitation Follow-up Form". Descriptive data, including adult arrest case characteristics and CPR protocols, were acquired. ROSC and CPR quality parameters were compared in cases that received CPR before and after training.

Results: A total of 95 patients were included in the study. The mean age of the patients was 69,16±14,606. The 64,2%(n=61) of patients were cardiac arrest patients who were intervened before education and 35,7%(n=34) were after education. The ROSC rate in arrest patients before training was 36,1%, and 38,2% after training. When comparing the pre-training and post-training groups in terms of ROSC, it was seen that the ROSC rates increased after the training. While the rate of EtCO2 use was 3,3%(n=2) in pre-training cases, this rate was 97,1%(n=33) in post-training cases. EtCO2 usage rate increased significantly with education(p=0.001).

Conclusions: We found that repeated trainings improved the quality of arrest case management, and clinically significant benefits were attained. Giving comparable training to teams that respond to pre-hospital arrests would boost clinical success even further.