Advanced Life Support Providers Have Poor Knowledge of When to Administer Resuscitation Drugs

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisKonferenceabstrakt i tidsskriftForskningpeer review

Background: Advanced life support (ALS) including resuscitation drugs improves return of spontaneous circulation after cardiac arrest. Resuscitation drugs are recommended to be administered at predefined time-points depending on whether the cardiac rhythm is shockable or non-shockable. Timing of resuscitation drugs may cause confusion, especially during transition between shockable and non-shockable rhythms.Aim: To investigate ALS providers’ knowledge of when to administer adrenaline and amiodarone during resuscitation.Methods: Questionnaires were distributed to ALS providers prior to attending ALS training at a tertiary care facility. Questionnaires consisted of 6 ALS scenarios with each 6 cycles of 2 minute intervals. The cardiac rhythms were categorized as shockable or non-shockable and some of the scenarios included cardiac rhythm transition. Participants were asked to record the timing of resuscitation drugs i.e. when to administer adrenaline and/or amiodarone.Results: In total, 168 ALS providers responded (89 nurses and 79 physicians). Response rate was 97%. Nurses were female (90%) with a median (Q1;Q3) age of 35 (30;49) years. Physicians were female (54%) with a median age of 29 (28;35) years. Time since last resuscitation course was <12 months (nurses: 23%, physicians: 52%), within 1-3 years (nurses: 65%, physicians: 31%), >3 years (nurses: 11%, physicians: 17%). Overall, 82% of nurses and 68% of physicians had previously attended an ALS course. Overall, less than 20% knew when to administer drugs during shockable rhythm only. Similar, only one third knew when to administer drugs during non-shockable rhythm only. Knowledge on when to administer drugs in case of rhythm transition was poor (Figure 1).Conclusion: Advanced life support providers have poor knowledge of when to administer resuscitation drugs. Future studies should address methods to improve learning and skill retention of resuscitation drug administration.Author Disclosures: J. Johnsen: None. K.G. Lauridsen: None. B. Løfgren: None.
NummerSuppl 1
Sider (fra-til)A20847 LP-A20847
StatusUdgivet - nov. 2017

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