EVALUATION OF CPR SKILLS OF DOCTORS AFTER RESUSCITATION TRAINING IN A TERTIARY HOSPITAL IN LAGOS NIGERIA- DOES SPECIALTY MATTER?
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Int J anaesthesia
Aim of Study Many doctors in Nigeria have no further training in CPR besides what they learnt in medical school. Different specialties have varied exposure to cardiac arrest depending on their clinical work and resuscitation skills are often inadequate. We investigated whether specialty influenced acquisition of knowledge and skill after CPR training in a teaching hospital in Nigeria. Methods The knowledge and skills of doctors who attended a 2-day resuscitation training programme between December 2007 and April 2009 were studied. They were scored on knowledge of Basic Life Support, Advanced Life support and performance at 5 skill stations (airway maintenance/assessment of breathing, chest compressions, bag-mask ventilation, advanced airway insertion and AED use). A pass mark was awarded for a score ≥ 75% in the post-test and a pass in all skill stations. Results 136 doctors from 8 specialties were studied. The mean pre-test score was 53.75 ± 15.90% (range 30 – 91.8%), which improved to a mean post-test score was 88.24 ±6.99% (range 54.6 – 94%)(p<0.001). A significant difference existed in the mean pre-test scores between specialties (p<0.001) but not with the post-test scores (p =0.511). Differences existed within specialties in knowledge of cardiac arrest diagnosis (p=0.033), drug therapy (p=0.001) and performance of chest compressions. (p=0.006). 93.3% passed the post-test with a non- significant difference between the specialties (p=0.621). Conclusion: Specialty did not affect the overall performance in knowledge and skill acquisition after resuscitation training. There is a need to investigate retention of knowledge after the course.
Cardiopulmonary resuscitation , Training , Manikin , Specialty , Skill evaluation
EVALUATION OF CPR SKILLS OF DOCTORS AFTER RESUSCITATION TRAINING IN A TERTIARY HOSPITAL IN LAGOS NIGERIA- DOES SPECIALTY MATTER? Int J anaesthesia 2010.