Evaluation of Basic Life Support Knowledge and Skills of Healthcare and Non-healthcare Providers

Aim: Immediate bystander cardiopulmonary resuscitation (CPR) significantly improves survival after a sudden cardiopulmonarycollapse. This study assessed the basic life support (BLS) awareness, knowledge, attitude, and performance of healthcareproviders (HCP) and non-HCP before and after CPR training.Materials and Methods: This study included 4625 participants. Participants completed a pre-test to assess their knowledgeand 3 h training course that provided a theoretical background on sudden cardiac death and a hands-on CPR tutorial. Theywere asked to perform BLS on a manikin to simulate an unconscious scenario before the training. Afterward, participantsencountered the same scenario and completed a questionnaire of their post-training knowledge.Results: A total of 4625 participants were included in this study. Of which 56.54% (n = 2615) were HCP and 43.45% (n = 2010)were non-HCP. There is a significant increase in knowledge of BLS among non-HCP which is clearly evident in pre-trainingand post-training evaluation (written and hands-on). Only 0.62% employees are able to perform BLS in the correct sequencebefore the training and 76.7% employees after the training. None of the students performed BLS in the correct sequence beforethe training and 60.85% students performed well after the training. Among HCP, only 12.08% were able to perform BLS in thecorrect sequence before the training and 94.8% after the training.Conclusion: Performing BLS and attending BLS training plays a key role in attaining BLS knowledge by both healthcare andnon-HCP.

Adherence / Compliance to the Standard Guidelines for Management of Acute Coronary Syndrome – Tertiary Care Centre Study

Introduction: Acute coronary syndrome (ACS) refers toa spectrum of clinical presentations ranging from those forST-segment elevation myocardial infarction (STEMI) topresentations found in non–ST-segment elevation myocardialinfarction (NSTEMI) or in unstable angina. Study aimedto investigate the current management of acute coronarysyndrome patients at a tertiary care centre at Kakinada andfocused on the guideline- adherence in the timing of invasivestrategies or choice of conservative treatment options duringadmission and at the time of discharge.Material and Methods: A retrospective, observational studyincluded 290 patients who presented with history of acutechest pain to our hospital within 12–hours of symptom onsetbetween January 2018 and December 2018 were included inthe study.Results: Patients were clinically followed for 12 months. Atotal of 290 patients, 260 ST elevation MI and 30 non-STelevation MI were included. The median compliance index(percentage of optimal compliance with guidelines) was 0.96(The value of p is 0.03301. The result is significant at p < .05.).By logistic regression risk score variable was independentlyrelated to mortality.Conclusion: A clear relationship between the extent ofguideline implementation, and 1-year mortality was shown andthis relationship remained strong after stratification on the riskscore at admission and the type of MI. This data emphasize theneed for thorough implementation of guidelines to improvethe outcome of patients suffering from acute MI.