Atuação do Time de Resposta Rápida no processo educativo de atendimento da parada cardiorrespiratória / Performance of the Rapid Response Team in the educational process for cardiopulmonary arrest care

JUSTIFICATIVA E OBJETIVOS: A criação de Times de Resposta Rápida (TRR) dentro das instituições de saúde tem aumentado paralelamente ao maior interesse na melhoria da qualidade da assistência. Os objetivos deste estudo foram avaliar o conhecimento da equipe multiprofissional (enfermagem e fisioterapia) no reconhecimento e tratamento da parada cardiorrespiratória (PCR) e mostrar um modelo de gestão do time de resposta rápida no processo educacional destes profissionais. MÉTODOS: Aplicou-se um questionário para avaliação do conhecimento do reconhecimento da parada cardiorrespiratória da equipe multiprofissional. Depois foi realizado treinamento pelo Times de Resposta Rápida e feita avaliação após o treinamento. RESULTADOS: No grupo de enfermeiros, a nota média no pré-teste foi de 5,83 ± 1,95 e 8,87 ± 1,25, no pós-teste. Dentre os fisioterapeutas,as notas médias foram 4,02 ± 1,85 e 9,00 ± 1,24, no pré e pós-teste respectivamente. No grupo composto de auxiliares e técnicos de enfermagem, a nota de pré-teste foi de 4,85 ± 1,93 no pré-teste e 7,70 ± 1,72 no pós-teste. CONCLUSÃO:Os resultados mostram deficiência no conhecimento da equipe multiprofissional diante das situações de parada cardiorrespiratória , sendo importante a realização de programas de educação continuada para a equipe.

BACKGROUND AND OBJECTIVES: The creation of Rapid Response Teams (RRT) within the health institutions has been increasing parallel to the increased interest in improving the quality of care. The objectives of this study were to evaluate the knowledge of the multidisciplinary team (nursing and physiotherapy) in the recognition and treatment of cardiopulmonary arrest (CPA) and show a model for managing the rapid response team regarding the educational process of these professionals. METHODS: We gave a questionnaire to evaluate the multidisciplinary team knowledge on the recognition of cardiac arrest.After this, Rapid Response Teams was trained, and eventually evaluated. RESULTS: In the group of nurses, the average scorein the pretest was 5.83 ± 1.95 and 8.87 ± 1.25 at posttest. Among the physiotherapists, the average scores were 4.02 ± 1.85 and 9.00 ± 1.24 in pre-and posttest, respectively. In the group of nurse assistants and technicians, the pre-test score was 4.85 ± 1.93 and 7.70 ± 1.72 at posttest. CONCLUSION: There sults of this study show little knowledge of the multidisciplinary team in situations of cardiac arrest, and that it is important to conduct continuing education programs for the team.

Autoevaluación de los pediatras en formación sobre reanimación cardiopulmonar / Self-assessment of pediatricians in trainig about cardiopulmonary resuscitation

El paro cardiorrespiratorio en niños es un evento clínico de poca frecuencia pero de alto riesgo, por lo que la formación del posgrado en reanimación cardiopulmonar (RCP) es un aspecto prioritario. Objetivo: describir el grado de formación en RCP de los posgrados y residentes de pediatría y vincularlo con el año curricular y su actividad laboral. Material y método: estudio descriptivo, transversal, a través de una encuesta personal, anónima y presenciada a posgrados y residentes de pediatría. El formulario contenía ocho preguntas de tipo múltiple opción. Fueron indagados aspectos de RCP básica y avanzada. Se autoevaluó además el grado de seguridad y formación sobre RCP pediátrica así como el tipo de actividad laboral que desempeñaban. Los datos fueron analizados con el programa EPI-INFO 2002. Resultados: fueron encuestados 106 médicos. El 5,7% de los encuestados obtuvo más de 80% de respuestas correctas. No se observaron diferencias estadísticamente significativas entre la calidad de las repuestas cuando fue correlacionada con el año en curso y con la realización previa de cursos de RCP. El 34,9% de los encuestados trabaja en puestos fijos de emergencia o en urgencias prehospitalarias. Conclusión: el grado de conocimiento y entrenamiento en RCP de los pediatras en formación está muy lejos de ser satisfactorio. Frente a los resultados obtenidos es fundamental enfatizar en la formación teórico-práctica sobre RCP durante el curso del posgrado de pediatría.

Cardiac respiratory arrest in children is an unfrequent clinical event but of high risk, for that reason, getting a postgraduate qualification in cardiopulmonary resuscitation (CPR) is a priority. Objective: evaluate the level of pediatrics postgraduates and residents regarding CPR, and relate it to the curricular year and work activity.Material and method: transverse descriptive study through a personal, anonymous survey to pediatrics postgraduates and residents. The form had 8 multiple choice questions; the topics were CPR basic and advanced. There was also a self-evaluation on training on pediatrics CPR, it’s level of safety, and the kind of working activity developed. The data was analized with the program EPI-INFO 2002. Results: 106 doctors were polled. 5,7% got more than 80% correct answers. There were no meaningful statistic differences in the quality of the answers when correlated to the year of training and the fact of having assisted to CPR courses. 34,9% of those polled work permanently in emergency or prehospital emergencies. Conclusion: the amount of knowledge and training when it comes to CPR in future pediatrics is far from the desired. Considering the results obtained it is necessary to emphasize the CPR theory practice training during the pediatrics postgraduate course.