TITLE:
Is There an Improvement in Patient Survival/Code Blue Activation after Training Based on Simulation (Basic Life Support—BLS) Based Practice of Cardiopulmonary Resuscitation?
AUTHORS:
Sunil S. Nikose, Devashree Nikose, Bhagyashree Nikose, Sandeep Shrivastava, Priyal Shrivastava, Kushagra Mathur, Isha Hazare
KEYWORDS:
Basic Life Support (BLS), Cardiopulmonary Resuscitation (CPR), Cardiac Arrest, Simulation-Based Training, Curriculum
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.10 No.8,
August
13,
2020
ABSTRACT:
Background and Aim: The only way to
survive a sudden cardiac arrest is when the
CPR is performed immediately after the arrest. The focus of the present
research study is to assess the effectiveness of a pre- and post-simulation-based BLS training (BLS) and
the outcome was measured on the basis of patient survival after the cardiac arrest. Study
Design: This pre- and post-training BLS/CPR training study enrolled all
nursing staff, all hospital residents, internees, throughout the hospital in a
simulation-based BLS training as per the standards of American Heart Association
(AHA), to make them respond to immediate resuscitation and code blue activation
during the cardiac arrest within the hospital premises including ED, wards,
ICUs, MRI, CT and all miscellaneous areas. The providers completed
self-efficacy questionnaires as per the AHA protocol before being certified and
were evaluated during the emergency in hospital cardiopulmonary arrest. Results: 296 nursing staff, 206 non-healthcare
professionals, 143 residents, 212 internees, and 98 medical staff grade doctors
completed the BLS training (total 955 hospital staff—providers) were
graded for the response by pre- and post-training testing. In the course of pre-BLS training period out of the 250 cardiac arrest
patients, 68 patients (27.2%) had ROSC, while after instituting the BLS
training period, 143 individuals (40.86%) of the 350 patients who had cardiac
arrest had ROSC (p 0.05). Conclusion: A
simulation-based CPR and BLS training curriculum greatly improves patient outcome
by reducing mortality and morbidity with improved subjectivity, self-efficiency
along with the objective assessment of the performance scores during acute
cardiac arrest in Emergency Cardiovascular Care (ECC).