A Study to Assess the Knowledge Regarding Cardiopulmonary Resuscitation Among Staff of Ambulance, Equipped Status of Ambulances, and their Utilization

Ashok Kumar, Meenakshi Agnihotri, Subhash Verma, Gayatri Rathore, Kheta Ram, Sandeepna Saini, Dr Karthik VM, Pramod Kumar, Manisha Nagi, Maninder Deep Kaur, Pramod Kumar Nagar, Achala Aggarwal, Jitender Gairolla
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Abstract

Introduction Most patients are quickly transferred to the hospitals by ambulances worldwide. Hence, it is imperative that ambulance should be well equipped with all emergency equipment and well-trained staff to provide cardiopulmonary resuscitation (CPR) or basic life support (BLS) to victim in pre-hospital environment, if required. Purpose To assess knowledge regarding CPR of ambulance staff, equipped status of ambulances, and their utilization during CPR or first aid. Methods Total 400 ambulance staff were purposively recruited after obtaining informed written consent. They were interviewed as per validated interview schedule regarding CPR knowledge and utilization of equipment during CPR or first aid. Using an observation checklist for assessment of available equipment for CPR and first aid in the ambulance was checked. Results Mean age of participants was 35.57 ± 7.63 years. All were males. Among them 63.75% were posted in private ambulance, and 73.50% ambulances had solo staff. Most (98.25%) ambulances were equipped with oxygen cylinder and only 3.5% had portable ventilator. Majority (75%) lacked the essential equipment as per AHA/national guidelines. Mean knowledge score of participants was 2.85 ± 4.10 and 62.25% and they had poor knowledge regarding CPR and only 12.25% had good/very good knowledge. Conclusion There is a lack of knowledge regarding CPR among ambulance staff and there is lack of equipped status of ambulances. They were not fully aware regarding the use of equipment, which were available in the ambulance in emergency. So, there is a need to train them about CPR as well utilization of ambulance equipment.
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急救人员心肺复苏知识、救护车装备状况及使用情况的调查研究
在世界范围内,大多数病人被救护车迅速转移到医院。因此,救护车必须配备所有紧急设备和训练有素的工作人员,以便在需要时在院前环境中为受害者提供心肺复苏(CPR)或基本生命支持(BLS)。目的评估救护人员的心肺复苏术知识、救护车的装备状况及其在心肺复苏术或急救中的应用。方法经知情书面同意后,有目的地招募400名救护人员。他们按照经过验证的访谈时间表接受了关于心肺复苏术知识和心肺复苏术或急救期间设备使用情况的访谈。使用观察清单评估可用的心肺复苏术和救护车急救设备进行了检查。结果参与者平均年龄为35.57±7.63岁。所有人都是男性。其中63.75%被派往私家救护车,而73.50%的救护车有单独工作人员。大多数救护车(98.25%)配备了氧气瓶,只有3.5%配备了便携式呼吸机。根据AHA/国家指南,大多数(75%)缺乏必要的设备。参与者的平均知识得分为2.85±4.10分,62.25%的参与者对心肺复苏术的知识较差,只有12.25%的参与者对心肺复苏术的知识较好或很好。结论救护人员心肺复苏术知识缺乏,救护车设备状况不佳。他们不完全了解救护车在紧急情况下提供的设备的使用情况。因此,有必要对他们进行心肺复苏术和救护车设备使用方面的培训。
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