ABSTRACT

Introduction:

To investigate pediatricians’ awareness and knowledge about pediatric basic life support (PBLS) in Turkey.

Methods:

Pediatric residents of all levels and pediatricians were enrolled in this cross-sectional study. Pediatric emergency and intensive care fellows, specialists, and instructors were excluded. The pediatricians’ demographic characteristics, awareness, trainings, and knowledge about PBLS were investigated. A questionnaire was sent to the pediatricians working in different regions of Turkey via e-mail or WhatsApp messaging application.

Results:

A total of 622 pediatricians participated in this study. 5% of the pediatricians rated their knowledge/skills of PBLS as poor, 37% as moderate, and 58% rated as good. It was found that 26% of the pediatricians had poor, 59% had moderate, and 15% of them had good knowledge of PBLS. 67% of the pediatricians had no awareness of PBLS. There was a significant difference in the average score between participants who have not attended any PBLS course, those who attended a PBLS course in the recent year and those who attended a PBLS course 1-2 years before the study (p<0.001 and p=0.018, respectively). There was no significant difference in average score between pediatricians who have not attended any PBLS course and those who attended a PBLS course 2-3 years, 3-4 years, 4-5 years, and more than 5 years before the study (p>0.05).

Conclusion:

In our country, pediatricians’ awareness and knowledge about PBLS are not sufficient.

Keywords: Knowledge, pediatrician, pediatric basic life support, awareness

References

Milnor WR, Knickerbocker GG, Kouwenhoven WB. Cardiac Responses To Transthoracic Capacitor Discharges in The Dog. Circ Res. 1958;6:60-5.

Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA. 1960;173:1064-7.

Atkins DL, Everson-Stewart S, Sears GK, Daya M, Osmond MH, et al. Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation. 2009;119:1484-91.

Slomine BS, Silverstein FS, Christensen JR, Holubkov R, Telford R, et al. Neurobehavioural outcomes in children after In-Hospital cardiac arrest. Resuscitation. 2018;124:80-9.

Kendirli T, Erkek N, Köroğlu T, Yıldızdaş D, Bayrakçı B, et al. Cardiopulmonary Resuscitation in Children With In-Hospital and Out-of-Hospital Cardiopulmonary Arrest: Multicenter Study From Turkey. Pediatr Emerg Care. 2015;31:748-52.

Lin Y, Cheng A, Grant VJ, Currie GR, Hecker KG. Improving CPR quality with distributed practice and real-time feedback in pediatric healthcare providers – A randomized controlled trial. Resuscitation. 2018;130:6-12.

Binkhorst M, Coopmans M, Draaisma JMT, Bot P, Hogeveen M. Retention of knowledge and skills in pediatric life support amongst pediatricians. Eur J Pediatr. 2018;177:1089-99.

Atkins DL, Berger S, Duff JP, Gonzales JC, Hunt EA, et al. Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015;132(suppl 2):519-25.

Maconochie IK, de Caen AR, Aickin R, Atkins DL, Biarent D, et al. Part 6: Pediatric basic life support and pediatric advanced life support: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation. 2015;95:e147-68.

Sutton RM, Niles D, Meaney PA, Aplenc R, French B, et al. Low-dose, high-frequency CPR training improves skill retention of in-hospital pediatric providers. Pediatrics. 2011;128:e145-51.

Na JU, Sim MS, Jo IJ, Song HG, Song KJ. Basic life support skill retention of medical interns and the effect of clinical experience of cardiopulmonary resuscitation. Emerg Med J. 2012;29:833-7.

Smith KK, Gilcreast D, Pierce K. Evaluation of staff's retention of ACLS and BLS skills. Resuscitation. 2008;78:59-65.

Seraj MA, Naguib M. Cardiopulmonary resuscitation skills of medical professionals. Resuscitation. 1990;20:31-9.

van Schaik SM, Von Kohorn I, O'Sullivan P. Pediatric resident confidence in resuscitation skills relates to mock code experience. Clin Pediatr (Phila). 2008;47:777-83.

Malsy M, Leberle R, Graf B. Germans learn how to save lives: a nationwide CPR education initiative. Int J Emerg Med. 2018;11:9.

Lukas RP, Van Aken H, Mölhoff T, Weber T, Rammert M, et al. Kids save lives: a six-year longitudinal study of schoolchildren learning cardiopulmonary resuscitation: Who should do the teaching and will the effects last? Resuscitation. 2016;101:35-40.

Bohn A, Van Aken H, Lukas RP, Weber T, Breckwoldt J. Schoolchildren as lifesavers in Europe - training in cardiopulmonary resuscitation for children. Best Pract Res Clin Anaesthesiol. 2013;27:387-96.

Bollig G, Wahl HA, Svendsen MV. Primary school children are able to perform basic life-saving first aid measures. Resuscitation. 2009;80:689-92.

Callahan JM, Fuchs SM. Advocating for Life Support Training of Children, Parents, Caregivers, School Personnel, and the Public. Pediatrics. 2018;141. pii: e20180704.

Kitamura T, Nishiyama C, Murakami Y, Yonezawa T, Nakai S, et al. Compression-only CPR training in elementary schools and student attitude toward CPR. Pediatr Int. 2016;58:698-704.

Pediatricians’ Awareness and Knowledge About Basic Life Support in Turkey

ABSTRACT

References