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AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance

Year 2019, Volume: 9 Issue: 2, 30 - 36, 28.06.2019

Abstract

ÖZET
Amaç: Akut koroner sendromlar tüm dünyada ani ölümlerin büyük bir kısmını oluşturmaktadır. Akut
başlangıçlı göğüs ağrısı şikayeti olan hastada miyokard infarktüsü düşünülmüş ise en kısa zamanda
perkütan koroner anjiyografi (PTCA) yapılan bir merkeze sevk edilmelidir. Akut koroner sendromlar ve
ölümcül kardiyak aritmilere bağlı ölüm oranını azaltmak için, hastayı ilk değerlendiren, ambulansta çalışan
sağlık personelinin elektrokardiyografi (EKG) bilgisi önemlidir. Biz bu nedenle, Sivas ilindeki ambulans
personelinin elektrokardiyografi bilgi düzeyini değerlendirmek için bir anket çalışması planladık.
Materyal metod: Hemşireler, paramedikler ve acil tıp teknisyenleri olmak üzere, Sivas merkez ve ilçelerindeki
ambulanslarda çalışan toplam yüz yetmiş sekiz sağlık personeli çalışmaya dahil edildi. Katılımcılardan,
çalışma deneyimi, eğitimi, yaşı ,özel bir EKG kursunun tamamlanmasıyla ilgili sorulara cevap
vermeleri istendi ve 12 farklı EKG'yi yorumlamaları beklendi.
Bulgular: Anket çalışmasında doğru tanı konulan EKG oranları şöyledir; anterior ST elevasyonlu miyokard
infarktüsü (STEMI) %84.3 (n=150), inferior STEMI %89.9 (n=160), lateral STEMI %77.5 (n=138), normal
EKG %64 (n=114), ventriküler fibrilasyon (VF), %28.1 (n=50), supraventriküler taşikardi (SVT) %57.3
(n=102), VT %17.4 (n=31), ve parazitli EKG %13.5(n=24). Elde edilen sonuçlara göre, paramediklerin
sağ dal bloğu ve AV tam blokta doğru tanı oranlarının acil tıp teknisyenlerine ve hemşirelere göre daha
yüksek olduğu (<0,001) ve acil tıp teknisyenlerinin sol ventrikül hipertrofisinin EKG bulgularını tanımada
daha iyi olduğu saptandı (p=0,011).
Sonuç: Bizim çalışmamızda çalışanların mesleki alanı, çalışma tecrübesi ve son 1 yıl içinde aldıkları EKG
eğitimlerinin EKG değerlendirme sonuçları üzerinde anlamlı bir fark yaratmadığı ve çalışanların hayatı
tehdit eden ritimleri tanımadıkları gösterilmiştir.
Anahtar kelimeler: Hastane öncesi; Elektrokardiyografi; Acil tıp teknisyeni; Paramedikal personel
ABSTRACT
Background: Acute coronary syndromes compose a major proportion of sudden deaths globally.
Patients diagnosed with myocardial infarction due to sudden chest pain should be immediately referred
to percutaneous coronary angiography (PTCA) as soon as possible. In order to decrease the mortality
rate due to acute coronary syndromes and deadly cardiac arrhythmias, the electrocardiography (ECG)
knowledge of the ambulance staff, who evaluated as first, is important. We aimed to evaluate the level
of electrocardiography knowledge by conducting a survey on the ambulance staff in the province of
Sivas.
Material-methods: A total of one hundred seventy-eight healthcare professionals working in
ambulances in the centre and districts of Sivas were included in the study, including nurses, paramedics,
and emergency medical technicians. The participants were asked to answer survey questions about
their working experience, education, age, and completion of a special ECG course and they were
expected to interpret 12 different ECGs.
Results: The ratios of correct ECG diagnosis were as follows; anterior ST-elevation myocardial infarction
(STEMI), 84.3% (n=150); inferior STEMI, 89.9% (n=160); lateral STEMI, 77.5% (n=138); normal ECG, 64%
(n=114); ventricular fibrillation (VF) , 28.1% (n=50); supraventricular tachycardia (SVT), 57.3% (n=102);
VT, 17.4% (n=31); and artificial ECG, 13.5% (n=24). According to the results, paramedics had higher
correct diagnosis ratios in right bundle branch block and AV complete block compared to EMTs and
nurses (<0,001), and EMTs were better in correctly diagnosing left ventricular hypertrophy (p=0,011).
Conclusion: In our study, it was shown that profession, working experience and status of ECG education
in the recent year did not make a significant difference, also it has been shown that employees do
not recognize life-threatening rhythms on ECG assessment results, suggesting to revise the in-service
training.
Keywords: Prehospital care; Electrocardiography; Emergency medical technician; Paramedics.

References

  • 1. Smith SC, Collins A, Ferrari R, Holmes DR, Logstrup S, McBozok Ghie DV et all. Our time: a call to save preventable death from cardiovascular disease (heart disease and stroke). Circulation. 2012:126(23);2769-75. 2. Türkiye istatistik kurumu 2015 yılı ölüm nedeni istatistikleri Sayı: 21526 24 Mart 2016 3. Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Hess EP, Moitra VK et all. Adult advanced cardiovascular life support. Circulation.2015;132(18 suppl 2):S444-S464. 4. Meadows-Pitt M, Fields W. The impact of prehospital 12-lead electrocardiograms on door-to-balloon time in patients with ST-elevation myocardial infarction. Journal of Emergency Nursing. 2014:40(3):e63-e68. 5. Osei-Ampofo M, Cheskes S, Byers A, Drennan IR Buick JE, Verbeek PR. A Novel Approach to Improve Time to First Shock in Prehospital STEMI Complicated by Ventricular Fibrillation. Prehospital Emergency Care. 2016;20(2):278-82. 6. Soar J, Nolan JP, Böttiger BW, Perkins GD, Lott C, Carli P et all. European Resuscitation Council guidelines for resuscitation 2015. Resuscitation. 2015;95:100-47. 7. Brown JP, Mahmud E, Dunford JV, Ben-Yehuda O. Effect of prehospital 12-lead electrocardiogram on activation of the cardiac catheterization laboratory and door-to-balloon time in ST-segment elevation acute myocardial infarction. Am J Cardiol. 2008;101:158–61. 8. Le May MR, Davies RF, Dionne R, Maloney J, Trickett J, So D et al. Comparison of early mortality of paramedic-diagnosed ST-segment elevation myocardial infarction with immediate transport to a designated primary percutaneous coronary intervention center to that of similar patients transported to the nearest hospital. Am J Cardiol. 2006;98:1329–33. 9. Dorsch MF, Greenwood JP, Priestley C, Somers K, Hague C, Blaxill JM et al. Direct ambulance admission to the cardiac catheterization laboratory significantly reduces door-to-balloon times in primary percutaneous coronary intervention. Am Heart J. 2008;155:1054–8. 10. Lee CH, Van Gelder, Carin M, David C. “Early cardiac catheterization laboratory activation by paramedics for patients with ST-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms”. Prehospital Emergency Care 2010;14(2):153-8.
Year 2019, Volume: 9 Issue: 2, 30 - 36, 28.06.2019

Abstract

References

  • 1. Smith SC, Collins A, Ferrari R, Holmes DR, Logstrup S, McBozok Ghie DV et all. Our time: a call to save preventable death from cardiovascular disease (heart disease and stroke). Circulation. 2012:126(23);2769-75. 2. Türkiye istatistik kurumu 2015 yılı ölüm nedeni istatistikleri Sayı: 21526 24 Mart 2016 3. Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Hess EP, Moitra VK et all. Adult advanced cardiovascular life support. Circulation.2015;132(18 suppl 2):S444-S464. 4. Meadows-Pitt M, Fields W. The impact of prehospital 12-lead electrocardiograms on door-to-balloon time in patients with ST-elevation myocardial infarction. Journal of Emergency Nursing. 2014:40(3):e63-e68. 5. Osei-Ampofo M, Cheskes S, Byers A, Drennan IR Buick JE, Verbeek PR. A Novel Approach to Improve Time to First Shock in Prehospital STEMI Complicated by Ventricular Fibrillation. Prehospital Emergency Care. 2016;20(2):278-82. 6. Soar J, Nolan JP, Böttiger BW, Perkins GD, Lott C, Carli P et all. European Resuscitation Council guidelines for resuscitation 2015. Resuscitation. 2015;95:100-47. 7. Brown JP, Mahmud E, Dunford JV, Ben-Yehuda O. Effect of prehospital 12-lead electrocardiogram on activation of the cardiac catheterization laboratory and door-to-balloon time in ST-segment elevation acute myocardial infarction. Am J Cardiol. 2008;101:158–61. 8. Le May MR, Davies RF, Dionne R, Maloney J, Trickett J, So D et al. Comparison of early mortality of paramedic-diagnosed ST-segment elevation myocardial infarction with immediate transport to a designated primary percutaneous coronary intervention center to that of similar patients transported to the nearest hospital. Am J Cardiol. 2006;98:1329–33. 9. Dorsch MF, Greenwood JP, Priestley C, Somers K, Hague C, Blaxill JM et al. Direct ambulance admission to the cardiac catheterization laboratory significantly reduces door-to-balloon times in primary percutaneous coronary intervention. Am Heart J. 2008;155:1054–8. 10. Lee CH, Van Gelder, Carin M, David C. “Early cardiac catheterization laboratory activation by paramedics for patients with ST-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms”. Prehospital Emergency Care 2010;14(2):153-8.
There are 1 citations in total.

Details

Primary Language Turkish
Journal Section Original Research
Authors

Erdal Demirtaş This is me

Yusuf Kenan Tekin This is me

İlhan Korkmaz This is me

Fatma Mutlu Kukul Güven This is me

Sefa Yurtbay This is me

Esin Demirtaş This is me

Publication Date June 28, 2019
Published in Issue Year 2019 Volume: 9 Issue: 2

Cite

APA Demirtaş, E., Tekin, Y. K., Korkmaz, İ., Kukul Güven, F. M., et al. (2019). AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance. Bozok Tıp Dergisi, 9(2), 30-36.
AMA Demirtaş E, Tekin YK, Korkmaz İ, Kukul Güven FM, Yurtbay S, Demirtaş E. AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance. Bozok Tıp Dergisi. June 2019;9(2):30-36.
Chicago Demirtaş, Erdal, Yusuf Kenan Tekin, İlhan Korkmaz, Fatma Mutlu Kukul Güven, Sefa Yurtbay, and Esin Demirtaş. “AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance”. Bozok Tıp Dergisi 9, no. 2 (June 2019): 30-36.
EndNote Demirtaş E, Tekin YK, Korkmaz İ, Kukul Güven FM, Yurtbay S, Demirtaş E (June 1, 2019) AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance. Bozok Tıp Dergisi 9 2 30–36.
IEEE E. Demirtaş, Y. K. Tekin, İ. Korkmaz, F. M. Kukul Güven, S. Yurtbay, and E. Demirtaş, “AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance”, Bozok Tıp Dergisi, vol. 9, no. 2, pp. 30–36, 2019.
ISNAD Demirtaş, Erdal et al. “AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance”. Bozok Tıp Dergisi 9/2 (June 2019), 30-36.
JAMA Demirtaş E, Tekin YK, Korkmaz İ, Kukul Güven FM, Yurtbay S, Demirtaş E. AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance. Bozok Tıp Dergisi. 2019;9:30–36.
MLA Demirtaş, Erdal et al. “AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance”. Bozok Tıp Dergisi, vol. 9, no. 2, 2019, pp. 30-36.
Vancouver Demirtaş E, Tekin YK, Korkmaz İ, Kukul Güven FM, Yurtbay S, Demirtaş E. AMBULANSTA ÇALIŞAN SAĞLIK PERSONELİNİN ELEKTROKARDİYOGRAM BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ Evaluation of Electrocardiogram Knowledge Level of Healthcare Staff Working in Ambulance. Bozok Tıp Dergisi. 2019;9(2):30-6.
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