Evaluation of the Basic Life Support Training Provided to Search and Rescue Staff

Öz

Background This research aimed to assess the effect of theoretical and practical Basic Life Support training on the knowledge level of research and rescue staff who encounters lots of wounded people during their work. Methods Random pre-test - post-test control group pattern was used in the research. Thirty of the participants were untrained and they were selected for the experiment group whereas the other 30 with previous training were placed in the control group. Once all the participants were pre-evaluated, the experiment group received a 315-minute training. Then, both groups were taken through a post-test evaluation. Results It was found that the differences between the experimental group's BLS Knowledge Level and the Assessment Scale of the post-test and the pre-test were significantly higher than the differences between the control group's post-test and the pre-test results (p<0,001). It is determined that the experiment group had significantly higher differences between pre-test and post-test results in all parameters except for Adult, Compression Success Rate, Number of Presses Per Minute and Adult and Pediatric CPR Cycle Rate(p<0,05). It is determined that the experiment group, compared to the control group, had significantly higher differences between pre-test and post-test results in all parameters except for Adult, Compression Success Rate, Number of Presses Per Minute and Adult and Pediatric CPR Cycle Rate(p<0,05). The differences between the post-test and pre-test parameters of the Compression Success Rate (p=0,010), Decompression Success Rate Percentage (p<0,001) and Number of Presses Per Minute (p=0,005) of the experimental group in pediatrics are significantly higher than in adults. Conclusions It has been found that the training given to search and rescue staff is effective in increasing the knowledge levels of the participants. It is seen that the participants experienced a significant rise in their knowledge level, especially in terms of pediatric training.

Anahtar Kelimeler

• Basic Life Support
• Disaster Management
• Disaster Medicine
• Health Education
• Search and Rescue Staff

Arama ve Kurtarma Personeline Verilen Temel Yaşam Desteği Eğitiminin Değerlendirilmesi

Öz

Amaç: Araştırma çok sayıda yaralı ile karşılaşan arama ve kurtarma personeline verilen teorik ve pratik Temel Yaşam Desteği (TYD) eğitimlerinin bilgi düzeyleri üzerindeki etkisinin değerlendirilmesi amacıyla gerçekleştirilmiştir. Gereç ve Yöntem: Araştırmada deneysel araştırma yöntemlerinden rastlantısal ön test-son test kontrol gruplu desen kullanılmıştır. Eğitim alan 30 deney ve eğitim almayan 30 kontrol grubu olmak üzere toplam 60 arama ve kurtarma personeli katılımı ile gerçekleştirilmiştir. Katılımcıların tamamına ön test değerlendirilmesi yapılmasının ardından deney grubuna 315 dk. eğitim verildikten sonra her iki grubun son test değerlendirmeleri yapılmıştır. Bulgular: Deney grubu TYD Bilgi Düzeyi ve Değerlendirme Ölçeği son test ile ön test farklarının, kontrol grubu son test ile ön test farklarından anlamlı düzeyde yüksek olduğu görülmüştür (p<0.001). Yetişkin; Kompresyon Başarı Oranı Yüzdesi, Dakikadaki Bası Sayısı ile Yetişkin ve Pediatrik CPR Döngü Başarısı parametreleri dışındaki tüm parametrelerdeki son test ile ön test farklarının deney grubunda anlamlı düzeyde yüksek olduğu tespit edilmiştir (p<0.05). Yetişkin; Kompresyon Başarı Oranı Yüzdesi, Dakikadaki Bası Sayısı ile Yetişkin ve Pediatrik CPR Döngü Başarısı parametreleri dışındaki tüm parametrelerdeki son test ile ön test farklarının deney grubunda kontrol grubuna oranla anlamlı düzeyde yüksek olduğu tespit edilmiştir (p<0.05). Deney grubunun; Kompresyon Başarı Oranı Yüzdesi (p=0.010), Dekompresyon Başarı Oranı Yüzdesi (p<0.001) ve Dakikadaki Bası Sayısı (p=0.005) parametrelerinin pediatriklerdeki son test ile ön test farkları, yetişkinlerdekinden anlamlı düzeyde yüksektir. Sonuç: Arama ve kurtarma personeline verilen TYD eğitiminin katılımcıların bilgi düzeylerini arttırmada etkili olduğu tespit edilmiştir. Eğitim grubundaki katılımcılarda özellikle pediatrik eğitim düzeylerinde anlamlı bir artış olduğu tespit edilmiştir.

Anahtar Kelimeler

• Afet Yönetimi
• Afet Tıbbı
• Sağlık Eğitimi
• Arama Kurtarma Personeli
• Kardiyopulmoner resüsitasyon
• Temel Yaşam Desteği

Kaynakça

1. 1. CRED, 2022 Disasters in Numbers, 2023. https://cred.be/sites/default/files/2022_EMDAT_report.pdf (accessed April 1, 2023).
2. 2. CRED, 2021 Disasters in numbers, 2022. https://cred.be/sites/default/files/2021_EMDAT_report.pdf (accessed October 7, 2022).
3. 3. UNISDR, Hyogo Framework for Action 2005-2015: Building the Resilience of Nations and Communities to Disasters, Geneva, 2005. www.unisdr.org/wcdr.
4. 4. UNISDR, Sendai Framework for Disaster Risk Reduction 2015 - 2030, Genenva, 2015.
5. 5. A. Khan, S. Shaikh, F. Shuaib, A. Sattar, S.A. Samani, Q. Shabbir, A.Z. Rasheed, Knowledge attitude and practices of undergraduate students regarding first aid measures, J Pak Med Assoc 60 (2010).
6. 6. P. Safar, Resuscitation potentials in mass disasters, Prehosp Disaster Med 2 (1986). https://doi.org/10.1017/S1049023X00030314.
7. 7. T.O. Smith, S.D. Baker, K. Roberts, S.A. Payne, Engaging Active Bystanders in Mass Casualty Events and Other Life-Threatening Emergencies: A Pilot Training Course Demonstration, Disaster Med Public Health Prep 10 (2016). https://doi.org/10.1017/dmp.2015.177.
8. 8. A.R. Panchal, J.A. Bartos, J.G. Cabañas, M.W. Donnino, I.R. Drennan, K.G. Hirsch, P.J. Kudenchuk, M.C. Kurz, E.J. Lavonas, P.T. Morley, B.J. O’Neil, M.A. Peberdy, J.C. Rittenberger, A.J. Rodriguez, K.N. Sawyer, K.M. Berg, Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Circulation 142 (2020). https://doi.org/10.1161/CIR.0000000000000916.

9. 9. J. Soar, J.P. Nolan, B.W. Böttiger, G.D. Perkins, C. Lott, P. Carli, T. Pellis, C. Sandroni, M.B. Skrifvars, G.B. Smith, K. Sunde, C.D. Deakin, R.W. Koster, K.G. Monsieurs, N.I. Nikolaou, European Resuscitation Council Guidelines for Resuscitation 2015. Section 3. Adult advanced life support., Resuscitation 95 (2015). https://doi.org/10.1016/j.resuscitation.2015.07.016.
10. 10. I.K. Maconochie, R. Bingham, C. Eich, J. López-Herce, A. Rodríguez-Núñez, T. Rajka, P. Van de Voorde, D.A. Zideman, D. Biarent, K.G. Monsieurs, J.P. Nolan, European Resuscitation Council Guidelines for Resuscitation 2015. Section 6. Paediatric life support., Resuscitation 95 (2015). https://doi.org/10.1016/j.resuscitation.2015.07.028.
11. 11. R.O. Cummins, J.P. Ornato, W.H. Thies, P.E. Pepe, J.E. Billi, J. Seidel, A.S. Jaffe, L.S. Flint, S. Goldstein, N.S. Abramson, C. Brown, N.C. Chandra, E.R. Gonzalez, L. Newell, K.R. Stults, G.E. Membrino, Improving survival from sudden cardiac arrest: the “chain of survival” concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association., Circulation 83 (1991) 1832–1847. https://doi.org/10.1161/01.CIR.83.5.1832.
12. 12. H. Zaheer, Z. Haque, Students’ Corner-Awareness about BLS (CPR) among medical students: Status and requirements, The Journal of the Pakistan 59 (2009) 57–59. https://www.academia.edu/download/84509044/1607.pdf (accessed May 29, 2023).
13. 13. S. Yan, Y. Gan, N. Jiang, R. Wang, Y. Chen, Z. Luo, Q. Zong, S. Chen, C. Lv, The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: A systematic review and meta-analysis, Crit Care 24 (2020). https://doi.org/10.1186/s13054-020-2773-2.
14. 14. L. De Smedt, C. Depuydt, E. Vekeman, P. De Paepe, K.G. Monsieurs, M. Valcke, N. Mpotos, Awareness and willingness to perform CPR: a survey amongst Flemish schoolchildren, teachers and principals, Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine 74 (2019). https://doi.org/10.1080/17843286.2018.1482087.
15. 15. G. Bollig, H.A. Wahl, M.V. Svendsen, Primary school children are able to perform basic life-saving first aid measures, Resuscitation 80 (2009). https://doi.org/10.1016/j.resuscitation.2009.03.012.
16. 16. K.V. Chandran, S.V. Abraham, Basic life support: Need of the hour—a study on the knowledge of basic life support among young doctors in india, Indian Journal of Critical Care Medicine 24 (2020). https://doi.org/10.5005/jp-journals-10071-23442.
17. 17. J. Juariah, I. Purwaningsih, The Effect of Basic Life Support Training on the Knowledge and Skills of Adolescents, KnE Life Sciences (2022). https://doi.org/10.18502/kls.v7i2.10336.
18. 18. B.J. Cho, S.R. Kim, Comparison of long-term effects between chest compression-only cpr training and conventional cpr training on cpr skills among police officers, Healthcare (Switzerland) 9 (2021). https://doi.org/10.3390/healthcare9010034.
19. 19. C.H. Lawshe, A Quantitative Approach to Content Validity, Pers Psychol 28 (1975). https://doi.org/10.1111/j.1744-6570.1975.tb01393.x.
20. 20. C. Ayre, A.J. Scally, Critical Values for Lawshe’s Content Validity Ratio, Measurement and Evaluation in Counseling and Development 47 (2014). https://doi.org/10.1177/0748175613513808.
21. 21. H. Türkan, M. Serinken, O. Çınar, A. Tansel, M. Eroğlu, Çeşitli Meslek Gruplarının Erişkin Temel Yaşam Desteği Bilgi ve Beceri Düzeylerinin Değerlendirilmesi, Türkiye Acil Tıp Dergisi 5 (2005) 128–132.
22. 22. Belediye İtfaiye Yönetmeliği, 2006.
23. 23. S. van Diepen, S. Girotra, B.S. Abella, L.B. Becker, B.J. Bobrow, P.S. Chan, C. Fahrenbruch, C.B. Granger, J.G. Jollis, B. McNally, L. White, D. Yannopoulos, T.D. Rea, Multistate 5-Year Initiative to Improve Care for Out-of-Hospital Cardiac Arrest: Primary Results From the HeartRescue Project, J Am Heart Assoc 6 (2017). https://doi.org/10.1161/JAHA.117.005716.
24. 24. M. Høybye, N. Stankovic, M. Holmberg, H.C. Christensen, A. Granfeldt, L.W. Andersen, In-Hospital vs. Out-of-Hospital Cardiac Arrest: Patient Characteristics and Survival, Resuscitation 158 (2021) 157–165. https://doi.org/10.1016/j.resuscitation.2020.11.016.
25. 25. C.W. Tsao, A.W. Aday, Z.I. Almarzooq, C.A.M. Anderson, P. Arora, C.L. Avery, C.M. Baker-Smith, A.Z. Beaton, A.K. Boehme, A.E. Buxton, Y. Commodore-Mensah, M.S.V. Elkind, K.R. Evenson, C. Eze-Nliam, S. Fugar, G. Generoso, D.G. Heard, S. Hiremath, J.E. Ho, R. Kalani, D.S. Kazi, D. Ko, D.A. Levine, J. Liu, J. Ma, J.W. Magnani, E.D. Michos, M.E. Mussolino, S.D. Navaneethan, N.I. Parikh, R. Poudel, M. Rezk-Hanna, G.A. Roth, N.S. Shah, M.P. St-Onge, E.L. Thacker, S.S. Virani, J.H. Voeks, N.Y. Wang, N.D. Wong, S.S. Wong, K. Yaffe, S.S. Martin, Heart Disease and Stroke Statistics - 2023 Update: A Report from the American Heart Association, Circulation 147 (2023). https://doi.org/10.1161/CIR.0000000000001123.
26. 26. R. Vincent, B. Martin, G. Williams, E. Quinn, G. Robertson, D.A. Chamberlain, A community training scheme in cardiopulmonary resuscitation, Br Med J 288 (1984). https://doi.org/10.1136/bmj.288.6417.617.
27. 27. P.O. Lejenue, H.H. Delooz, Why did persons invited to train in cardiopulmonary resuscitation not do so?, Eur Heart J 8 (1987). https://doi.org/10.1093/oxfordjournals.eurheartj.a062263.
28. 28. W. Kaye, S.F. Rallis, M.E. Mancini, K.C. Linhares, M.L. Angell, D.S. Donovan, N.C. Zajano, J.A. Finger, The problem of poor retention of cardiopulmonary resuscitation skills may lie with the instructor, not the learner or the curriculum, Resuscitation 21 (1991). https://doi.org/10.1016/0300-9572(91)90080-I.
29. 29. S. Coleman, K. Dracup, D.K. Moser, Comparing methods of cardiopulmonary resuscitation instruction on learning and retention, Journal of Nursing Staff Development 7 (1991).
30. 30. J. Pearn, Basic life support: Extending and integrating teaching in the Australian community, in: Australian and New Zealand Journal of Surgery, 2000. https://doi.org/10.1046/j.1440-1622.2000.01732.x.
31. 31. N. Davies, D. Gould, Updating cardiopulmonary resuscitation skills: A study to examine the efficacy of self-instruction on nurses’ competence, J Clin Nurs 9 (2000). https://doi.org/10.1046/j.1365-2702.2000.00389.x.
32. 32. D. Özzeybek, S. Öztekin, A. Taşdöğen, Ö. Mavioğlu, Z. Elar, Kardiyopulmoner Resüsitasyon: Tıp Öğrencilerinin Eğitimi, DEÜ Tıp Fakültesi Dergisi (2002) 181–187.
33. 33. M. Pichel López, S. Martínez-Isasi, R. Barcala-Furelos, F. Fernández-Méndez, D. Vázquez Santamariña, L. Sánchez-Santos, A. Rodríguez-Nuñez, Un primer paso en la enseñanza del soporte vital básico en las escuelas: la formación de los profesores, An Pediatr (Engl Ed) 89 (2018) 265–271. https://doi.org/10.1016/J.ANPEDI.2017.11.002.
34. 34. C.E. McCoy, A. Rahman, J.C. Rendon, C.L. Anderson, M.I. Langdorf, S. Lotfipour, B. Chakravarthy, Randomized Controlled Trial of Simulation vs. Standard Training for Teaching Medical Students High-quality Cardiopulmonary Resuscitation, West J Emerg Med 20 (2019) 15–22. https://doi.org/10.5811/WESTJEM.2018.11.39040.
35. 35. R. Anderson, A. Sebaldt, Y. Lin, A. Cheng, Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized trial, Resuscitation 135 (2019). https://doi.org/10.1016/j.resuscitation.2018.10.033.
36. 36. M. Woollard, R. Whitfield, R.G. Newcombe, M. Colquhoun, N. Vetter, D. Chamberlain, Optimal refresher training intervals for AED and CPR skills: a randomised controlled trial, Resuscitation 71 (2006) 237–247. https://doi.org/10.1016/J.RESUSCITATION.2006.04.005.
37. 37. E. Kovács, Z.M. Jenei, K. Csordás, G. Fritúz, B. Hauser, V.A. Gyarmathy, E. Zima, J. Gál, The timing of testing influences skill retention after basic life support training: A prospective quasi-experimental study, BMC Med Educ 19 (2019). https://doi.org/10.1186/s12909-019-1881-7.
38. 38. H. Matsuura, T. Sakai, Y. Katayama, T. Kitamura, T. Hirose, H. Matsumoto, T. Matsubara, T. Iwami, Y. Fujino, T. Shimazu, A follow‐up report on the effect of a simplified basic life support training program for non‐medical staff working at a university hospital: changes in attitude toward cardiopulmonary resuscitation and automated external defibrillator use through repeat training, Acute Medicine & Surgery 7 (2020). https://doi.org/10.1002/AMS2.548.