Determination of Information Status of Pre-Hospital Emergency Medical Services Personnel on Peri-arrest and Arrest Rhythms

Yıl 2021, Cilt: 2 Sayı: 2, 104 - 110, 30.05.2021

Şimşek Çelik , Ertuğ Günsoy , Behnan Gülünay , Pelin Çelik

https://doi.org/10.51972/tfsd.912126

Öz

Purpose: This research was carried out to determine the knowledge of pre-hospital emergency health care personnel about peri-arrest and arrest rhythms.
Material and Methods: The present research is designed as a descriptive study. The sample of the research was formed by 80 health personnel working in the Sivas 112 Emergency Health Services unit. In collecting research datai "Individual Information Form" and "Pre-Hospital Emergency Health Services Personnel's Information on Peri-arrest and Arrest Rhythms Evaluation Form" were used. Number, percentage, mean and independent samples t test were used in the statistical evaluation of the data.
Results: It was determined that 63.75% of the emergency health services personnel participating in the study were male, their average age was 24.00 ± 5.12, their tenure in emergency health services was 2.90 ± 4.37 and 51.25% did not receive in-service training. It was found that pre-hospital emergency health care personnel who received in-service training had significantly higher scores with correct answers and treatment choices on peri-arrest and arrest rhythms and their related treatments compared to the group who did not receive in-service training (p = 0.03).
Conclusion: Regular in-service training for pre-hospital emergency health care personnel is of great importance in increasing the knowledge about fatal rhythms and related treatments.

Anahtar Kelimeler

Pre-hospital emergency medical services, Arrest rhythms, peri-arrest rhythms

Kaynakça

• Atay, S., Gider, D., Karadere, G., & Şenyüz, P. (2009). Hastanede çalışan hemşirelerin hizmet içi eğitime yönelik görüşleri. Uluslararası İnsan Bilimleri Dergisi, 6(1), 84-93.
• Brown, J. P., Mahmud, E., Dunford, J. V., & Ben-Yehuda, O. (2008). 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. The American journal of cardiology, 101(2), 158- 161. https://doi.org/10.1016/j.amjcard.2007.07.082
• Brown, L. H., Gough, J. E., & Hawley, C. R. (1997). Accuracy of rural EMS provider interpretation of three-lead ECG rhythm strips. Prehospital Emergency Care, 1(4), 259-262. https://doi.org/10.1080/10903129708958820
• Brugada, J., Katritsis, D. G., Arbelo, E., Arribas, F., Bax, J. J., Blomström-Lundqvist, C., ... & Zaza, A. (2020). 2019 ESC Guidelines on the Treatment of Patients With Supraventricular Tachycardia. Revista Española de Cardiología, 73(6).
• De Lorenzo, R. A. (1993). Prehospital misidentification of tachydysrhythmias: a report of five cases. The Journal of emergency medicine, 11(4), 431-436. https://doi.org/10.1016/0736-4679(93)90246-4
• Ghuran - Neal Uren, Azad. (2008).| Acil Kardiyoloji . İstanbul: Avrupa Tıp Kitapçılık https://www.nadirkitap.com/acil-kardiyoloji-azad-ghuran-neal-uren-kitap7172271.html
• Hadjamu, N., Azizy, O., & Wakili, R. (2020). Vorgehen bei Vorhofflimmern mit tachykarder. Überleitung Herzschrittmachertherapie + Elektrophysiologie, 31(1), 20-25. DOİ.: 10.1007/s00399-020- 00670-2
• Hargarten, K. M., Stueven, H. A., Waite, E. M., Olson, D. W., Mateer, J. R., Aufderheide, T. P., & Darin, J. C. (1990). Prehospital experience with defibrillation of coarse ventricular fibrillation: a ten-year review. Annals of emergency medicine, 19(2), 157-162. DOI: 10.1016/s0196-0644(05)81801-3
• Hale, P., Lowe, R., Seamon, J. P., & Jenkins, J. J. (2011). Paramedic Electrocardiogram and Rhythm Identification: A Convenient Training Device. Prehospital and disaster medicine, 26(5), 342. DOI:10.1017/S1049023X11006558
• Honarbakhsh, S., Baker, V., Kirkby, C., Patel, K., Robinson, G., Antoniou, S., ... & Schilling, R. J. (2017). Safety and efficacy of paramedic treatment of regular supraventricular tachycardia: a randomised controlled trial. Heart, 103(18), 1413-1418. http://dx.doi.org/10.1136/heartjnl-2016-309968
• Koç, Z. (2004). Hastanelerde Çalışan Hemşirelerin Hizmet içi Eğitime Yönelik Düşünce, Beklenti ve Sorunları. Hemşirelik Forumu, Eylül-Ekim. 28-38.
• Link, M. S., Berkow, L. C., Kudenchuk, P. J., Halperin, H. R., Hess, E. P., Moitra, V. K., ... & Donnino, M. W. (2015). Part 7: adult advanced cardiovascular life support: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 132(18_suppl_2), S444-S464.
• Mencl, F., Wilber, S., Frey, J., Zalewski, J., Maiers, J. F., & Bhalla, M. C. (2013). Paramedic ability to recognize ST-segment elevation myocardial infarction on prehospital electrocardiograms. Prehospital emergency care, 17(2), 203-210. https://doi.org/10.3109/10903127.2012.755585
• Niemann, J. T., Stratton, S. J., Cruz, B., & Lewis, R. J. (2001). Outcome of out-of-hospital postcountershock asystole and pulseless electrical activity versus primary asystole and pulseless electrical activity. Critical care medicine, 29(12), 2366-2370.
• Ohlow, M. A., Beierlein, A., Müller, S., von Korn, H., Geller, J. C., Yu, J., & Lauer, B. (2005). Stable tachycardia with wide QRS complex in pre-hospital emergency medicine. Deutsche medizinische Wochenschrift (1946), 130(47), 2694-2698. DOI: 10.1055 / s-2005-922056
• Osei-Ampofo, M., Cheskes, S., Byers, A., Drennan, I. R., Buick, J. E., & Verbeek, P. R. (2016). A novel approach to improve time to first shock in prehospital STEMI complicated by ventricular fibrillation. Prehospital Emergency Care, 20(2), 278-282. https://doi.org/10.3109/10903127.2015.1076100
• Joglar, RL, JA, Caldwell, MA, Calkins, H., Conti, JB, Deal, BJ, ... & Al-Khatib, SM (2016). Supraventriküler taşikardili yetişkin hastaların yönetimi için 2015 ACC / AHA / HRS kılavuzu: yönetici özeti: American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society raporu. Dolaşım, 133 (14), e471-e505.
• Slovis, C. M., Kudenchuk, P. J., Wayne, M. A., Aghababian, R., & Rivera-Rivera, E. J. (2003). P REHOSPITAL M ANAGEMENT OF A CUTE T ACHYARRHYTHMIAS. Prehospital emergency care, 7(1), 2-12. https://doi.org/10.1080/10903120390937030
• Smith, G., McD Taylor, D., Morgans, A., & Cameron, P. (2014). Prehospital management of supraventricular tachycardia in V ictoria, A ustralia: Epidemiology and effectiveness of therapies. Emergency Medicine Australasia, 26(4), 350-355. DOI: 10.1111/1742-6723.12248
• Soar, J., Nolan, JP, Böttiger, BW, Perkins, GD, Lott, C., Carli, P., ... & Sunde, K. (2015). Resüsitasyon için Avrupa Resüsitasyon Konseyi yönergeleri 2015. Resüsitasyon, 95, 100-147.
• Zeytin, A. T., Cevik, A. A., Nurdan, A. C. A. R., Seyhmus, K. A. Y. A., & Ozcelik, H. (2014). Characteristics of patients presenting to the academic emergency department in central Anatolia. Turkish journal of emergency medicine, 14(2), 75-81. https://doi.org/10.5505/1304.7361.2014.91489