The Assessment of Effectiveness of Anesthesiology Rotation in Acquiring Proficiency in Cardiopulmonary and Cerebral Resuscitation for Medical Students at Tehran University of Medical Sciences in the Years 2021-2022
-
Ali Reza Montaseri
,
Abdul Hassan Jammoul
,
Seyed Mohammad Mireskandari
,
Nima Nazari
,
Babak Eslami
,
Ali Jammoul
Abstract
Background: Whether in a hospital setting or in the community, medical students are exposed to cardiac arrests. Fast response and effective resuscitation are main determinants for decreasing mortality and morbidity due to cardiac arrests. We assessed the effectiveness of anesthesiology rotation in acquiring cardiopulmonary and cerebral resuscitation for medical students.
Methods: A pre-test/post-test quasi experimental design was undertaken, comprising A fortuitious sample of medical students who were undergoing anesthesiology rotation at Tehran University of Medical Sciences hospital complexes during the academic year 2021-2022 using a self-administered questionnaire to evaluate their theoretical comprehension, knowledge, skills and before and after the rotation.
Results: The study revealed an increase in theoretical scores (mean dif +2.6/20), increased in self-assessment knowledge scores (mean dif + 0.84/5), as well as an increased in self-assessment skill scores (mean dif +0.96/5). The highest scored were witness in students with previous cardiopulmonary resuscitation (CPR) experience.
Conclusion: It is of extreme importance for medical students to participate in anesthesiology rotations. It is essential for possessing the appropriate knowledge and skills to provide effective resuscitation care and gain confidence to perform CPR.
[1] DeBard ML. The history of cardiopulmonary resuscitation. Ann Emerg Med. 1980; 9(5):273-5.
[2] Lee K. Cardiopulmonary resuscitation: new concept. Tuberc Respir Dis (Seoul). 2012; 72(5):401-8.
[3] Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R, et al. Part 1: Executive summary: 2010 Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010; 122:S640–656.
[4] Wik L, Kramer-Johansen J, Myklebust H, Sørebø H, Svensson L, Fellows B, Steen PA. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005; 293(3):299-304.
[5] Bakke HK, Bakke HK, Schwebs R. First-aid training in school: amount, content and hindrances. Acta Anaesthesiol Scand. 2017; 61(10):1361-1370.
[6] Zinckernagel L, Malta Hansen C, Rod MH, Folke F, Torp-Pedersen C, Tjørnhøj-Thomsen T. What are the barriers to implementation of cardiopulmonary resuscitation training in secondary schools?A qualitative study. BMJ Open 2016; 6:e010481.
[7] Mehra R. Global public health problem of sudden cardiac death. J Electrocardiol. 2007; 40(6 Suppl):S118-22.
[8] Dan Sebastian D, Natalia H, Theodor B, Loredana F,Sanda Maria C. Training in cardiopulmonary resuscitation provided by medical students, residents and specialists: A non-inferiority trial. Hong Kong Journal of Emergency Medicine 2018; 25(1) 20–26.
[9] Stirparo G, Gambolò L, Bellini L, Medioli F, Bertuol M, Guasconi M, et al. Satisfaction evaluation for ACLS training. Acta Biomed. 2022; 93(3):e2022260.
[10] Taniguchi T, Ohta K, Kawada M, Inaba H, Yamamoto K. [Role of anesthesiologists is the education of cardiopulmonary resuscitation in local hospitals]. Masui. 2005; 54(4):436-9. Japanese.
[11] Organization WH. Global Health Observatory: non-communicable diseases mortality and morbidity. 2013.
[12] Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the Burden of Cardiovascular Diseases in Iran from 2005 to 2025: The Impact of Demographic Changes: IJPH. 2017; 46(4):506.
[13] Baduni N, Prakash P, Srivastava D, Sanwal MK, Singh BP. Awareness of basic life support among dental practitioners. Natl J Maxillofac Surg. 2014; 5(1):19-22.
[14] Goldman S, Johnson G, Cohn JN, Cintron G, Smith R, Francis G. Mechanism of death in heart failure: The vasodilator—heart failure trials. Circulation. 1993; 87:V124-31.
[15] Sasson C, Keirns CC, Smith D, Sayre M, Macy M, Meurer W, et al. Small area variations in out-of-hospital cardiac arrest: does the neighborhood matter?. Annals of internal medicine. 2010; 153(1):19-22.www.annals.org.
[16] Song F, Sun S, Ristagno G, Yu T, Shan Y, Chung SP, et al. Delayed high-quality CPR does not improve outcomes. Resuscitation. 2011; 82 Suppl 2:S52-5.
[17] Kurz MC, Schmicker RH, Leroux B, Nichol G, Aufderheide TP, Cheskes S, et al. Advanced vs. Basic Life Support in the Treatment of Out-of-Hospital Cardiopulmonary Arrest in the Resuscitation Outcomes Consortium. Resuscitation. 2018; 128:132-137.
[18] Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 Suppl 2):S414-35.
[19] Thoren AB, Axelsson A, Herlitz J. The attitude of cardiac care patients towards CPR and CPR education. Resuscitation. 2004; 61(2):163–71.
[20] Plagisou L, Tsironi M, Zyga S, Moisoglou I, Maniadakis N, Prezerakos P. Assessment of nursing staff’s theoretical knowledge of cardiovascular resuscitation in an NHS public hospital. Hellenic J Cardiol. 2015; 56(2):149-53.
[21] Graham CA, Guest KA, Scollon D. Cardiopulmonary resuscitation. Paper 1: A survey of undergraduate training in UK medical schools. J Accid Emerg Med. 1994; 11(3):162-4.
[22] Pishbin E., Bidar M., Eslami N, Akbari M., Ebrahimi M., Talebi Dalui M., et al. 'The Effect of Basic Life Support Workshop on Performance Skills of Iranian Undergraduate Dental Students'. Future of Medical Education Journal. 2015; 5(3):20-23.
[23] Graham CA, Scollon D. Cardiopulmonary resuscitation training for undergraduate medical students: a five-year study. Med Educ. 2002; 36(3):296-8.
[24] Jamalpour MR, Asadi HK, Zarei K. Basic life support knowledge and skills of Iranian general dental practitioners to perform cardiopulmonary resuscitation. Niger Med J. 2015; 56(2):148-52.
[25] Smith GB, Poplett N. Knowledge of aspects of acute care in trainee doctors. Postgrad Med J. 2002; 78(920):335-8.
[26] Isazadehfar K, Sadaghat M, Entezari asl M. Cardiopulmonary Resuscitation Training for Medical Students in Anesthesiology Rotation in Ardabil Medical University (Iran). J Med Edu. 2008;12(1 & 2):e105369.
[27] Nolan J. Advanced life support training. Resuscitation. 2001; 50(1):9-11.
[28] Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-Hospital Cardiac Arrest: A Review. JAMA. 2019; 321(12):1200-1210.
[29] Batley NJ, Bakhti R, Chami A, Jabbour E, Bachir R, El Khuri C, Mufarrij AJ. The effect of patient death on medical students in the emergency department. BMC Med Educ. 2017; 17(1):110.
[30] Larkin GL, Copes WS, Nathanson BH, Kaye W. Pre-resuscitation factors associated with mortality in 49,130 cases of in-hospital cardiac arrest: a report from the National Registry for Cardiopulmonary Resuscitation. Resuscitation. 2010; 81(3):302-11.
[31] Oteir AO, Almhdawi KA, Kanaan SF, Alwidyan MT, Williams B. Cardiopulmonary resuscitation level of knowledge among allied health university students in Jordan: a cross-sectional study. BMJ Open. 2019; 9(11):e031725.
[32] Ashoorion V, Changiz T, Sabri M. CPR Education before Internship. J Med Edu. 2006; 9(1):e105283.
[33] Rajaram N, Krishna H, Singh R, Narayan AK. Impact of COVID-19 on Basic Life Support Training Among Medical Students: An Experimental Study. Cureus. 2022; 14(4):e23775.
[2] Lee K. Cardiopulmonary resuscitation: new concept. Tuberc Respir Dis (Seoul). 2012; 72(5):401-8.
[3] Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R, et al. Part 1: Executive summary: 2010 Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010; 122:S640–656.
[4] Wik L, Kramer-Johansen J, Myklebust H, Sørebø H, Svensson L, Fellows B, Steen PA. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005; 293(3):299-304.
[5] Bakke HK, Bakke HK, Schwebs R. First-aid training in school: amount, content and hindrances. Acta Anaesthesiol Scand. 2017; 61(10):1361-1370.
[6] Zinckernagel L, Malta Hansen C, Rod MH, Folke F, Torp-Pedersen C, Tjørnhøj-Thomsen T. What are the barriers to implementation of cardiopulmonary resuscitation training in secondary schools?A qualitative study. BMJ Open 2016; 6:e010481.
[7] Mehra R. Global public health problem of sudden cardiac death. J Electrocardiol. 2007; 40(6 Suppl):S118-22.
[8] Dan Sebastian D, Natalia H, Theodor B, Loredana F,Sanda Maria C. Training in cardiopulmonary resuscitation provided by medical students, residents and specialists: A non-inferiority trial. Hong Kong Journal of Emergency Medicine 2018; 25(1) 20–26.
[9] Stirparo G, Gambolò L, Bellini L, Medioli F, Bertuol M, Guasconi M, et al. Satisfaction evaluation for ACLS training. Acta Biomed. 2022; 93(3):e2022260.
[10] Taniguchi T, Ohta K, Kawada M, Inaba H, Yamamoto K. [Role of anesthesiologists is the education of cardiopulmonary resuscitation in local hospitals]. Masui. 2005; 54(4):436-9. Japanese.
[11] Organization WH. Global Health Observatory: non-communicable diseases mortality and morbidity. 2013.
[12] Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the Burden of Cardiovascular Diseases in Iran from 2005 to 2025: The Impact of Demographic Changes: IJPH. 2017; 46(4):506.
[13] Baduni N, Prakash P, Srivastava D, Sanwal MK, Singh BP. Awareness of basic life support among dental practitioners. Natl J Maxillofac Surg. 2014; 5(1):19-22.
[14] Goldman S, Johnson G, Cohn JN, Cintron G, Smith R, Francis G. Mechanism of death in heart failure: The vasodilator—heart failure trials. Circulation. 1993; 87:V124-31.
[15] Sasson C, Keirns CC, Smith D, Sayre M, Macy M, Meurer W, et al. Small area variations in out-of-hospital cardiac arrest: does the neighborhood matter?. Annals of internal medicine. 2010; 153(1):19-22.www.annals.org.
[16] Song F, Sun S, Ristagno G, Yu T, Shan Y, Chung SP, et al. Delayed high-quality CPR does not improve outcomes. Resuscitation. 2011; 82 Suppl 2:S52-5.
[17] Kurz MC, Schmicker RH, Leroux B, Nichol G, Aufderheide TP, Cheskes S, et al. Advanced vs. Basic Life Support in the Treatment of Out-of-Hospital Cardiopulmonary Arrest in the Resuscitation Outcomes Consortium. Resuscitation. 2018; 128:132-137.
[18] Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 Suppl 2):S414-35.
[19] Thoren AB, Axelsson A, Herlitz J. The attitude of cardiac care patients towards CPR and CPR education. Resuscitation. 2004; 61(2):163–71.
[20] Plagisou L, Tsironi M, Zyga S, Moisoglou I, Maniadakis N, Prezerakos P. Assessment of nursing staff’s theoretical knowledge of cardiovascular resuscitation in an NHS public hospital. Hellenic J Cardiol. 2015; 56(2):149-53.
[21] Graham CA, Guest KA, Scollon D. Cardiopulmonary resuscitation. Paper 1: A survey of undergraduate training in UK medical schools. J Accid Emerg Med. 1994; 11(3):162-4.
[22] Pishbin E., Bidar M., Eslami N, Akbari M., Ebrahimi M., Talebi Dalui M., et al. 'The Effect of Basic Life Support Workshop on Performance Skills of Iranian Undergraduate Dental Students'. Future of Medical Education Journal. 2015; 5(3):20-23.
[23] Graham CA, Scollon D. Cardiopulmonary resuscitation training for undergraduate medical students: a five-year study. Med Educ. 2002; 36(3):296-8.
[24] Jamalpour MR, Asadi HK, Zarei K. Basic life support knowledge and skills of Iranian general dental practitioners to perform cardiopulmonary resuscitation. Niger Med J. 2015; 56(2):148-52.
[25] Smith GB, Poplett N. Knowledge of aspects of acute care in trainee doctors. Postgrad Med J. 2002; 78(920):335-8.
[26] Isazadehfar K, Sadaghat M, Entezari asl M. Cardiopulmonary Resuscitation Training for Medical Students in Anesthesiology Rotation in Ardabil Medical University (Iran). J Med Edu. 2008;12(1 & 2):e105369.
[27] Nolan J. Advanced life support training. Resuscitation. 2001; 50(1):9-11.
[28] Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-Hospital Cardiac Arrest: A Review. JAMA. 2019; 321(12):1200-1210.
[29] Batley NJ, Bakhti R, Chami A, Jabbour E, Bachir R, El Khuri C, Mufarrij AJ. The effect of patient death on medical students in the emergency department. BMC Med Educ. 2017; 17(1):110.
[30] Larkin GL, Copes WS, Nathanson BH, Kaye W. Pre-resuscitation factors associated with mortality in 49,130 cases of in-hospital cardiac arrest: a report from the National Registry for Cardiopulmonary Resuscitation. Resuscitation. 2010; 81(3):302-11.
[31] Oteir AO, Almhdawi KA, Kanaan SF, Alwidyan MT, Williams B. Cardiopulmonary resuscitation level of knowledge among allied health university students in Jordan: a cross-sectional study. BMJ Open. 2019; 9(11):e031725.
[32] Ashoorion V, Changiz T, Sabri M. CPR Education before Internship. J Med Edu. 2006; 9(1):e105283.
[33] Rajaram N, Krishna H, Singh R, Narayan AK. Impact of COVID-19 on Basic Life Support Training Among Medical Students: An Experimental Study. Cureus. 2022; 14(4):e23775.
| Files | ||
| Issue | Article in Press |
|
| Section | Research Article(s) | |
| Keywords | ||
| Cardiopulmonary resuscitation Medical students Anesthesiology | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Montaseri AR, Jammoul A, Mireskandari SM, Nazari N, Eslami B, Jammoul A. The Assessment of Effectiveness of Anesthesiology Rotation in Acquiring Proficiency in Cardiopulmonary and Cerebral Resuscitation for Medical Students at Tehran University of Medical Sciences in the Years 2021-2022. Arch Anesth & Crit Care. 2024;.
