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Multicenter Study
. 2021 Dec;75(12):e14978.
doi: 10.1111/ijcp.14978. Epub 2021 Nov 14.

The skills of defibrillation practice and certified life-support training in the healthcare providers in Turkey

Oksan Derinoz-Guleryuz  1 , Mutlu Uysal-Yazici  2 , Muhammed Udurgucu  3 , Candemir Karacan  4 , Halise Akça  5 , Ebru Atike Ongun  6 , Faruk Ekinci  7 , Murat Duman  8 , Ayla Akça-Çaglar  4 , Goksel Vatansever  9 , Sevcan Bilen  10 , Metin Uysalol  11 , Leman Akcan-Yıldız  12 , Eylem Ulas Saz  13 , Alkan Bal  14 , Etem Piskin  15 , Sabiha Sahin  16 , Funda Kurt  5 , Murat Anil  17 , Esen Besli  18 , Mehmet Alakaya  19 , Ayse Gültekingil  20 , Resul Yılmaz  21 , Ozlem Temel-Koksoy  22 , Selman Kesici  23 , Nihal Akcay  24 , Erdem Cebisli  25 , Serhat Emeksiz  26 , Mehmet Arda Kılınc  27 , Alper Köker  28 , Yasemin Çoban  28 , Nilgün Erkek  29 , Ramazan Gurlu  29 , Emel Eksi-Alp  30 , Hursit Apa  31 ; Turkish Defibrillation Study Group
Collaborators, Affiliations
Multicenter Study

The skills of defibrillation practice and certified life-support training in the healthcare providers in Turkey

Oksan Derinoz-Guleryuz et al. Int J Clin Pract. 2021 Dec.

Abstract

Aim of the study: Successful cardiopulmonary resuscitation and early defibrillation are critical in survival after in- or out-of-hospital cardiopulmonary arrest. The scope of this multi-centre study is to (a) assess skills of paediatric healthcare providers (HCPs) concerning two domains: (1) recognising rhythm abnormalities and (2) the use of defibrillator devices, and (b) to evaluate the impact of certified basic-life-support (BLS) and advanced-life-support (ALS) training to offer solutions for quality of improvement in several paediatric emergency cares and intensive care settings of Turkey.

Methods: This cross-sectional and multi-centre survey study included several paediatric emergency care and intensive care settings from different regions of Turkey.

Results: A total of 716 HCPs participated in the study (physicians: 69.4%, healthcare staff: 30.6%). The median age was 29 (27-33) years. Certified BLS-ALS training was received in 61% (n = 303/497) of the physicians and 45.2% (n = 99/219) of the non-physician healthcare staff (P < .001). The length of professional experience had favourable outcome towards an increased self-confidence in the physicians (P < .01, P < .001). Both physicians and non-physician healthcare staff improved their theoretical knowledge in the practice of synchronised cardioversion defibrillation (P < .001, P < .001). Non-certified healthcare providers were less likely to manage the initial doses of synchronised cardioversion and defibrillation: the correct responses remained at 32.5% and 9.2% for synchronised cardioversion and 44.8% and 16.7% for defibrillation in the physicians and healthcare staff, respectively. The indications for defibrillation were correctly answered in the physicians who had acquired a certificate of BLS-ALS training (P = .047, P = .003).

Conclusions: The professional experience is significant in the correct use of a defibrillator and related procedures. Given the importance of early defibrillation in survival, the importance and proper use of defibrillators should be emphasised in Certified BLS-ALS programmes. Certified BLS-ALS programmes increase the level of knowledge and self-confidence towards synchronised cardioversion-defibrillation procedures.

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References

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