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BACKGROUND:Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support(BLS/ACLS) guidelines to revive unresponsive patients.METHODS:Across-sectional study was conducted to evaluate the current practices and knowledge of BLS/ACLS principles among healthcare professionals of North-Kerala using pretested self-administered structured questionnaire.Answers were validated in accordance with American Heart Association’s BLS/ACLS teaching manual and the results were analysed.RESULTS:Among 461 healthcare professionals,141(30.6%) were practicing physicians,268(58.1%) were nurses and 52(11.3%) supporting staff.The maximum achievable score was 20(BLS15/ACLS 5).The mean score amongst all healthcare professionals was 8.9±4.7.The mean score among physicians,nurses and support staff were 8.6±3.4,9±3.6 and 9±3.3 respectively.The majority of healthcare professionals scored <50%(237,51.4%);204(44.3%) scored 51%-80%and 20(4.34%)scored >80%.Mean scores decreased with age,male sex and across occupation.Nurses who underwent BLS/ACLS training previously had significantly higher mean scores(10.2±3.4) than untrained(8.2±3.6,P=0.001).Physicians with <5 years experience(P=0.002) and nurses in the private sector(P=0.003)had significantly higher scores.One hundred and sixty three(35.3%) healthcare professionals knew the correct airway opening manoeuvres like head tilt,chin lift and jaw thrust.Only 54(11.7%) respondents were aware that atropine is not used in ACLS for cardiac arrest resuscitation and 79(17.1%) correctly opted ventricular fibrillation and pulseless ventricular tachycardia as shockable rhythms.The majority of healthcare professionals(356,77.2%) suggested that BLS/ACLS be included in academic curriculum.CONCLUSION:Inadequate knowledge of BLS/ACLS principles amongst healthcare professionals,especially physicians,illuminate lacunae in existing training systems and merit urgent redressal.
BACKGROUND: Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support (BLS / ACLS) guidelines to revive unresponsive patients. METHODS: Across-sectional study was conducted to evaluate the current practices and knowledge of BLS / ACLS principles among healthcare professionals of North-Kerala using pretested self-filled structured questionnaire. Patients were validated in accordance with American Heart Association’s BLS / ACLS teaching manual and the results were analysed .RESULTS: Among 461 healthcare professionals, 141 (30.6%) were practicing physicians, 268 (58.1%) were nurses and 52 (11.3%) supporting staff. The maximum achievable score was 20 (BLS15 / ACLS 5). The mean score among all healthcare professionals was 8.9 ± 4.7. The mean score among physicians, nurses and support staff were 8.6 ± 3.4, 9 ± 3.6 and 9 ± 3.3 respectively. The majority of healthcare professionals scored <50% (237,51.4%); 204 (44.3%) scored 51% -80% and 20 (4.34%) scored> 80 % .Mean scores dec Patients who had undergone higher than mean scores (10.2 ± 3.4) untrained (8.2 ± 3.6, P = 0.001) .Physicians with <5 years experience (P = 0.002 ) and nurses in the private sector (P = 0.003) had significantly higher scores. One hundred and sixty three (35.3%) healthcare professionals knew the correct airway opening manoeuvres like head tilt, chin lift and jaw thrust. Only 54 (11.7%) respondents were aware that atropine is not used in ACLS for cardiac arrest resuscitation and 79 (17.1%) correctly opted ventricular fibrillation and pulseless ventricular tachycardia as shockable rhythms. the majority of healthcare professionals (356,77.2%) suggested that BLS / ACLS be included in academic curriculum. CONCLUSION: Inadequate knowledge of BLS / ACLS principles amongst healthcare professionals, especially physicians, illuminate lacunae in existing training systems and merit urgent redressal.