Final-year medical students' knowledge of cardiac arrest and CPR: We must do more!


Journal

International journal of cardiology
ISSN: 1874-1754
Titre abrégé: Int J Cardiol
Pays: Netherlands
ID NLM: 8200291

Informations de publication

Date de publication:
01 12 2019
Historique:
received: 21 04 2019
revised: 27 06 2019
accepted: 04 07 2019
pubmed: 4 8 2019
medline: 11 8 2020
entrez: 4 8 2019
Statut: ppublish

Résumé

Students are an important part of the community response to an out-of-hospital cardiac arrest (OHCA). If even schoolchildren now know cardio-pulmonary resuscitation (CPR), even more the reason a young doctor should know how to treat an OHCA. The aim of our study was to assess medical students' knowledge of CPR and OHCA throughout Europe. An online survey was given to final-year students by the Medical Student Associations of different countries. 1012 medical students from 99 different universities and 14 different countries completed the questionnaire. A total of 82.2% attended a BLS or BLS/AED course, provided by the University in only 69.7% of cases. In 84.3% it was a mandatory part of their degree. A total of 78.6% felt able to rescue a person in OHCA. Only 49.3% knew that 'unresponsiveness' and 'absence of normal breathing' are sufficient for lay people to identify an OHCA, and less than half of those interviewed knew the incidence of OHCA in Europe and the decrease in chance of survival if CPR is not performed. The correct compression:ventilation ratio was known by 90.2%, the correct compression depth by 69.7%, whilst only 57.8% knew the right compression rate. In total, 69.7% knew that an AED must be used immediately when available, and only 57.2% recognized the AED symbol. Medical students' knowledge of cardiac arrest and CPR needs to be improved throughout Europe and we believe that BLS/AED training should be mandatory in all European Universities.

Sections du résumé

BACKGROUND
Students are an important part of the community response to an out-of-hospital cardiac arrest (OHCA). If even schoolchildren now know cardio-pulmonary resuscitation (CPR), even more the reason a young doctor should know how to treat an OHCA. The aim of our study was to assess medical students' knowledge of CPR and OHCA throughout Europe.
METHODS
An online survey was given to final-year students by the Medical Student Associations of different countries.
RESULTS
1012 medical students from 99 different universities and 14 different countries completed the questionnaire. A total of 82.2% attended a BLS or BLS/AED course, provided by the University in only 69.7% of cases. In 84.3% it was a mandatory part of their degree. A total of 78.6% felt able to rescue a person in OHCA. Only 49.3% knew that 'unresponsiveness' and 'absence of normal breathing' are sufficient for lay people to identify an OHCA, and less than half of those interviewed knew the incidence of OHCA in Europe and the decrease in chance of survival if CPR is not performed. The correct compression:ventilation ratio was known by 90.2%, the correct compression depth by 69.7%, whilst only 57.8% knew the right compression rate. In total, 69.7% knew that an AED must be used immediately when available, and only 57.2% recognized the AED symbol.
CONCLUSIONS
Medical students' knowledge of cardiac arrest and CPR needs to be improved throughout Europe and we believe that BLS/AED training should be mandatory in all European Universities.

Identifiants

pubmed: 31375334
pii: S0167-5273(19)32072-8
doi: 10.1016/j.ijcard.2019.07.016
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

76-80

Commentaires et corrections

Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Enrico Baldi (E)

Department of Molecular Medicine, Section of Cardiology, University of Pavia, Pavia, Italy; Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Pavia nel Cuore, Pavia, Italy; Robbio nel Cuore, Robbio, Italy. Electronic address: enrico.baldi@unipv.it.

Enrico Contri (E)

Pavia nel Cuore, Pavia, Italy; Robbio nel Cuore, Robbio, Italy; AREU Azienda Regionale Emergenza Urgenza-AAT Pavia c/o Fondazione IRCCS Policlinico San Matteo Hospital, Pavia, Italy.

Alessandra Bailoni (A)

Segretariato Italiano Studenti in Medicina - SISM, Pavia, Italy.

Kristina Rendic (K)

Srpska Medical Students' International Committee-SaMSIC, Banja Luka, Bosnia and Herzegovina.

Valeria Turcan (V)

Asociaţia Studenţilor şi Rezidenţilor în Medicină-ASRM, Chișinău, Republic of Moldova.

Nikola Donchev (N)

Association of Medical Students in Bulgaria-AMSB, Sofia, Bulgaria.

Ilia Nadareishvili (I)

Georgian Medical Students Association-GMSA, Tbilisi, Georgia; David Tvildiani Medical University, Tbilisi, Georgia.

Ana-Maria Petrica (AM)

Federaţia Asociaţiilor Studenţilor în Medicină din România-FASMR, Bucharest, Romania.

Irene Yerolemidou (I)

Cyprus Medical Students' Association-CyMSA, Nicosia, Cyprus.

Anastasiia Petrenko (A)

Ukrainian Medical Students' Association-UKRMSA, Kiev, Ukraine.

Johannes Franke (J)

Austrian Medical Students' Associations-AMSA, Wien, Austria.

Gabrielle Labbe (G)

Association Nationale des Etudiants en Médecine de France-ANEMF, Montrouge, France.

Redon Jashari (R)

Kosova's Organization of Medical Students-KOMS, Pristina, Kosovo.

Alba Pérez Dalí (A)

Federación Española de Estudiantes de Medicina para la cooperación internacional-IFMSA Spain, Valladolid, Spain.

Jordy Borg (J)

Malta Medical Students' Association-MMSA, Msida, Malta.

Niklas Hertenberger (N)

German Medical Students' Association-BVMD, Berlin, Germany.

Bernd W Böttiger (BW)

Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Köln, Germany; European Resuscitation Council, Niel, Belgium.

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