Abstract PR074

Abstract

Background & Objectives: Sudden cardiac arrest is one of the leading causes of death in the world. In obstetrics practice sudden cardiac death associated with pregnancy is very rare and special attention is paid to the absence of skills of CPR providing. Particularly, it relates to medical staff of specialized obstetrics department. In this situation interactive simulation-based medical education (CPR trainings) with evaluation and feedback took the primary role in modern educational process. Materials & Methods: This study included 234 anesthesiologist, 51 obstetrician, 74 nurses. Participants completed a 2-hour interactive course that provided the theoretical and practical background on sudden cardiac arrest in pregnant women and BLS algorithm (ERC guidelines 2015). Before the training they were asked to perform self-BLS on a manikin to simulate a sudden cardiac arrest scenario (Training #1). Afterwards, participants themselves, and with instructor found and analyzed main mistakes and a possibility of return of spontaneous circulation, and replayed the same scenario (Training #2). After analysis and theoretical work the participants performed the same scenario and we assessed their knowledge (Training #3). Before in and after the training we asked about skills of CPR performing. We asked them how they rated their skills: whether they performed CPR most fully. Results: The main mistakes were late/absence of call for help, slow initiation of CPR, wrong compression, long pauses. The score from ability to provide true CPR in anesthesiologist, obstetrician, nurses groups was: before training (#1) 21%, 12%, 9%, in training (#2) 72%, 59%, 64% and after training (#3) 97%, 90%, 95%. After the training, 96% of trainees stated that they felt confident about performing CPR, as compared to 20% after training#2, and 95% before the training. Conclusion: This study has demonstrated that the knowledge of BLS by a group of obstetrics staff before CPR training was inadequate. This study also showed the positive influence of training on the BLS knowledge of the participants. Interactive simulation-based medical education (CPR trainings) in obstetrics department seems highly effective and showed positive influence of training on the BLS knowledge of all participants. We observed significant improvement and a good retention rate after training. This methodology can increase the number of positive outcomes after sudden cardiopulmonary death in obstetrics and we highly recommend that BLS/CPR modules are implemented as a mandatory part of the post-graduate medical education. Disclosure of Interest: None declared