Audit on evaluation of emergency equipment for cardiopulmonary resuscitation available in clinical areas in Teaching Hospital Anuradhapura

Abstract

Introduction: Successful cardiopulmonary resuscitation (CPR) is critical in saving lives in critical care management. Both skills and facilities are important to achieve a successful CPR. This study was aimed to determine the currently available facilities for cardiopulmonary resuscitation in various clinical areas at Teaching hospital, Anuradhapura. Methods: The audit was carried out in all wards, ICUs and operating theatres of Teaching Hospital Anuradhapura during one week period in 2013. This was a questionnaire based, cross-sectional observational study. Results: Data were collected from 54 clinical areas. Only 80% of clinical areas had ambu bags, face masks, oropharyngeal airways, portable suction apparatus, yankauer sucker and tracheal suction. Almost every clinical area had tracheal tubes of various sizes. More than 95% of sites had a larygoscopy handle. Less than 20% of places had LMA, magil forceps and bougie for use in difficult intubation. Only 40% of the clinical areas had defibrillator in working condition. Most of the sites had equipment for fluid resuscitation. Almost all trolleys had adrenalin 1mg vials and atropin 0.6mg vials. However CaCl 10% glucose, naloxone, Saline 10ml vials and 2, GTN spray were available in less than 50% of places we assessed. Only one thirds of the clinical areas did regular checks on the emergency trolley at every shift. Conclusion: It is important update emergency trolleys according to guidelines and ensure regular check-up to make sure they are up-to-date.