Is There an Improvement in Patient Survival/Code Blue Activation after Training Based on Simulation (Basic Life Support—BLS) Based Practice of Cardiopulmonary Resuscitation?

Sunil S Nikose,Priyal Shrivastava,Bhagyashree Nikose,Devashree Nikose,Kushagra Mathur,Isha Hazare,Sandeep Shrivastava

doi:10.4236/wjcd.2020.108051

Abstract

Background and Aim: The only way to survive a sudden cardiac arrest is when the CPR is performed immediately after the arrest. The focus of the present research study is to assess the effectiveness of a pre- and post-simulation-based BLS training (BLS) and the outcome was measured on the basis of patient survival after the cardiac arrest. Study Design: This pre- and post-training BLS/CPR training study enrolled all nursing staff, all hospital residents, internees, throughout the hospital in a simulation-based BLS training as per the standards of American Heart Association (AHA), to make them respond to immediate resuscitation and code blue activation during the cardiac arrest within the hospital premises including ED, wards, ICUs, MRI, CT and all miscellaneous areas. The providers completed self-efficacy questionnaires as per the AHA protocol before being certified and were evaluated during the emergency in hospital cardiopulmonary arrest. Results: 296 nursing staff, 206 non-healthcare professionals, 143 residents, 212 internees, and 98 medical staff grade doctors completed the BLS training (total 955 hospital staff—providers) were graded for the response by pre- and post-training testing. In the course of pre-BLS training period out of the 250 cardiac arrest patients, 68 patients (27.2%) had ROSC, while after instituting the BLS training period, 143 individuals (40.86%) of the 350 patients who had cardiac arrest had ROSC (p 0.05). Conclusion: A simulation-based CPR and BLS training curriculum greatly improves patient outcome by reducing mortality and morbidity with improved subjectivity, self-efficiency along with the objective assessment of the performance scores during acute cardiac arrest in Emergency Cardiovascular Care (ECC).

Highlights

Sudden cardiac arrests are prominent public health threats and are the third most commonly attributed cause of mortality cause and disability, following heart disease and cancer [1]
Study Design: This pre- and post-training Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) training study enrolled all nursing staff, all hospital residents, internees, throughout the hospital in a simulation-based BLS training as per the standards of American Heart Association (AHA), to make them respond to immediate resuscitation and code blue activation during the cardiac arrest within the hospital premises including Emergency Department (ED), wards, ICUs, MRI, CT and all miscellaneous areas
The research considered all nursing personnel, all hospital residents and interns who were voluntarily and willingly participated in pre- and post-training BLS/CPR training trial in a simulation-based BLS training according to American Heart Association (AHA) standards to allow them to respond to immediate resuscitation and code blue activation during cardiac arrest within the hospital premises including ED, wards, ICUs, MRI and CT

Summary

Introduction

Sudden cardiac arrests are prominent public health threats and are the third most commonly attributed cause of mortality cause and disability, following heart disease and cancer [1]. The AHA (2016) defined a cardiac arrest as sudden loss of cardiac activity in a person who may or may not have any underlying or pre-existing cardiac conditions, and can be terminal if corrective measures are not instituted immediately. In response to a Code blue incident, the term cardiopulmonary resuscitation (CPR) and basic life support (BLS) are often used interchangeably to characterize an emergency procedure executed. Study Design: This pre- and post-training BLS/CPR training study enrolled all nursing staff, all hospital residents, internees, throughout the hospital in a simulation-based BLS training as per the standards of American Heart Association (AHA), to make them respond to immediate resuscitation and code blue activation during the cardiac arrest within the hospital premises including ED, wards, ICUs, MRI, CT and all miscellaneous areas. In the course of pre-BLS training period out of the 250 cardiac arrest patients, 68 patients (27.2%) had ROSC, while after instituting the BLS training period, 143 individuals (40.86%) of the 350 patients who had cardiac arrest had ROSC

Methods

Results

Discussion

Conclusion