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Resuscitation in Community Healthcare Facilities in Israel
Background: Out-of-hospital cardiac-arrest (OHCA) is a major public health challenge. Community health care providers (CHP) may play an important role through early identification, basic life support and defibrillation. Few studies have evaluated the incidence and characteristics of OHCAs initially...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296505/ https://www.ncbi.nlm.nih.gov/pubmed/34205368 http://dx.doi.org/10.3390/ijerph18126612 |
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author | Zherebovich, Irena Goldberg, Avishay Ben Tov, Amir Schwartz, Dagan |
author_facet | Zherebovich, Irena Goldberg, Avishay Ben Tov, Amir Schwartz, Dagan |
author_sort | Zherebovich, Irena |
collection | PubMed |
description | Background: Out-of-hospital cardiac-arrest (OHCA) is a major public health challenge. Community health care providers (CHP) may play an important role through early identification, basic life support and defibrillation. Few studies have evaluated the incidence and characteristics of OHCAs initially cared for by CHP, most finding improved survival. This study combined CHP treated OHCA case analysis, with assessment of provider resuscitation preparedness. Methods: An analysis of all CHP initiated resuscitations in a large Health Maintenance Organization (HMO) reported over 42 months, coupled with an online survey assessing CHP resuscitation knowledge, experience, training and self-confidence. Results: 22 resuscitations met inclusion criteria. In 21 CHP initiated chest-compressions but in only 8 cases they utilized the clinic’s automated external defibrillator (AED) prior to emergency medical services (EMS) arrival. There were 275 providers surveyed. Of the surveyed providers, 89.4% reported previous basic life support (BLS)/advanced cardiovascular life support (ALS) training, 67.9% within the last three years. Previous resuscitation experience was reported by 72.7%. The lowest scoring knowledge question was on indications for AED application −56.3%. Additionally, 44.4% reported low confidence in their resuscitation skills. CHP with previous cardiopulmonary resuscitation (CPR) experience reported higher confidence. Longer time since last CPR training lowered self-confidence. Conclusions: Early AED application is crucial for patients with OHCA. All clinics in our study were equipped with AED’s and most CHP received training in their use, but remained insecure regarding their use, often failing to do so. |
format | Online Article Text |
id | pubmed-8296505 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82965052021-07-23 Resuscitation in Community Healthcare Facilities in Israel Zherebovich, Irena Goldberg, Avishay Ben Tov, Amir Schwartz, Dagan Int J Environ Res Public Health Article Background: Out-of-hospital cardiac-arrest (OHCA) is a major public health challenge. Community health care providers (CHP) may play an important role through early identification, basic life support and defibrillation. Few studies have evaluated the incidence and characteristics of OHCAs initially cared for by CHP, most finding improved survival. This study combined CHP treated OHCA case analysis, with assessment of provider resuscitation preparedness. Methods: An analysis of all CHP initiated resuscitations in a large Health Maintenance Organization (HMO) reported over 42 months, coupled with an online survey assessing CHP resuscitation knowledge, experience, training and self-confidence. Results: 22 resuscitations met inclusion criteria. In 21 CHP initiated chest-compressions but in only 8 cases they utilized the clinic’s automated external defibrillator (AED) prior to emergency medical services (EMS) arrival. There were 275 providers surveyed. Of the surveyed providers, 89.4% reported previous basic life support (BLS)/advanced cardiovascular life support (ALS) training, 67.9% within the last three years. Previous resuscitation experience was reported by 72.7%. The lowest scoring knowledge question was on indications for AED application −56.3%. Additionally, 44.4% reported low confidence in their resuscitation skills. CHP with previous cardiopulmonary resuscitation (CPR) experience reported higher confidence. Longer time since last CPR training lowered self-confidence. Conclusions: Early AED application is crucial for patients with OHCA. All clinics in our study were equipped with AED’s and most CHP received training in their use, but remained insecure regarding their use, often failing to do so. MDPI 2021-06-19 /pmc/articles/PMC8296505/ /pubmed/34205368 http://dx.doi.org/10.3390/ijerph18126612 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zherebovich, Irena Goldberg, Avishay Ben Tov, Amir Schwartz, Dagan Resuscitation in Community Healthcare Facilities in Israel |
title | Resuscitation in Community Healthcare Facilities in Israel |
title_full | Resuscitation in Community Healthcare Facilities in Israel |
title_fullStr | Resuscitation in Community Healthcare Facilities in Israel |
title_full_unstemmed | Resuscitation in Community Healthcare Facilities in Israel |
title_short | Resuscitation in Community Healthcare Facilities in Israel |
title_sort | resuscitation in community healthcare facilities in israel |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296505/ https://www.ncbi.nlm.nih.gov/pubmed/34205368 http://dx.doi.org/10.3390/ijerph18126612 |
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