Ismail, Shahira Md
(2018)
A study on the effectiveness of emergency rotation to improve cardiopulmonary resuscitation skill among house officer.
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction
This study aimed to assess the effectiveness of emergency posting during housemanship in
improving the skills of cardiopulmonary resuscitation (CPR) and in handling automated
external defibrillator (AED) among house officers (HOs). It also aimed to identify the
associated factors that improve the CPR skills and AED handling.
Materials and Methods
A prospective observational study was conducted in Emergency department (ED) Hospital
University Sains Malaysia (HUSM) and ED Hospital Pulau Pinang (HPP) from June 2016 until
May 2017 involving sixty five HOs. The HOs were assessed on CPR and AED handling in the
first week of emergency posting and fourteen weeks after. Their assessment was based on the
American Heart Association (AHA) Basic Life Support (BLS) for healthcare Providers Course
Final Evaluation Skills with the maximum scores of fourteen for HUSM for and thirteen for
HPP. Two assessors were involved in each session. The mean score from both assessors was
chosen as final mark. Laerdal Little Anne Manikin and Laerdal AED was used during this
study.
Results
There were significant mean differences for CPR skills before and after completing
emergency posting in ED HPP, which the mean score increases from 9.15±2.75 to
11.45±1.45 with the p-value of <0.001. The study also showed similar statistical significant
for the cohort in ED HUSM. The mean score increases from 8.37±2.92 to 12.97±1.22 with
the p-value of <0.001.This study demonstrated that multiple real life hands on AED during
emergency posting were significant in contributing to improvement of CPR skills in HUSM
with the p-value of 0.04.
Conclusions
This study concluded that attending a period of fourteen weeks in emergency posting had
significantly improved the CPR skills among HOs. Furthermore it also showed that HO with
multiple real life AED handling during emergency posting had better performance in CPR
skills.
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