Effect of Intermittent Online Training on Adult Cardiopulmonary Resuscitation Management in A Tertiary Care Setting

Background: Cardiac arrest is one of the clinical conditions with the highest mortality rate in the emergency department. The purpose of this study was to assess the impact of education on the quality of cardiopulmonary resuscitation(CPR) performed on patients with out-of-hospital and in-hospital cardiac arrest, as well as to analyze other factors influencing Return of Spontaneous Circulation(ROSC).

Materials and Methods: This study was conducted in the Gulhane Training and Research Hospital's Emergency Department. Cardiopulmonary arrest patients' data were collected using the "Resuscitation Follow-up Form". Descriptive data, including adult arrest case characteristics and CPR protocols, were acquired. ROSC and CPR management parameters were compared in cases that received CPR before and after training.

Results: A total of 95 patients were included in the study. The mean age of the patients was 69,16±14,606. The 64,2%(n=61) of patients were cardiac arrest patients who were intervened before education and 35,7%(n=34) were after education. The ROSC rate in arrest patients before training was 36,1%, and 38,2% after training. When comparing the pre-training and post-training groups in terms of ROSC, it was seen that the ROSC rates increased after the training. While the rate of EtCO2 use was 3,3%(n=2) in pre-training cases, this rate was 97,1%(n=33) in post-training cases. EtCO2 usage rate increased significantly with education(p=0.001). Conclusions: It was observed that EtCO2 usage and correct drug administration increased after the training. It was determined that repetitive trainings improved CPR management in arrest cases.