International emergency medicine| Volume 35, ISSUE 2, P213-222, August 2008

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Determination of Advanced Life Support Knowledge Level of Residents in a Turkish University Hospital


      The aim of the study was to determine the advanced cardiac life support (ACLS) knowledge level of residents and related factors in the departments of Anesthesiology, Emergency Medicine, Internal Medicine, and Cardiology in a university hospital. For this cross-sectional study, a total of 20 multiple-choice questions were prepared concerning several different topics, including: fatal dysrhythmias, oxygenation, ventilation and airway control, asystole, and pulseless electrical activity. Questions were given to residents before their periodic training meetings and collected in 30 min. There were 101 of 120 residents from four clinical departments (participation rate 84%) tested. Average point total and standard deviations of all residents were 66.3 ± 17 out of 100 points. On a departmental basis, statistically significant differences were found in the knowledge level of residents (Emergency Medicine: 86.2 ± 8.2, Cardiology: 66.7 ± 12.9, Anesthesiology: 59.3 ± 16.2, Internal Medicine: 56.1 ± 13.5, F: 28.6, p < 0.0001). The factors that affect ACLS knowledge level of residents were “postgraduate ACLS training,” “awareness of guidelines,” and “resuscitation frequency.” Postgraduate training and the frequency of ACLS practice seem to increase the ACLS knowledge level of residents. The present study emphasizes the necessity for a standardized systematic postgraduate ACLS training program for the residents of related medical disciplines. Further studies with larger groups are needed to investigate theoretical knowledge, resuscitation skill competency, and related factors.


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        • Safar P.
        • Escarraga L.A.
        • Elam J.O.
        A comparison of the mouth-to-mouth and mouth-to-airway methods of artificial respiration with the chest-pressure arm-lift methods.
        N Engl J Med. 1958; 258: 671-677
        • Elam J.O.
        • Greene D.G.
        • Brown E.S.
        • et al.
        Oxygen and carbon dioxide exchange and energy cost of expired air resuscitation.
        JAMA. 1958; 167: 328-341
      1. Part 1. Introduction to the International Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care: a consensus on science.
        Circulation. 2000; 102: I1-I12
        • Gwinnutt C.L.
        • Columb M.
        • Harris R.
        Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines.
        Resuscitation. 2000; 47: 125-135
        • Lewis R.M.
        • Fulstow R.
        • Smith G.B.
        The teaching of cardiopulmonary resuscitation in schools in Hampshire.
        Resuscitation. 1997; 35: 27-31
        • Kurrek M.M.
        • Devitt J.H.
        • Cohen M.
        Cardiac arrest in the OR: how are our ACLS skills.
        Can J Anaesth. 1998; 45: 130-132
        • Onat A.
        • Keleş İ.
        • Çetinkaya A.
        • et al.
        Assessment of the cohort of the Turkish risk factor study with Framingham risk function: an additional indicator of the high absolute coronary risk among Turks.
        Türk Kardiyol Dern Arş. 2001; 29: 208-214
        • Garcia-Barbero M.
        • Caturla-Such C.
        What are we doing in cardiopulmonary resuscitation training in Europe?.
        Resuscitation. 1999; 41: 225-236
        • Lowenstein S.R.
        • Sabyan E.M.
        • Lassen C.F.
        • Kern D.C.
        Benefits of training physicians in advanced cardiac life support.
        Chest. 1986; 89: 512-516
        • Lawrence L.L.
        • Counselman F.L.
        • Gluckman W.
        • Perina D.G.
        Guidelines for undergraduate education in emergency medicine, ACEP's Academic Affairs Committee.
        (Accessed October 13, 2003)
        • Quiney N.F.
        • Gardner J.
        • Brampton W.
        Resuscitation skills among anesthetists.
        Resuscitation. 1995; 29: 215-218
        • Buss P.W.
        • McCabe M.
        • Evans R.J.
        • et al.
        A survey of basic resuscitation knowledge among resident paediatricians.
        Arch Dis Child. 1993; 68: 75-78
        • Donofrio M.T.
        • Barron D.M.
        • Winters S.L.
        • et al.
        Cardiopulmonary resuscitation: qualifications and performance of housestaff and trained internists.
        Mt Sinai J Med. 1989; 56: 279-284
        • Goucke C.R.
        • Dobb G.J.
        Cardiopulmonary resuscitation skills of hospital medical and nursing staff members.
        Med J Aust. 1986; 145: 496-497
        • Marteau T.M.
        • Wynne G.
        • Kaye W.
        • et al.
        Resuscitation: experience without feedback increases confidence not skill.
        Br Med J. 1990; 300: 1198-1199