Cardiopulmonary resuscitation: Knowledge and Attitude of doctors from Lahore

Ayesha Iqbal1, Iqra Nisar1, Isra Arshad1

  • 1SIMS - Services Institute of Medical Sciences, Lahore, Pakistan.

Insights

Most doctors in Lahore have poor knowledge of cardiopulmonary resuscitation (CPR) despite a positive attitude towards performing it. Further training is recommended to improve CPR competence among healthcare professionals.

Area of Science:

  • Cardiology
  • Medical Education
  • Emergency Medicine

Background:

  • Cardiopulmonary resuscitation (CPR) is a critical emergency procedure.
  • Adherence to established guidelines, such as those from the American Heart Association (AHA), is crucial for effective CPR.
  • Assessing healthcare professionals' knowledge and attitudes is vital for improving resuscitation outcomes.

Purpose of the Study:

  • To evaluate the current knowledge and attitudes of doctors in Lahore concerning CPR.
  • To assess adherence to American Heart Association (AHA) CPR guidelines among physicians.
  • To identify areas for improvement in CPR education and practice.

Main Methods:

  • A cross-sectional study was conducted across six major hospitals in Lahore.
  • E-questionnaires were administered to 724 participating doctors, achieving a 91% response rate.
  • Knowledge was categorized as 'good' (≥10 score) or 'poor' (<10 score), with statistical significance set at p < 0.05.

Main Results:

  • A significant majority (83%) of doctors demonstrated poor knowledge of CPR.
  • Only 17% of participants possessed good CPR knowledge.
  • Doctors with formal CPR training showed significantly better knowledge (20.17%) compared to those without (4.69%). Anesthesiologists performed best among specialties.
  • A high positive attitude towards performing CPR was reported by 93.8% of respondents.

Conclusions:

  • The overall knowledge of CPR among doctors in Lahore is unsatisfactory.
  • A practical and functional approach is necessary to enhance CPR knowledge and skills.
  • Despite knowledge gaps, doctors exhibit a positive attitude towards performing CPR, indicating a willingness to act in emergencies.
Abstract

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Cardiopulmonary Resuscitation I: Adult01:21

Cardiopulmonary Resuscitation I: Adult

Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...