DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20205304

Knowledge and awareness of basic life support among MBBS students in tertiary care hospital in Uttar Pradesh

Bikram K. Gupta, Shubham Tomar, Anukul Karn, Jassimran Singh, Aditi Agrawal, Vanita R. Mhaske

Abstract


Background: Every medical student in India have to undergo a compulsory rotatory internship for completion of their course where they encounter various medical emergencies and apply their medical knowledge. An early encounter to a basic life support course and training will increase the efficacy of cardiopulmonary resuscitation and thus the outcome of the patient. This study was designed to test knowledge of MBBS students in a tertiary care hospital.

Methods: This observational study was conducted in a tertiary care hospital in Uttar Pradesh and used a preformed validated questionnaire to test awareness and knowledge of basic life support and cardiopulmonary resuscitation in a sample of 500 MBBS students. Descriptive analysis was performed on the questionnaire responses. All data obtained from the questionnaire was evaluated and statistically analysed using software IBM SPSS Statistics software version 24 (IBM Corp., Armonk, NY, USA) for MS windows.

Results: With a response rate of 47% among 500 MBBS students, the mean score obtained was 2.34±1.066 out of a maximum score of five. A maximum score of 2.804±1.055 obtained by 5th-year students. Surprisingly, first-year students achieved an average score of 2.66±0.97, which was higher than that of 2nd, 3rd, and 4th year students. 87% of students were like-minded to participate in the cardiopulmonary resuscitation (CPR) awareness program. Only 45% of students correctly answered the order of CPR as C-A-B (chest compression-airway-breathing).

Conclusions: The study showed that though the awareness and importance of basic life support (BLS) are high among the medical students, the accurate knowledge required in performing BLS is inadequate. This study also showed that the National medical commission has taken a positive step in the incorporation of BLS in the curriculum.


Keywords


CPR, Medical student, Observational study, Prospective study, Survey, Tertiary care hospital

Full Text:

PDF

References


WHO. Cardiovascular diseases. Available at: https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1. Accessed on 16 February 2020.

CDC. Global Health India. Available at: https://www.cdc.gov/globalhealth/countries/india/default.htm. Accessed on 16 February 2020.

Rao BH. Global burden of sudden cardiac death and insights from India. Indian Heart J. 2013;66:S18-23.

Ahmed SM, Garg R, Divatia JV, Rao SC, Mishra BB, Kalandoor VM, et al. Compression-only life support (COLS) for cardiopulmonary resuscitation by layperson outside the hospital. Indian J Anaesth. 2017;61(11):867-73.

Volgman AS, Palaniappan LS, Aggarwal NT, Gupta M, Khandelwal A, Krishnan AV, et al. Atherosclerotic cardiovascular disease in South Asians in the United States: epidemiology, risk factors, and treatments: a scientific statement From the American Heart Association. Circulation. 2018;138(1):e1-34.

Savary-Borioli G. Basic life support: the primary ABC(D) of cardiopulmonary resuscitation. Ther Umschau Rev Thérapeutique. 1996;53(8):624-9.

Brain Activity and Damage after Cardiac Arrest. Available at: https://www.verywellhealth.com/ brain-activity-after-cardiac-arrest-1298429. Accessed on 7 June 2020.

Perkins GD, Cooke MW. Variability in cardiac arrest survival: the NHS ambulance service quality indicators. Emerg Med J. 2012;29(1):3-5.

What is CPR. American Heart Association CPR and First Aid. Available at: https://cpr.heart.org/en/resources/what-is-cpr. Accessed February 16, 2020.

Lee JH, Cho Y, Kang KH, Cho GC, Song KJ, Lee CH. The Effect of the duration of basic life support training on the learners’ cardiopulmonary and automated external defibrillator skills. Biomed Res Int. 2016;2016.

McNally B, Robb R, Mehta M, Vellano K, Valderrama AL, Yoon PW, et al. Out-of-hospital cardiac arrest surveillance - cardiac arrest registry to enhance survival (CARES), United States, October 1, 2005-December 31, 2010. Morb Mortal Weekly Rep. 2011;60(SS-8):1-19.

Kumari MK, Amberkar MB, Alur SS, Bhat PM, Bansal S. Clinical awareness of do’s and don’ts of cardiopulmonary resuscitation among university medical students- a questionnaire study. J Clin Diagn Res. 2014;8(7).

Vural M, Koşar MF, Kerimoğlu O, Kizkapan F, Kahyaoglu S, Tugrul S, et al. Cardiopulmonary resuscitation knowledge among nursing students: a questionnaire study. Anatol J Cardiol. 2017;17(2):140-5.

Creative Commons- Attribution-Non Commercial 4.0 International- CC BY-NC 4.0. Available at: https://creativecommons.org/licenses/by-nc/4.0/. Accessed on 18 May 2020.

BLS practice test. Available at: https://nhcps.com/bls-practice-quiz/. Accessed on 19 February 2020.

GBD Compare. IHME Viz Hub. Available at: https://vizhub.healthdata.org/gbd-compare/. Accessed on 29 February 2020.

UG Curriculum. MCI India. Available at: https://www.nmc.org.in/information-desk/for-colleges/ug-curriculum. Accessed on 20 February 2020.

Heidenreich JW, Higdon TA, Kern KB, Sanders AB, Berg RA, Neibler R, et al. Single-rescuer cardiopulmonary resuscitation: “Two quick breaths”- an oxymoron. Resuscitation. 2004;62(3):283-9.

Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R, et al. Part 1: Executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(3):S640-56.

Canbek U, Imerci A, Akgün U, Yesil M, Ali Aydin YB. Characteristics of injuries caused by paragliding accidents: a cross-sectional study. World J Emerg Med. 2015;6(1):44-7.

Kaur S, Soni S, Prashar A, Bansal N, Brar JS, Kaur M. Clinical and radiographic evaluation of autogenous dentin graft and demineralized freeze‑dried bone allograft with chorion membrane in the treatment of grade II and III furcation defects: a randomized controlled trial. Indian J Dent Sci. 2019;11(2):10-3.

Irfan B, Zahid I, Khan MS, Khan OAA, Zaidi S, Awan S, et al. Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study. BMC Health Serv Res. 2019;19(1):865.

Bindu AS, Sushanth VH, Imranulla M. Basic life support knowledge, awareness, and attitude among dental students in Davangere City, Karnataka, India: a cross-sectional study. J Oral Heal Community Dent. 2017;11(2):23-8.

Indian Resuscitation Council. World Heart Restart Day. Available at: https://cprindia.in/world-heart-restart-day. Accessed on 7 June 2020.