Uniformed Services University, Dept. of Military and Emergency Medicine, Bethesda, MD, United States of America.
University of Texas Health San Antonio, School of Medicine, San Antonio, TX, United States of America.
Am J Emerg Med. 2021 Mar;41:179-183. doi: 10.1016/j.ajem.2020.01.056. Epub 2020 Jan 30.
The American Heart Association (AHA) recently established the Resuscitation Quality Improvement (RQI) program, which requires physicians to perform quarterly cardiopulmonary resuscitation (CPR) skill checks. The aim of this study was to determine if timing of last training impacted skill performance of emergency physicians.
A convenience sample of emergency medicine (EM) physicians was asked to complete a Basic Life Support (BLS) scenario on a manikin. Participants passed the scenario if they successfully performed high-quality CPR. Participants completed a survey to assess clinical experience and timing of prior BLS training. Outcomes were comparisons of skills check pass rates for physicians recently trained in BLS (≤90 days) and those trained >90 days ago and those trained >2 years ago.
A total of 113 individuals were included in the study: 87 attending physicians and 26 residents. Overall 92.9% correctly performed CPR with the proper assessment, compression rate, compression depth and rescue breaths. There was no difference between success rates in EM physicians who had BLS training within 90 days (91.7%) and physicians who had not had BLS within 90 days, (93.1%). (p = 1.00) There was no difference in the pass rate of those trained within 90 days (91.7%) to those trained >2 years ago (90.9%) (95CI 0.088, 0.096).
There was no difference between delivery of high-quality CPR in EM physicians who had recent BLS training and those who did not.
美国心脏协会（AHA）最近设立了复苏质量改进（RQI）项目，要求医生每季度进行心肺复苏（CPR）技能检查。本研究旨在确定最后一次培训的时间是否会影响急诊医师的技能表现。
我们邀请了一批方便的急诊医学（EM）医生在模型上完成基础生命支持（BLS）场景。如果参与者成功进行了高质量的 CPR，则视为通过该场景。参与者完成了一项调查，以评估他们的临床经验和之前 BLS 培训的时间。评估的结果是比较最近接受 BLS 培训（≤90 天）和>90 天前接受培训以及>2 年前接受培训的医生的技能检查通过率。
共有 113 人参与了这项研究：87 名主治医生和 26 名住院医师。总体而言，92.9%的人正确进行了 CPR，并进行了适当的评估、按压频率、按压深度和复苏呼吸。在 90 天内接受过 BLS 培训的急诊医生（91.7%）和 90 天内未接受过 BLS 培训的医生（93.1%）的成功率没有差异。（p=1.00）在 90 天内接受培训的医生（91.7%）和>2 年前接受培训的医生（90.9%）之间，通过率没有差异（95CI 0.088，0.096）。
在最近接受过 BLS 培训的和未接受过 BLS 培训的急诊医生中，高质量的 CPR 没有差异。
