Rakab Mohamed Saad, Zaid Ahmed B, Hamadein Malak Abbas, Hamadein Salma Abbas, Ashour Mahmoud Abd Elgawad, El-Shamia Alaa Samir, Mostafa Dina Ayman, Rateb Rahma Mogahed, Elashry Marwa Abdelrahman, El-Badawy Mennat-Allah Mostafa, Shaheen Rehab Shaheen Bahram
Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Clinical Pathology Department, National Liver Institute, Menofia University, Shibin Al Kawm, Egypt.
BMC Med Educ. 2025 Jan 31;25(1):164. doi: 10.1186/s12909-025-06668-z.
The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach is crucial in emergency care, but there may be variability in adherence among healthcare professionals. Inconsistent application of this approach may lead to variations in patient care quality and outcomes. Identifying the factors influencing adherence can help improve training to ensure more effective application across emergency settings. This study explores the theoretical knowledge of the ABCDE approach among Egyptian resident doctors and medical interns.
An online survey was conducted in Egypt targeting resident doctors and medical interns. Statistical analyses were performed using SPSS 26 and Excel, descriptive statistics and association tests were used to measure the relationship between knowledge and demographic factors.
The study included 422 medical residents and interns, with most in university hospitals. The average knowledge score of 59.1% exposed specific gaps in understanding, emphasizing deficiencies in 12 questions answered by less than 50%. Notably, 49.5% acquired ABCDE knowledge from medical school, while 28.2% had ALS/BLS courses. Encouragingly, 91.2% expressed willingness for life support training. Statistical analyses unveiled significant associations between knowledge scores and both medical practice settings and sources of ABCDE knowledge. Surgeons exhibited the lowest knowledge scores among participants, emphasizing the need for tailored interventions across specialties.
This study addresses a critical gap in ABCDE approach knowledge among Egyptian resident doctors and medical interns. The study points to the need for focused education, especially for surgeons, to improve emergency care skills and patient outcomes through continued training.
气道、呼吸、循环、残疾和暴露（ABCDE）方法在急救护理中至关重要，但医护人员在遵循该方法方面可能存在差异。这种方法的不一致应用可能导致患者护理质量和结果的差异。识别影响遵循的因素有助于改进培训，以确保在各种紧急情况下更有效地应用。本研究探讨了埃及住院医生和实习医生对ABCDE方法的理论知识。
在埃及针对住院医生和实习医生进行了一项在线调查。使用SPSS 26和Excel进行统计分析，描述性统计和关联测试用于衡量知识与人口统计学因素之间的关系。
该研究纳入了422名住院医生和实习医生，大多数在大学医院工作。平均知识得分59.1%显示出理解上的特定差距，突出了12个回答率低于50%的问题存在不足。值得注意的是，49.5%的人从医学院获得了ABCDE知识，而28.2%的人参加过高级生命支持/基础生命支持课程。令人鼓舞的是，91.2%的人表示愿意接受生命支持培训。统计分析揭示了知识得分与医疗实践环境以及ABCDE知识来源之间存在显著关联。外科医生在参与者中知识得分最低，这突出了针对各个专业进行量身定制干预措施的必要性。
本研究填补了埃及住院医生和实习医生在ABCDE方法知识方面的关键空白。该研究指出需要进行有针对性的教育，特别是对外科医生，通过持续培训来提高急救护理技能和患者治疗效果。
