ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2018
Cardiopulmonary resuscitation by Emergency Medical Services in South Africa: Barriers to achieving high quality performance.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa.Global heart · 2020Pooled it
- The relationship between self-confidence and attitude of emergency medical technicians towards family presence during resuscitation.International journal of emergency medicine · 2024Article
- Knowledge, attitude, practice, and associated factors of health professionals towards cardiopulmonary resuscitation at Ayder Comprehensive Specialized Hospital, 2023, Tigray, Ethiopia.Annals of medicine and surgery (2012) · 2024Article
- The understandability and quality of telephone-guided bystander cardiopulmonary resuscitation in the Western Cape province of South Africa: A manikin-based study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Out-of-hospital cardiac arrest in Africa: a scoping review.BMJ open · 2022Article
- Barriers and facilitators to cardiopulmonary resuscitation within pre-hospital emergency medical services: a qualitative study.BMC emergency medicine · 2021Article
- Pulse rate as an alternative, real-time feedback indicator for chest compression rate: a porcine model of cardiac arrest.Journal of clinical monitoring and computing · 2021Article
- Cardiopulmonary resuscitation: Knowledge and Attitude of doctors from Lahore.Annals of medicine and surgery (2012) · 2021Article
- Observational
- Factors influencing paramedics' and emergency medical technicians' level of knowledge about the 2015 basic life support guidelines.BMC emergency medicine · 2021Article
- An investigation into specialist practice nurses' knowledge of cardiopulmonary resuscitation guidelines in a tertiary hospital in Gauteng Province, South Africa.The Southern African journal of critical care : the official journal of the Critical Care Society · 2020Article
- Arrhythmia care in Africa.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019Review
- Nurses' Knowledge, Attitudes, and Practice of Cardiopulmonary Resuscitation at a Selected Training Hospital in Namibia: A Cross-Sectional Survey.SAGE open nursingArticle
- Out-of-hospital cardiac arrests in the city of Cape Town metropole of the Western Cape province of South Africa: a spatio-temporal analysis.Cardiovascular journal of AfricaArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSurvival rates from out-of-hospital cardiac arrest significantly improve when high-quality cardiopulmonary resuscitation (CPR) is performed. Despite sudden cardiac arrest being a leading cause of death in many parts of the world, no studies have determined the quality of CPR delivery by Emergency Medical Services (EMS) personnel in South Africa. The aim of this study was to determine the quality of CPR provision by EMS staff in a simulated setting.
methodsA descriptive study design was used to determine competency of CPR among intermediate-qualified EMS personnel. Theoretical knowledge was determined using a multiple-choice questionnaire, and psychomotor skills were video-recorded then assessed by independent reviewers. Correlational and regression analysis were used to determine the effect of demographic information on knowledge and skills.
resultsOverall competency of CPR among participants (n = 114) was poor: median knowledge was 50%; median skill 33%. Only 25% of the items tested showed that participants applied relevant knowledge to the equivalent skill, and the nature and strength of knowledge influencing skills was small. Demographic factors that significantly influenced both knowledge and skill were the sector of employment, the guidelines EMS personnel were trained to, age, experience, and the location of training.
conclusionOverall knowledge and skill performance was below standard. This study suggests that theoretical knowledge has a small but notable role to play on some components of skill performance. Demographic variables that affected both knowledge and skill may be used to improve training and the overall quality of Basic Life Support CPR delivery by EMS personnel.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.