European resuscitation council guidelines in a community contraceptive and sexual health setting

European resuscitation council guidelines in a community contraceptive and

sexual health setting

C. Johnman

The Sandyford Initiative, Glasgow, UK

Introduction: Although acute anaphylaxis or cardiac arrests are

uncommon in a primary care setting it is important that all members of the

clinical staff are up to date with the management guidelines for

cardio-pulmonary resuscitation (CPR) and anaphylaxis management. In response to

the updated European Resuscitation Council (ERC) guidelines published in 2000

and the subsequent local guidelines, a brief, focused educational session was

arranged for multi-disciplinary clinical staff from our contraception and sexual

health service.

Aim: To carry out an evaluation of a brief focused educational session

on anaphylaxis management and basic CPR.

Method: Evaluation of the training was carried out using pre- and

post- course questionnaires. In the week prior to the course and then again one

month later 45 multiple-choice questions (MCQ’s) were given to all the

delegates. The questions assessed knowledge regarding the updated guidelines on

both basic CPR and anaphylaxis. The responses were then entered into an Access

database, which was then analysed using the SSPS statistical package.

Key findings:

  Correct Responses
Question Pre-course Post-course
Kinins are involved in anaphylaxis? 33% 66%
High or normal BP occurs in panic attacks? 73% 100%
Wheeze is not associated with panic attacks?  23.3% 47%
The ERC updated their guidelines in 2000?  20% 80%
To assess response, victim should be shaken gently?  87.7% 80%
The correct number to phone an ambulance is 999?  80% 87.7%
A finger sweep prior to basic CPR is not necessary?   44.4% 93.3%
Basic CPR involves: 2 effective breaths followed by 15 compressions? 

80% 100%

Conclusion: A brief focused educational session to multidisciplinary

clinical staff can produce a substantial increase in knowledge of ERC guidelines

and local guidelines in anaphylaxis management and basic CPR.

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