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.