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Heart Lung. 1995 Mar-Apr;24(2):116-20.

Evaluation of advanced cardiac life support in a community teaching hospital by use of actual cardiac arrests.

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1
St. Francis Medical Center, Trenton, N.J., USA.

Abstract

OBJECTIVE:

To determine the retention of Advanced Cardiac Life Support training of internal medicine residents as a function of the time since successfully completing ACLS training.

DESIGN:

Prospective, consecutive sample of patients who underwent a cardiopulmonary resuscitation effort directed by physicians who successfully completed ACLS.

SETTING:

Eastern community teaching hospital.

PATIENTS:

180 consecutive patients over the age of 18 years who sustained a cardiopulmonary arrest and whose resuscitation efforts were directed by physicians who successfully completed ACLS. Forty-five additional resuscitative efforts hospital wide were led by non-ACLS-trained physicians during the study period.

OUTCOME MEASURES:

Correctness of the diagnosis of rhythms and treatment of the rhythms diagnosed were assessed, as per ACLS protocols in effect at the time of the study, in 1991.

INTERVENTION:

None.

RESULTS:

Chi-squares were used for analysis. Seventy-six of the resuscitative efforts were run by medical residents with a 13.2% error rate. The error rate in the first 6 months after ACLS completion among residents was 5.1%, as compared with 21.6% in the next 6 months (p = 0.033), with no impact on actual survival rate. During the study period, error rates among other groups were 8.8% in Emergency Department physicians and 17.8% among non-ACLS-trained physicians.

CONCLUSIONS:

The error rate found was lower than in previous studies evaluating retention of ACLS education. It is important to have regular updates in ACLS to ensure proper protocol use.

PMID:
7759271
[Indexed for MEDLINE]
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