The efficacy of an ACLS training program for resuscitation from cardiac arrest in a rural community. Annals of Emergency Medicine, 23, 56-59

Department of Surgery, University of Arizona College of Medicine.
Annals of Emergency Medicine (Impact Factor: 4.68). 01/1994; 23(1):56-9. DOI: 10.1016/S0196-0644(94)70009-5
Source: PubMed


To determine whether an advanced cardiac life support (ACLS) course in a rural hospital will improve resuscitation success from cardiac arrest.
A retrospective case review of all patients in cardiac arrest during a 13-month period before and after the institution of an ACLS training program.
Emergency department of a 42-bed rural, community hospital in a community with no prehospital advanced life support or early defibrillation.
All patients in cardiac arrest were entered into the data base. Twenty-nine patients were included in the pre-ACLS period and 35 in the post-ACLS period. There were no significant differences in age, gender, initial rhythm, comorbid diseases, witnessed versus unwitnessed arrest, or total arrest time in the patients in the pre-ACLS period compared with those in the post-ACLS period.
ACLS provider training.
Patients in cardiac arrest who had ventricular fibrillation/tachycardia as their initial rhythm had significant improvement in resuscitation success compared with patients in ventricular fibrillation/tachycardia in the pre-ACLS period (six of 15 versus none of nine, P < .05). Out-of-hospital cardiac arrest resuscitation was more successful in the post-ACLS period than in the pre-ACLS period (five of 30 versus none of 25, P < .05). Overall, seven of 35 patients (20%) were resuscitated successfully in the post-ACLS period, with two patients surviving to hospital discharge. This was not significantly different than the two of 29 patients (7%) resuscitated in the pre-ACLS period, with one patient surviving to discharge.
The institution of an ACLS-provider course in a rural community hospital was associated with improvement in initial resuscitation for patients with ventricular fibrillation/tachycardia and out-of-hospital arrest.

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    • "l CME / CPD was effective in increasing rural GPs ' knowledge and skills in the management of common palliative symptoms ( Reymond et al . 2005 ) . Two American studies described local ACLS training associated with improved initial resuscitation or survival rates in rural community hospitals or out - of - hospital cardiac arrests ( Birnbaum 1994 ; Sanders et al . 1994 ) . In developing countries , rural CME / CPD outreach has been effective in enhancing rural physician practice . A recent study of a rural CME / CPD outreach program on HIV / STI prevention and treatment in rural China found that rural physicians reported increased knowledge and improved patient outcomes including higher rates of HIV t"
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