Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 2408
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2020  |  Volume : 9  |  Issue : 12  |  Page : 6201-6208

Evaluating the effectiveness of cardiac arrest resuscitation short course (CARS) for rural physicians of Asia: The Rural Emergency Care Training for Physicians (RECTIFY) project


1 Department of Emergency Medicine, AIMS, Thrissur, Kerala, India; WONCA Emergency Medicine Special Interest Group - South Asia
2 AFPI-Academy of Family Physicians of India, Ghaziabad, UP, India; WONCA - World Organization of Family Doctors South Asia Region
3 WoRSA-Wonca Rural South Asia; AFPI Rural & Senior Resident (Geriatrics), Patna Medical College and Hospital, Patna, Bihar, India
4 WONCA Emergency Medicine Special Interest Group - South Asia; WONCA - World Organization of Family Doctors South Asia Region; Department of Emergency Medicine and General Practice, B. P. Koirala Institute of Medical Sciences, Dharan, Nepal
5 WONCA Emergency Medicine Special Interest Group - South Asia; Department of Programs and Practice Support, College of Family Physicians of Canada
6 WONCA Emergency Medicine Special Interest Group - South Asia; WONCA Emergency Medicine Special Interest Group –, Europe
7 Department of Emergency Medicine, AIMS, Thrissur, Kerala, India

Correspondence Address:
Dr. Jobin Jose Maprani
Department of Emergency Medicine, AIMS, Thrissur, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_1274_20

Rights and Permissions

Background: Physicians from resource-constrained rural areas being lone lifesavers pose a unique challenge in resuscitating emergencies like cardiac arrest. Rural Emergency Care Training for Physicians (RECTIFY) was devised as a short course training to equip them to deal with occasional emergencies using minimal gadgets. This study was conceived to assess the effectiveness of the RECTIFY-Cardiac Arrest Resuscitation Short course (CARS) module in improving current knowledge and practice of cardiopulmonary resuscitation (CPR) among interested rural physicians of Asia. Methods: A three-tier observational study was conducted to assess current CPR knowledge with a pretested structured questionnaire and skills using a checklist, followed by a 3-h hands-on training and posttest evaluation using the same study instruments. Data were entered into Microsoft Excel and analyzed using SPSS 13.0. Results: Out of 622 participants, most of the participants (603; 96.9%) were willing to provide CPR despite poor knowledge and skills. Pretest scores averaged 1.5 ± 0.99 and 0.1 ± 0.3 for CPR knowledge and skills, respectively. Posttest scores for CPR knowledge (10.5 ± 1.5) and skills (2.8 ± 1.6) improved significantly (both P = 0.001). Whereas a majority improved upon chest compression skills, appropriate use of sophisticated gadgets like automated external defibrillators (AED) was low (2.4%) despite training. Conclusion: The level of knowledge and skill among participants was poor despite the enthusiasm and positive intent. The impact of RECTIFY-CARS on knowledge and skills among participant physicians was significant and is recommended for implementation by health policymakers in resource-poor rural settings. However, essential gadgets like AED were not impactful which necessitates the use of simpler rural alternatives.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed350    
    Printed2    
    Emailed0    
    PDF Downloaded49    
    Comments [Add]    

Recommend this journal