Implementation analysis of the guidelines from 2015

Abstract

Aim: Implementation analysis of the guidelines from 2015 among physicians, through the interpretation of the results obtained in a given scenario. Method: The research included 250 physicians from Serbia who were introduced to the scenario they should have solved on their own as a part of resuscitation team. List for evaluating the quality of the intervention made by The European Resuscitation Council was used for the analysis. Results: During the handover and monitoring insight, the cardiac frequency and tension (89.6%) was not checked in a high percentage. There is no specially established team for resuscitation and as such is not recognized nor there are any training that is carried out for that purpose. There is no adequate equipment containing prompt feedback, during the implementation of resuscitation techniques, as recommended from the 2015. There are no devices that record the quality of work and quality of implementation of measures during the implementation of two minutes CPR. Evaluating and checking the quality of the work in performing resuscitation measures, is not possible. During resuscitation, oxygen is often used in hospital conditions (55.7%) than applied in the prehospital (22.3%). The practice of applying supraglottic devices is very low, in both, the prehospital (16.5%) and at the hospital level (10.2%). Monitoring of the patient is performed through the patient cable or defibrillator paddles. When therapy is applied, there is still use of Atropine in nonshockable rhythm, more often in hospital conditions (31.2%). It's not possible to note a quality of compression during CPR or the amount of a supplied air. Because there is no use of adhesive defibrillation electrodes, there is no option to minimize the period of compression. Conclusion: Physicians in Serbia are not sufficiently familiar with the protocols of 2015 and it is necessary to implement that protocols. Applying of the equipment and drugs standards would drastically improve quality of the implementation and evaluation in resuscitation procedure

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