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Research Article | Volume 4 Issue 5 (September, 2023)
Cracking the Code: Assessing ACLS Proficiency among Medical Officers in District Shimla, Himachal Pradesh
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Under a Creative Commons license
Open Access
Abstract
Background: Cardiovascular diseases (CVDs) constitute a significant global health concern, contributing substantially to morbidity and mortality rates. Advanced Cardiovascular Life Support (ACLS) plays a critical role in addressing cardiac emergencies, providing a comprehensive framework for life-saving interventions. This study evaluates the knowledge of ACLS among medical officers in District Shimla, Himachal Pradesh, considering the unique challenges posed by the region's geographical terrain. Materials and Methods: A cross-sectional survey was conducted among 100 medical officers in District Shimla between April and July 2023. A structured questionnaire assessed participants' understanding of ACLS components. Data were analyzed using Epi Info V7 software. Validity was ensured through expert review. Inclusion criteria included medical officers with 12 months or more of service, while non-participation was the exclusion criterion. Results: The study revealed varying ACLS knowledge levels among medical officers. Notably, (76) correctly identified the primary goal of ACLS, and (66) could explain the "Chain of Survival." Approximately (63) correctly described initial steps in cardiac arrest, while (56) knew recommended CPR compression rates and depths. Knowledge in rhythm assessment (55) and managing asystole vs. ventricular fibrillation (47) also showed variations. Medication administration, advanced airway management, and defibrillation knowledge ranged from 30 to 42. Synchronized cardioversion (28) and calculating defibrillation energy levels (30) demonstrated lower proficiency. Conclusion: This study highlights the need for continuous ACLS training and education for medical officers in District Shimla. While some displayed good knowledge in certain ACLS aspects, opportunities for improvement exist. Regular training programs are essential to enhance proficiency in managing cardiovascular emergencies effectively. Such initiatives can contribute to improved patient outcomes and the overall quality of cardiac care in the region.
Keywords
Cardiovascular diseases
Advanced Cardiovascular Life Support (ACLS)
Medical officers
Knowledge assessment
Cardiac emergencies
Geographical challenges
Healthcare training.
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