Automated external defibrillator (AED) use among paramedics in the Emergency Department – what are the obstacles in using the automated external defibrillator in the pre-hospital care settings?
This study determined factors that influence usage of automated external defibrillation (AED) on out-of-hospital cardiac arrest among paramedics in Emergency Department of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). It was a cross sectional prospective study conducted between December...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20211/1/18_ms0027_pdf_16742.pdf http://journalarticle.ukm.my/20211/ https://www.medicineandhealthukm.com/toc/13/1 |
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| Summary: | This study determined factors that influence usage of automated external defibrillation
(AED) on out-of-hospital cardiac arrest among paramedics in Emergency
Department of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). It was a
cross sectional prospective study conducted between December 2013 and January
2014. Paramedics from Emergency Department were enrolled and assessed using
the self-filled questionnaire consisting of multiple sections including knowledge
assessment, training and practice. In total, 53 paramedics participated in this study.
Only 62% participants used AEDs previously. Not more than 83% participants
admitted that they would use it if required. A positive correlation was observed
between age and work experience with knowledge on AED usage (p=0.001 and
p=0.005, respectively). Government’s institute graduates possess better knowledge
and higher confidence level than private institutions graduates (p<0.001). Positive
correlation existed between working experience and confidence level in deciding
to use (p=0.006), application (p=0.019) and troubleshooting in regards of AED
use (p=0.002). The main factor for low confidence level of AED use was lack
of training (73.6%) which resulted in reduced confidence to initiate use (45.3%).
Eighty eight percent agreed that training is essential before any AED use. Forty one
percent felt that Malaysian public is not ready for AEDs use. As a conclusion, AED
usage and knowledge among paramedics is still poor and further training is crucial
for the improvement of pre-hospital care in Malaysia. |
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