Basic Life Support (BLS): Knowledge, Attitude and Practice Among Health Care Providers

  • Dr. Avinash Prakash Assistant Professor, Dept. of Anaesthesiology, AIIMS, Nagpur, India
  • Dr. Anita Yadav Associate Professor, Dept. of Obstetrics and Gynaecology, AIIMS, Nagpur, India
  • Dr. Jyoti Baghel Assistant Professor, Dept. of Obstetrics and Gynaecology, SRMS Institute of Medical Sciences, Bareilly
Keywords: BLS, hospital, attitude, knowledge, practice, health care, doctors, emergency, anaesthesia

Abstract

Basic life support (BLS), a key component of the chain of survival helps to decrease disease condition and increases the rate of hospital discharge. Adequate awareness of basic life support (BLS) and diseased condition is an important global issue to ensure that individuals can provide necessary life-saving care in emergency situations. It is an integral part of emergency resuscitative care that aims to retain sufficient ventilation and circulation until the cause of the any case is detected and eliminated. It is possible to sustain life in patients whose life has been in danger. This period of temporary support is effective in sustaining life until specific lifesaving could be carried out. BLS course is gaining acceptance worldwide as important lifesaving means within 3-5min of patient collapse in and out hospital. The life support can produce survival rates as high as 49-75%. Effective management of an emergency condition is ultimately the health care personnel’s responsibility. The lack of training and inability to cope with medical emergencies can lead to tragic consequences and legal complications. Therefore, health professionals like doctors and nurses who are directly involved in patient care must be well prepared to manage medical emergencies. Hence, BLS and high-quality lifesaving is an important tool until a medical emergency is treated definitely. This forms an integral link in patient care. Studies done in varied settings have reported that knowledge of BLS and resuscitation technique is lacking even in hospital areas where frequent ways of life savings take place and more emphasis is placed to develop medical skills; viz. the emergency, anesthesia and critical care.  The attitude to performing medical skills was also poor in frequent lifesaving performer. Both the attitude to life saving and skills have been shown to improve with training and workshop.

References

Price CS, Bell SF, Janes SE, Ardagh M. Cardio-pulmonary resuscitation training, knowledge and attitudes of newly-qualified doctors in New Zealand in 2003. Resuscitation. 2006; 68: 295-9.

Internship. In: Malaysian Medical Council website. Available at: http://tinyurl.com/mmcintern. Accessed on 17 March 2010.

Casey WF. Cardiopulmonary resuscitation: a survey of standards among junior hospital doctors. J R Soc Med. 1984; 77: 921-4.

Farah R, Stiner E, Zohar Z, Zveibil F, Eisenman A. Cardiopulmonary resuscitation surprise drills for assessing, improving and maintaining cardiopulmonary resuscitation skills of hospital personnel. Eur J Emerg Med. 2007; 14: 332-6.

Morgan R, Westmoreland C. Survey of junior hospital doctors' attitudes to cardiopulmonary resuscitation. Postgrad Med J. 2002; 78: 413-5.

Kaye W, Wynne G, Marteau T et al. An advanced resuscitation training course for preregistration house officers. J R Coll Physicians Lond. 1990; 24: 51-4.

American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112 (Suppl): IV1-203.

Liddell MJ, Davidson SK, Taub H et al. Evaluation of procedural skills training in an undergraduate curriculum. Med Educ 2002; 36: 1035-41.

Hopstock LA. Cardiopulmonary resuscitation; use, training, and self-confidence in skills. A self-report study among hospital personnel. Scand J Trauma Resusc Emerg Med 2008; 16: 18.

Deo R, Albert C. Epidemiology and genetics of sudden cardiac death. Circulation. 2012; 125(4):620-37.

Rao B. Global burden of Sudden Cardiac Death and insights from India. Indian Heart J. 2014 Jan-Feb; 66 (1):18-23.

Benjamin E, Virani S, Callaway C, et al. heart disease and Stroke Statistics—2018 Update: A Report from the American Heart Association. Circulation. 2018; 137(12):67- 492.

Travers AH, Perkins GD, Berg RA, et al. Part 3: Adult Basic Life Support and Automated External Defibrillation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation.2015;132 (16 Suppl 1):51-83.

Sasson C, Rogers M, Dahl J, et al. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1):63-81.

Kragholm K, Wissenberg M, Mortensen, et al. Bystander Efforts and 1-Year Outcomes in Out-of-hospital Cardiac Arrest. N Engl J Med. 2017; 367:1737- 1747.

Sharma R, Attar N. Adult Basic Life Support (BLS) Awareness and Knowledge among medical and dental interns completing internship from deemed university. NUJHS. 2012;2(3):6-13.

Reddy S, Doshi D, Reddy P, Kulkarni S, Reddy S. Awareness of Basic Life Support Among Staff and Students in a Dental School. J Contemp Dent Pract 2013;14(3): 511-517.

Narayan DP, Biradar SV, Reddy MT, et al. Assessment of knowledge and attitude about basic life support among dental interns and postgraduate students in Bangalore city, India. World J Emerg Med. 2015;6(2): 118- 22.

Sangamesh NC, Vidya KC, Pathi J, Singh A. Awareness, Attitude, and Knowledge of Basic Life Support among Medical, Dental, and Nursing Faculties and Students in the University Hospital. J Int Soc Prev Community Dent. 2017 Jul-Aug;7(4):161- 167.

Rajashekar S, Nagendra G, Ajith A. Knowledge of basic life support among health care professionals in a tertiary care hospital in Chitradurga. Int J Community Med Public Health.2018; 5(9): 3969-3975.

Song J, Guo W, Lu X, et al. The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and metaanalysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2018; 26:86.

Published
2022-09-09
How to Cite
Prakash, D. A., Yadav, D. A., & Baghel , D. J. (2022). Basic Life Support (BLS): Knowledge, Attitude and Practice Among Health Care Providers. Central Asian Journal of Medical and Natural Science, 3(5), 97-103. https://doi.org/10.17605/cajmns.v3i5.1053
Section
Articles