Cardiopulmonary resuscitation and contrast media reactions in a radiology department.
OBJECTIVE
To assess current knowledge and training in the management of contrast media reactions and cardiopulmonary resuscitation within a radiology department.


METHODS
The standard of knowledge about the management of contrast media reactions and cardiopulmonary resuscitation among radiologists, radiographers and nurses were audited using a two-section questionnaire. Our results were compared against nationally accepted standards. Repeat audits were undertaken over a 28-month period. Three full audit cycles were completed.


RESULTS
The initial audit confirmed that although a voluntary training programme was in place, knowledge of cardiopulmonary resuscitation techniques were below acceptable levels (set at 70%) for all staff members. The mean score for radiologists was 50%. Immediate changes instituted included retraining courses, the distribution of standard guidelines and the composition and distribution of two separate information handouts. Initial improvements were complemented by new wallcharts, which were distributed throughout the department, a series of lectures on management of contrast reactions and regular reviews with feedback to staff. In the third and final audit all staff groups had surpassed the required standard.


CONCLUSIONS
Knowledge of contrast media reactions and resuscitation needs constant updating. Revision of skills requires a prescriptive programme; visual display of advice is a constant reminder. It is our contention all radiology departmental staff should consider it a personal duty to maintain their resuscitation skills at appropriate standards.
O'Neill
J M
JM
Radiology Department, Royal Infirmary Edinburgh, Edinburgh, UK. johnandal@aol.com
McBride
K D
KD
D016887:Cardiopulmonary Resuscitation / Q000592:standards*; D002983:Clinical Competence / Q000592:standards*; D003287:Contrast Media / Q000009:adverse effects*; D006801:Humans; D008485:Medical Audit; D011872:Radiology Department, Hospital / Q000592:standards*; D012015:Reference Standards
D003287:Contrast Media