title: Occupational affiliation does not influence practical skills in cardiopulmonary resuscitation for in-hospital healthcare professionals.
abstract: BACKGROUND
  D-CPR (Defibrillator Cardiopulmonary Resuscitation) is a technique for optimal basic life support during cardiopulmonary resuscitation (CPR). Guidelines recommend that healthcare professionals can perform CPR with competence. How CPR training and provision is organized varies between hospitals, and it is our impression that in Sweden this has generally improved during the last 15-20 years. However, some hospitals still do not have any AED (Automated External Defibrillators). The aim was to investigate potential differences in practical skills between different healthcare professions before and after training in D-CPR.
  
  
  METHODS
  Seventy-four healthcare professionals were video recorded and evaluated for adherence to a modified Cardiff Score. A Laerdal Resusci Anne manikin in connection to PC Skill reporting System was used to evaluate CPR quality. A simulated CPR situation was accomplished during a 5-10 min scenario of ventricular fibrillation. Paired and unpaired statistical methods were used to examine differences within and between occupations with respect to the intervention.
  
  
  RESULTS
  There were no differences in skills among the different healthcare professions, except for compressions per minute. In total, the number of compression per minute and depth improved for all groups (P < 0.001). In total, 41% of the participants used AED before and 96% of the participants used AED after the intervention (P < 0.001). Before intervention, it took a median time of 120 seconds until the AED was used; after the intervention, it took 82 seconds.
  
  
  CONCLUSIONS
  Nearly all healthcare professionals learned to use the AED. There were no differences in CPR skill performances among the different healthcare professionals.
authors.affiliation: Uppsala University, Centre for Clinical Research, Västerås, Sweden. marie-louise.sodersved.kallestedt@ltv.se
authors.forename: Marie-Louise Södersved
authors.initials: ML
authors.lastname: Källestedt
authors.forename: Anders
authors.initials: A
authors.lastname: Berglund
authors.forename: Ann-Britt
authors.initials: AB
authors.lastname: Thoren
authors.forename: Johan
authors.initials: J
authors.lastname: Herlitz
authors.forename: Mats
authors.initials: M
authors.lastname: Enlund
mesh_terms: D000328:Adult; D000368:Aged; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D004521:Educational Measurement; D004632:Emergency Medical Services / Q000379:methods; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000592:standards*; D008875:Middle Aged; D009935:Organizational Affiliation; D011361:Professional Competence; D012189:Retrospective Studies; D013548:Sweden; D055815:Young Adult