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: Mohd Khairi AL, Nik Azlan Nik Muhamad, Faizal Amri H
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2018
Online Access:http://journalarticle.ukm.my/20211/
http://journalarticle.ukm.my/20211/1/18_ms0027_pdf_16742.pdf
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author Mohd Khairi AL,
Nik Azlan Nik Muhamad,
Faizal Amri H,
author_facet Mohd Khairi AL,
Nik Azlan Nik Muhamad,
Faizal Amri H,
author_sort Mohd Khairi AL,
building UKM Institutional Repository
collection Online Access
description 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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spelling oai:generic.eprints.org:202112022-10-21T08:33:27Z http://journalarticle.ukm.my/20211/ 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? Mohd Khairi AL, Nik Azlan Nik Muhamad, Faizal Amri H, 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. Pusat Perubatan Universiti Kebangsaan Malaysia 2018 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20211/1/18_ms0027_pdf_16742.pdf Mohd Khairi AL, and Nik Azlan Nik Muhamad, and Faizal Amri H, (2018) 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? Medicine & Health, 13 (1). pp. 198-207. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/1
spellingShingle Mohd Khairi AL,
Nik Azlan Nik Muhamad,
Faizal Amri H,
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?
title 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?
title_full 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?
title_fullStr 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?
title_full_unstemmed 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?
title_short 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?
title_sort 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?
url http://journalarticle.ukm.my/20211/
http://journalarticle.ukm.my/20211/
http://journalarticle.ukm.my/20211/1/18_ms0027_pdf_16742.pdf