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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Nafiu, Olubukola O. Bradin, Stuart Tremper, Kevin K. |
| Spatial Coverage | Michigan |
| Description | Country affiliation: United States Author Affiliation: Nafiu OO ( Department of Anesthesiology, University of Michigan, Ann Arbor, MI 48109-0048, USA. onafiu@med.umich.edu) |
| Abstract | INTRODUCTION: Application of cricoid pressure (CP) is an important step during rapid sequence intubation. Previous surveys of anesthesia personnel showed a knowledge deficiency in the recommended level of cricoid force. There has been no previous attempt to assess the adequacy of knowledge of ED personnel in the application of CP. The objective of this study was to assess the theoretic knowledge of ED personnel about CP. METHODS: We carried out a convenience sample of all ED personnel present at the morbidity and mortality meeting of a major US teaching hospital. A questionnaire-based survey was distributed; respondents were unaware of the questions or the nature of the survey before participating. RESULTS: In total, 83 completed questionnaires were returned by 38 residents, 25 attending physicians, and 20 nurses. Many of the respondents knew the anatomic structure to which CP is applied. However, 24 respondents (14 nurses and 10 residents) thought that CP is applied to both the cricoid and thyroid cartilage. Interestingly, 70% of the nurses in this survey gave an incorrect response to the question on the anatomic localization of CP. Many of the participants in this survey either were unsure of the recommended amount of cricoid force in the asleep patient or quoted values that were too low. The majority of respondents rated their training in CP application as either poor or nonexistent. Most were able to name 2 contraindications to the application of CP. DISCUSSION: The theoretic knowledge about CP is poor in this survey from staff at a major US teaching hospital. Poor theoretic knowledge could lead to poor technique in the application of CP. More specific education and training are needed to improve the clinical use of CP and possibly increase patient safety. |
| File Format | HTM / HTML |
| ISSN | 00991767 |
| Issue Number | 1 |
| Volume Number | 35 |
| e-ISSN | 15272966 |
| Journal | Journal of Emergency Nursing |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2009-01-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Nursing Attitude Of Health Personnel Clinical Competence Cricoid Cartilage Emergency Treatment Methods Health Knowledge, Attitudes, Practice Intubation, Intratracheal Standards Emergency Medicine Education Emergency Nursing Nursing Health Services Needs And Demand Hospitals, Teaching Humans Internship And Residency Adverse Effects Medical Staff, Hospital Psychology Michigan Nursing Education Research Nursing Methodology Research Nursing Staff, Hospital Pressure Respiratory Aspiration Etiology Prevention & Control Questionnaires Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Nursing |
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