IMPACT OF EMERGENCY MEDICINE TRAINING IMPLEMENTATION ON PREHOSPITAL MORTALITY OUTCOMES IN KAZAKHSTAN
Introduction It has been proven that high mortality is a consequence of improper and untimely medical care. A series of experimental and clinical studies have revealed relationship between patient survival after cardiac arrest and quality of cardiopulmonary resuscitation.
The aim of the study impact of emergency medicine training implementation on mortality outcomes in Kazakhstan.
Materials and methods The National Coordination Center for Emergency Medicine of Kazakhstan's prehospital mortality data for the years 2018–2021 were analyzed. Additionally, a study was done on ambulance staff members who received emergency care training in BLS, ASLS, PHTLS, and PALS between 2018 and 2020. Statistical Analysis Used: SPSS for Windows version 21.0.
Results Data analysis showed that training EMS personnel in emergency care resulted in a reduction in prehospital mortality. Rapid, targeted interventions by trained healthcare providers have played a pivotal role in saving lives. However, the prehospital mortality rate before ambulance arrival remains high.
Conclusion The introduction of specialized emergency medicine training in Kazakhstan has been a transformative step towards enhancing healthcare delivery. To reduce prehospital death rates, continued training of emergency medical personnel is necessary, as well as training for persons without medical education.
Assylzhan M. Messova1, https://orcid.org/0000-0001-5373-0523
Lyudmila M. Pivina1, https://orcid.org/0000-0002-8035-4866
Diana G. Ygieva1, https://orcid.org/0000-0001-8391-8842
Almas A. Dyusupov1, https://orcid. org/ 0000-0002-2086-8873
Gulnara B. Batenova1, https://orcid.org/0000-0003-3198-1860
Ulzhan Jamedinova, https://orcid.org/0000-0003-1671-289X
Arman Bayanbaev,
Nurzhan Otarbayev, https://orcid.org/0000-0001-8118-1226
Murat Orazbayev,
1 NCJSC “Semey Medical University”, Department of Emergency Medicine,
Semey, Republic of Kazakhstan;
2 NCJSC “Semey Medical University”, Department of Epidemiology and Biostatistics,
Semey, Republic of Kazakhstan;
3 National Coordinating Center for Emergency Assistance, Astana, Republic of Kazakhstan;
4 National Chamber of Health Republic of Kazakhstan, Astana, Republic of Kazakhstan;
5 City Emergency Medical Care Station of the Akimat of Astana, Astana, Republic of Kazakhstan.
1. Гнездилов В.В. Сравнительный анализ эффективности реанимационного пособия (acls 2000 и acls 2005) на догоспитальном этапе // Тихоокеанский медицинский журнал, 2008. №1, С. 85-86.
2. Иванова А.А., Милин В.А., Шадрин А.П., Кузнецов В.В. Сердечно-легочная реанимация на догоспитальном этапе: результаты внедрения в Якутске // Тихоокеанский медицинский журнал, 2008. №1, С.87-89.
3. Мирошниченко А.Г., Тараканова Л.И., Халлер И.В., Михайлюк С.Г. Оценка значимости факторов, влияющих на исход реанимационных мероприятий на догоспитальном этапе // Скорая медицинская помощь, 2006. №4, С.3-6.
4. Шуматов В.Б., Кузнецов В.В., Лебедев С.В. Эффективная сердечно-легочная реанимация на догоспитальном этапе: основные элементы, опыт внедрения // Тихоокеанский медицинский журнал, 2006. №1, С. 81-84.
5. About Us. www.heart.org. Retrieved. 2023-09-08.
6. Blom M.T., Beesems S.G., Homma P.C., Zijlstra J.A., Hulleman M., et al. Improved survival after out‐of‐hospital cardiac arrest and use of automated external defibrillators // Circulation, 2014.130,1868–1875.
7. Cheng A., Bhanji F., Lockey A., Nabecker S., Greif R. Shaping the future: Pressing needs for resuscitation education research // Resusc Plus, 2023. 16.13.100353.
8. Chan P.S., McNally B., Tang F., Kellermann A.; CARES Surveillance Group. Recent trends in survival from out‐of‐hospital cardiac arrest in the United States // Circulation, 2014.130, 1876–1882.
9. Chung S.P., Sakamoto T., Lim S.H., Ma M.H., Wang T.L., et al. The 2015 Resuscitation Council of Asia (RCA) guidelines on adult basic life support for lay rescuers // Resuscitation, 2016 Aug, 105, 145-8.
10. Frank J.R., Shell L. Competency-Based medical education theory of practice // Medical Thecher, 2010. 32(8), 638–46.
11. Hegenberg K., Trentzsch H., Gross S., Prückner S. Use of pre-hospital emergency medical services in urban and rural municipalities over a 10 year period: an observational study based on routinely collected dispatch data // Scand J Trauma Resusc Emerg Med, 2019.27(1),35.
12. International educational KAZANADA center https://kazanada.com/ Retrieved 2023-09-08.
13. How to plan work to change ambulance service in Kazakhstan https://tengrinews.kz/kazakhstan_news/kak-planiruyut-izmenit-rabotu-skoroy-pomoschi-v-kazahstane-319927/.Retrieved 2023-09-08.
14. UMC, Nazarbayev University Medical Center, is the first official representative of the European Resuscitation Council in Central Asia https://umc.org.kz/en/2022/12/29/umc-nazarbayev-university-medical-center (Retrieved 2023-09-08).
15. Perkins GD, Graesner JT, Semeraro F, Olasveengen T, Soar J, et al. European Resuscitation Council Guideline Collaborators. European Resuscitation Council Guidelines 2021: Executive summary //Resuscitation, 2021.163, 97-98.
16. CPR Survival Rates Can Differ Greatly by City htps://www.nytimes.com/2015/12/08/cpr-survival-rates-differ-ly-by-city.html Retrieved 2023-09-08.
17. Neukamm J., Gräsner JT., Schewe JC. et al. The impact of response time reliability on CPR incidence and resuscitation success: a benchmark study from the German Resuscitation Registry // Crit Care, 2011.15, R282.
18. Pavlov V.N., Viktorov V.V. et al. A four-stage system of simulation education in medical school // In the book: II Congress of the Russian Society for Simulation Training in Medicine ROSOMED2013, Moscow 2013.
19. Savoldelli G.L., Naik V.N., Park J. et al. Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback // Neshesiology, 2006.105, 279–85.
20. Soreide E., Morrison L., Hillman K., et al. The formula for survival in resuscitation // Resuscitation, 2013. 84, 1487–1493.
21. Strömsöe A, Svensson L, Axelsson ÅB, Claesson A, Göransson KE, Nordberg P, Herlitz J. Improved outcome in Sweden after out‐of‐hospital cardiac arrest and possible association with improvements in every link in the chain of survival // Eur Heart J, 2015. 36,863–871.
22. Wissenberg M., Lippert F.K., Folke F., Weeke P., Hansen C.M., et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out‐of‐hospital cardiac arrest // JAMA, 2013.310,1377–1384.
23. Ygiyeva D.G., Pivina L.M., Abilov G.N., Messova A.M., Dyussupov A.A.,et al. Comparative analysis of medical technician service systems in foreign countries and the Republic of Kazakhstan. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, 4 (Vol.24), 231-239.
References: [1-4]
1. Gnezdilov V.V. Sravnitel'nyi analiz effektivnosti reanimatsionnogo posobiya (acls 2000 i acls 2005) na dogospital'nom etape [Comparative analysis of the effectiveness of resuscitation aid (acls 2000 and acls 2005) on a prehospital stage]. Tikhookeanskii meditsinskii zhurnal [Pacific Medical Journal]. 2008, 1, pp. 85-6. [in Russian]
2. Ivanova A.A., Milin V.A., Shadrin A.P., Kuznecov V.V. Serdechno-legochnaya reanimatsiya na dogospital'nom etape: rezul'taty vnedreniya v Yakutske [Cardiopulmonary resuscitation on a prehospital aircraft: results of implementation in Yakutsk]. Tikhookeanskii meditsinskii zhurnal [Pacific Medical Journal], 2008.1, pp. 87-9 [in Russian]
3. Miroshnichenko A.G., Tarakanova L.I., Haller I.V., Mihajljuk S.G. Otsenka znachimosti faktorov, vliyayushhikh na iskhod reanimatsionnykh meropriyatii na dogospital'nom etape [Assessing the significance of factors influencing the outcome of resuscitation measures on a prehospital aircraft]. Skoraya meditsinskaya pomoshh' [Emergency], 2006. 4, pp. 3-6. [in Russian]
4. Shumatov V.B., Kuznecov V.V., Lebedev S.V. Effektivnaya serdechno-legochnaya reanimatsiya na dogospital'nom etape: osnovnye elementy, opyt vnedreniya [Effective cardiopulmonary resuscitation at the prehospital stage: basic elements, implementation experience]. Tikhookeanskii meditsinskii zhurnal [Pacific Medical Journal]. 2006. 1, 81-4. [in Russian]
Количество просмотров: 8713
Категория статей:
Оригинальные исследования
Библиографическая ссылка
Messova A., Pivina L., Ygiyeva D., Batenova G., Dyussupov A., Jamedinova U., Bayanbaev A., Otarbayev N., Orazbayev M. Impact of emergency medicine training implementation on prehospital mortality outcomes in Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 5, pp. 57-63. doi 10.34689/SH.2023.25.5.007Похожие публикации:
TRENDS IN MORBIDITY AND MORTALITY FROM CHRONIC HEART FAILURE IN ALMATY
СТРУКТУРНО-ФУНКЦИОНАЛЬНЫЕ ИЗМЕНЕНИЯ МИОКАРДА ПОСЛЕ АОРТОКОРОНАРНОГО ШУНТИРОВАНИЯ У ПАЦИЕНТОВ С ИЗБЫТОЧНОЙ МАССОЙ ТЕЛА НА РАЗНЫХ ЭТАПАХ РЕАБИЛИТАЦИИ
МЕДИКО – СОЦИАЛЬНЫЕ, ПСИХОЛОГИЧЕСКИЕ АСПЕКТЫ КАЧЕСТВА ЖИЗНИ БОЛЬНЫХ С ОСТРЫМ ПАНКРЕАТИТОМ
A COMPARATIVE ANALYSIS OF 24-HOUR DIETARY RECALLS AND FOOD FREQUENCY QUESTIONNAIRES ADMINISTERED SIMULTANEOUSLY IN THE KAZAKHSTANI POPULATION
ANALYSIS OF PATIENT SATISFACTION WITH THE QUALITY OF ORGANIZATION OF TREATMENT IN FOREIGN CLINICS