• Yücel Yavuz
  • Yusuf Yürümez
  • Reha Demirel
  • Hüseyin Fidan
  • Nihal Geçici
  • H. Mehmet Şahin

Eurasian J Emerg Med 2006;5(2):44-47

Cardiopulmonary resuscitation (CPR) effort is a common and important pre- and in-hospital emergency intervention. In this study, knowledge and attitudes about on-scene termination of CPR efforts was asked of physicians working in the emergency medicine system.

A questionnaire was submitted to emergency department and 112 ambulance physicians who worked in central Afyonkarahisar. Eighty percent (n=27) of the physicians were reached. The mean age was 32.43.7 years, and the duration of working as a physician was 8.23.6 years. On adults, 40% had performed CPR 0-10 times, and 30% 11-25 times. On children, %81 had performed CPR 0-10 times and 11 % 11 -25 times. To the question "After how many minutes of CPR do you usually terminate unsuccessful resuscitation?", 11% answered that they would discontinue resuscitation within 20 min, 37% within 30 min, 29.6% within 45 min, 7.4% within 60 min; and 7.4% within 75 min. In answer to the question "Upon which criteria does your decision to terminate resuscitative efforts depend?", 81% indicated the ECG finding, 91% indicated the pupillarystatus (persistent dilated pupils showing no reactivity to light) as a criterion, 95% the interval between onset of arrest and the application of CPR, 87.5% the duration of CPR and 80% potential prognosis and underlying disease process. In conclusion, CPR experience of physicians working in the emergency medicine system was insufficient, especially regarding pediatric CPR. Physicians are uncomfortable about termination of CPR. We suggest practical and continuing training to physicians in order to overcome these problems.

Keywords: Cardiopulmonary resuscitation, Cardiopulmonary arrest, Training