Translation of ERC resuscitation guidelines into clinical practice by emergency physicians

PURPOSE Austrian out-of-hospital emergency physicians (OOHEP) undergo mandatory biannual emergency physician refresher courses to maintain their licence. The purpose of this study was to compare different reported emergency skills and knowledge, recommended by the European Resuscitation Council (ERC) guidelines, between OOHEP who work regularly at an out-of-hospital emergency service and those who do not currently work as OOHEP but are licenced. METHODS We obtained data from 854 participants from 19 refresher courses. Demographics, questions about their practice and multiple-choice questions about ALS-knowledge were answered and analysed. We particularly explored the application of therapeutic hypothermia, intraosseous access, pocket guide use and knowledge about the participants' defibrillator in use. A multivariate logistic regression analysed differences between both groups of OOHEP. Age, gender, years of clinical experience, ERC-ALS provider course attendance and the self-reported number of resuscitations were control variables. RESULTS Licenced OOHEP who are currently employed in emergency service are significantly more likely to initiate intraosseous access (OR = 4.013, p < 0.01), they initiate mild-therapeutic hypothermia after successful resuscitation (OR = 2.550, p < 0.01) more often, and knowledge about the used defibrillator was higher (OR = 2.292, p < 0.01). No difference was found for the use of pocket guides.OOHEP who have attended an ERC-ALS provider course since 2005 have initiated more mild therapeutic hypothermia after successful resuscitation (OR = 1.670, p <0.05) as well as participants who resuscitated within the last year (OR = 2.324, p < 0.01), while older OOHEP initiated mild therapeutic hypothermia less often, measured per year of age (OR = 0.913, p <0.01). CONCLUSION Licenced and employed OOHEP implement ERC guidelines better into clinical practice, but more training on life-saving rescue techniques needs to be done to improve knowledge and to raise these rates of application.

Sendschreiben an die Redakteure der in Leipzig erscheinenden Deutschen Kriegerzeitung : Wilucki, Oberlieutenant im 2. Linien-Inf.-Regt., Müller, Oberlieutenant in der Inf.-Garde-Division, Erdmannsdorf, Lieutenant im Leib-Inf.-Regt., v. Zychlinski, Lieutenant im Leib.-Inf.-Regt., Andrée, Lieutenant im Ingenieur-Corps

Boberach: Der Aufsatz "Wie denken Preußens Offiziere von einem deutschen Heere?" hat das Offizierskorps verletzt, daß sich gegen jede Mediatisierung Preußens wendet, weil Preußens Heer allein Deutschland vor dem Untergang retten kann

"Wir wählen nicht": Vier politische Gedichte: 1. Wie in dem Kinder-Lehrgedicht Der Suppen-Kaspar trotzig spricht: "Ich esse meine Suppe nicht!" So sprecht Ihr: "Nein, wir wählen nicht!" ...

Welsch (Projektbearbeiter): Aufruf zur Teilnahme an den Urwahlen zur zweiten preußischen Kammer und Zurückweisung der unterschiedlichen (linken, rechten und persönlichen) Motive der potentiellen Nichtwähler. In Gedichtform

Dr. Joel Müller [Illustration] : Dozent 1884 - 1895

Scan von Monochrom-Mikroform

David Heinrich Müller [Illustration] : (Porträt)

Scan von Monochrom-Mikroform

S. Müller [Rezension]

Is. Bamberger

Pseudo-Kimchi (Müller) [Nachricht] : (zu S. 384)

Moritz Steinschneider