Confidence Level and Knowledge of Pre-hospital Thrombolysis Therapy of Paramedic in Pre-hospital Care: A Survey
- Author:
NIK AZLAN NM
1
Author Information
1. Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
- Collective Name:NIK AZLAN NM; MUHAMAD SYIS Z
- Publication Type:Journal Article
- Keywords:
ECG;
prehospital;
STEMI;
thrombolytic therapy
- From:Medicine and Health
2019;14(1):34-43
- CountryMalaysia
- Language:English
-
Abstract:
Data on knowledge, attitude and ST Elevation Myocardial Infarction (STEMI)
electrocardiography (ECG) detection among pre-hospital paramedics in Malaysia
is still scarce. It is imperative to gain this information as a pre-requisite in initiating pre-hospital thrombolysis. This was a descriptive study conducted from May
2016 until November 2017 on paramedics from Universiti Kebangsaan Malaysia
Medical Center (UKMMC) and Kuala Lumpur Hospital (HKL). It was to assess
knowledge on pre-hospital thrombolytic therapy and ECG detection of STEMI.
One hundred and six questionnaires were answered and analyzed. More than
60% of the candidates were unable to detect STEMI ECG changes and lacked of
confidence in handling and administering thrombolytic treatment at the level of
pre-hospital phase. Only 20.8% candidates managed to detect more than 8/10
of the correct ECG pattern in STEMI. Less than 40% of the candidates achieved
more than 80% marks in answering questions regarding STEMI and treatment. It
is concluded that the overall performance and knowledge of paramedic regarding
pre-hospital thrombolytic therapy is generally poor. Further training need to be
done prior to implementing pre-hospital STEMI thrombolytic therapy in Malaysia.
- Full text:12.2019my0111.pdf
