[The Moodle platform: A useful tool for training in life support. Analysis of satisfaction questionnaires from students and instructors of the semFYC advanced life support courses]

Objetivo

Medir la utilidad del método semipresencial en la formación en soporte vital. El uso de Moodle para implementar una fase no presencial previa a la fase presencial «clásica» en la metodología docente es su principal novedad.

Diseño

Analizamos encuestas de satisfacción a alumnos e instructores de cursos semipresenciales de soporte vital avanzado del programa de Enseñanza de Soporte Vital en Atención Primaria (ESVAP).

Emplazamiento

: plataforma Moodle. Aula Virtual de semFYC.

Participantes y/o contextos

Alumnos e instructores del curso de soporte vital avanzado del programa ESVAP de semFYC.

Método

Análisis cualitativo.

Resultados

A la mayoría de los alumnos les parece muy útil (50%) o útil (45,37%) el hecho de que haya una fase no presencial previa y considera que esta fase les ha ayudado mucho (42,20%) o bastante (48,62%) a aprovechar la fase presencial. Los instructores consideraron que la fase no presencial había resultado muy útil (89%) o útil (11%) para el desarrollo de la fase presencial.

Discusión

De los resultados se concluye que: 1) para los alumnos resulta muy útil una fase no presencial previa y consideran que ayuda bastante/mucho a aprovechar la fase presencial, y 2) los instructores consideran que la fase no presencial ha ayudado bastante en el aprovechamiento y eficiencia de los talleres en la fase presencial.

[Analysis of care in cardiorespiratory arrest in an emergency medical unit]

OBJECTIVE

To describe the epidemiological profile of cardiac arrests and to determine factors associated with successful cardiopulmonary resuscitation (CPR).

DESIGN

Retrospective descriptive observational study. SITES: Badajoz city (Spain) and population attended by the Medical Emergency Unit of the Public Health System in that city.

PARTICIPANTS

A study 359 cardiac arrests resuscitated between January 2002 and May 2009.

RESULTS

Out of the cardiac arrests that ocurred in adults, 65.40% were male, the cause was not traumatic in 88%; 65.70% occurred in the patient's home,and in 6% of the cases there had been basic life support. The higher success rate after was achieved in adult male patients (OR: 0,43; CI 95%; 0.25-0.73; P=.002), whose rhythm was shockable (OR: 0,16; CI 95%: 0,09-0,27; P<.001) and when the start time of advanced life support was equal to or less than 10 minutes (OR: 0,22; CI 95%: 0,10-0,49; P<.001). In a multivariant analysis success of CPR was independently associated with male gender, initial shockable rhythm, and the onset of advanced life support within 10 minutes. Nine children were revived, but success was not achieved in any.

CONCLUSIONS

Cardiac arrests are more common in adults and in few cases CPR is previously performed. Male gender, an initial shockable rhythm, and the early initiation of advanced life support, are associated with higher success of CPR. There were few CPR performed in cardiac arrest in children, and the prognosis was more unfavorable.