This study determined factors that influence usage of automated external defibrillation (AED) on out-of-hospital cardiac arrest among paramedics in Emergency Department of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). It was a cross sectional prospective study conducted between December 2013 and January 2014. Paramedics from Emergency Department were enrolled and assessed using the self-filled questionnaire consisting of multiple sections including knowledge assessment, training and practice. In total, 53 paramedics participated in this study. Only 62% participants used AEDs previously. Not more than 83% participants admitted that they would use it if required. A positive correlation was observed between age and work experience with knowledge on AED usage (p=0.001 and p=0.005, respectively). Government’s institute graduates possess better knowledge and higher confidence level than private institutions graduates (p<0.001). Positive correlation existed between working experience and confidence level in deciding to use (p=0.006), application (p=0.019) and troubleshooting in regards of AED use (p=0.002). The main factor for low confidence level of AED use was lack of training (73.6%) which resulted in reduced confidence to initiate use (45.3%). Eighty eight percent agreed that training is essential before any AED use. Forty one percent felt that Malaysian public is not ready for AEDs use. As a conclusion, AED usage and knowledge among paramedics is still poor and further training is crucial for the improvement of pre-hospital care in Malaysia.
Automated External Defibrillator (AED) Use Among Paramedics in the Emergency Department – What are the Obstacles in Using the Automated External Defibrillator in the Pre-Hospital Care Settings?
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Kajian ini menyelidik faktor yang mempengaruhi pengunaan AED (Defibrilasi automatik luar) ke atas serangan jantung di luar hospital di kalangan paramedik Jabatan Kecemasan Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM). Ini adalah kajian prospektif rentas yang dijalankan dari bulan Disember 2013 hingga Januari 2014. Paramedik dari Jabatan Kecemasan PPUKM didaftarkan dan dinilai dengan menggunakan soal selidik kendiri yang terdiri daripada pelbagai bahagian termasuk penilaian pengetahuan, latihan dan kemahiran. Lima puluh tiga responden telah mengambil bahagian. Enam puluh dua peratus responden pernah menggunakan AEDs di luar hospital. Hanya 83% responden mengakui bahawa mereka bersedia untuk menggunakannya jika perlu. Satu korelasi positif dilihat antara umur dan pengalaman kerja dengan pengetahuan mengenai AED (p=0.001 dan p=0.005 masing-masing). Graduan institusi kerajaan mempunyai pengetahuan yang lebih baik dan tahap keyakinan lebih tinggi daripada graduan institusi swasta ‘p<0.001). Korelasi yang signifikan juga dilihat antara pengalaman kerja dan tahap keyakinan dalam membuat keputusan untuk menggunakan AED (p=0.006), penggunaan AED (p=0.019) dan penyelesaian masalah komplikasi yang timbul daripada penggunaan AED (p=0.002). Faktor utama mengurangkan tahap keyakinan penggunaan AED adalah latihan yang terbatas (3.6%) yang menyebabkan pengurangan keyakinan untuk memulakan penggunaan (45.3%). 88.6% bersetuju bahawa latihan adalah penting sebelum sebarang penggunaan AED. Empat puluh satu peratus daripada responden menyatakan bahawa orang awam Malaysia tidak bersedia menggunakan AED. Kesimpulannya pengunaan dan pengetahuan dalam penggunaan AED di kalangan paramedik masih rendah dan perlu latihan yang lebih intensif.
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