Abstract
Access to an intravenous (IV) route is very crucial in emergency patients under resuscitation. The difficulty to access and administer fluid and drugs through intravenous will influence the outcome of patient. In case of unavailable of intravenous route, the alternative is intraosseous access. To date, there is no data available on the prevalence and pattern of intraosseous cannulation knowledge among emergency paramedics in the published literature from our country, even though the use of intraosseous cannulation for emergency patients is being practices. Therefore, the purpose of the present study was to determine the level of knowledge regarding intraosseous cannulation among emergency paramedics. The knowledge related to intraosseous cannulation among emergency paramedics was assessed through structured validated test questions. Fifteen paramedics participated in this study. Majorities of participants were male (86.6%). The age group ranged from 22 – 45 old years. The working experiences were from two to thirteen years. There was only 1 out of 15 participants who had scored 75%. The majority (10) scored 40% to 50%. This suggests that necessity in teaching of intraosseous cannulation among emergency paramedics needs to be emphasised.
Keywords :
alternative,
intraosseous cannulation,
intravenous access,
paramedics’ knowledge,
Abstrak
Akses untuk laluan intravena (IV) adalah amat penting didalam rawatan resusitasi pesakit kecemasan. Kerumitan mengakses laluan intravena akan menyebabkan kesukaran dalam pemberian cecair dan ubat yang boleh mempengaruhi kesan rawatan kepada pesakit. Dalam keadaan tiada laluan intravena, akses alternatif adalah kanulasi intraosseous. Pada masa ini, tidak ada data mengenai kelaziman dan corak pengetahuan tentang kanulasi intraosseous dikalangan paramedik kecemasan dalam penerbitan negara kita, walaupun penggunaan kanulasi intraosseous untuk pesakit kecemasan sedang diamalkan. Oleh itu, tujuan kajian ini adalah untuk mengenalpasti tahap pengetahuan tentang kanulasi intraosseous dikalangan paramedik kecemasan. Pengetahuan berkaitan dengan kanulasi intraosseous dikalangan paramedik kecemasan dinilai melalui soalan ujian berstruktur yang disahkan. Lima belas paramedik mengambil bahagian didalam kajian ini. Majoritinya adalah lelaki (86.6%). Kumpulan umur adalah diantara 22-45 tahun. Pengalaman bekerja pula adalah diantara 2-13 tahun. Terdapat hanya 1 daripada 15 peserta yang telah mencapai skor markah 75%. Majoriti (10) mencapai skor markah diantara 40% hingga 50%. Ini menunjukan bahawa pengajaran kanulasi intraosseous dikalangan paramedik kecemasan perlu diberi penekanan.
Kata Kunci :
akses kepada intravena,
alternatif,
kanulasi intraosseous,
pengetahuan paramedik,
Correspondance Address
Bala Krishnian s/o Muniandy, Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-91455495 Fax: +603-91456577 Email: blrmsh@yahoo.com
