Unlocking Insight; UNLOCKING INSIGHT; NOVICE DOCTORS’ PERSPECTIVES ON CARDIOPULMONARY RESUSCITATION AT AYUB TEACHING HOSPITAL, ABBOTTABAD

Background: Cardiopulmonary resuscitation is an important lifesaving skill to be acquired by all healthcare professionals especially novice doctors. A positive attitude, experience and knowledge of resuscitation protocols can save many lives in response to cardiac arrest. Methods:  This Cross-Sectional study involved novice doctors who submitted a Likert scale questionnaire online through voluntary participation on 4 areas of cardiopulmonary resuscitation (CPR) which included Cardiac Arrest (CA), Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and use of Automated External Defibrillator (AED). Novice doctors’ ‘insight’ was determined through data analysis in SPSS 23. Binary Logistic Regression was used to analyze the association of all groups with ‘high” or ‘low insight. Results: Among 105 doctors, 46 (43.8%) had ‘low insight’ while 59 (56.19%) had ‘high insight’.  Among groups insight was ‘High’ in BLS group and ‘Low’ in CA, ACLS and AED groups. Binary Logistic Regression Analysis revealed that Cardiac Arrest (p=0.037), BLS (p= 0.049), ACLS (p=0.024) and AED (p=0.020) were significant positive predictors of high insight. The Odds Ratio indicated that BLS had the strongest association with high insight (OR=664.29) followed by ACLS (OR=169.67), Cardiac Arrest (OR=20.01) and AED (OR=59.12). Conclusions: A low insight about Cardiopulmonary Resuscitation in 43.8% novice doctors is considerably high. All the doctors in clinical practice should be well trained in performing Cardiopulmonary Resuscitation. These results call for more robust resuscitation training with formal certification.