Local training also has major impactBMJ 1995; 310 doi: http://dx.doi.org/10.1136/bmj.310.6989.1266b (Published 13 May 1995) Cite this as: BMJ 1995;310:1266
- Colin A Graham,
- Alan Hair
EDITOR,—T M Cook and J Handel raise several important points concerning the management of cardiac arrest in hospital.1 We agree that it is vital to audit the cardiac arrest system and its performance in hospitals, and we are starting our own audit shortly. We found it interesting to note that Cook and Handel's preliminary results showed that the European Resuscitation Council's guidelines on resuscitation were not available in over a third of the arrests attended. In this hospital there is a copy of the advanced cardiac life support guidelines in each emergency drug box.2 Thus when the box is opened at an arrest the sheet is removed and given to the leader of the arrest team, who then has the guidelines immediately to hand. We believe that this would be a simple solution to the problem and should be universally adopted. The last few editions of the British National Formulary also contain a miniature version of the European Resuscitation Council's guidelines3; this source is readily available on most wards.
Posters are also displayed in all ward areas of this hospital. Training for both medical and nursing staff is enhanced by the work of three part time resuscitation training officers (nursing staff in the coronary care and high dependency areas). Obviously, advanced life support courses approved by the United Kingdom Resuscitation Council remain the gold standard in training terms for leaders and members of cardiac arrest teams, but local training can have a major impact on performance and should be encouraged.