Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey

Data on knowledge, attitude and ST Elevation Myocardial Infarction (STEMI) electrocardiography (ECG) detection among pre-hospital paramedics in Malaysia is still scarce. It is imperative to gain this information as a pre-requisite in initiating pre-hospital thrombolysis. This was a descriptive study...

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Main Authors: Nik Azlan Nik Muhamad, Muhamad Syis Z
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2019
Online Access:http://journalarticle.ukm.my/15211/1/ms0233_pdf_19929.pdf
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author Nik Azlan Nik Muhamad,
Muhamad Syis Z,
author_facet Nik Azlan Nik Muhamad,
Muhamad Syis Z,
author_sort Nik Azlan Nik Muhamad,
collection UKM
description Data on knowledge, attitude and ST Elevation Myocardial Infarction (STEMI) electrocardiography (ECG) detection among pre-hospital paramedics in Malaysia is still scarce. It is imperative to gain this information as a pre-requisite in initiating pre-hospital thrombolysis. This was a descriptive study conducted from May 2016 until November 2017 on paramedics from Universiti Kebangsaan Malaysia Medical Center (UKMMC) and Kuala Lumpur Hospital (HKL). It was to assess knowledge on pre-hospital thrombolytic therapy and ECG detection of STEMI. One hundred and six questionnaires were answered and analyzed. More than 60% of the candidates were unable to detect STEMI ECG changes and lacked of confidence in handling and administering thrombolytic treatment at the level of pre-hospital phase. Only 20.8% candidates managed to detect more than 8/10 of the correct ECG pattern in STEMI. Less than 40% of the candidates achieved more than 80% marks in answering questions regarding STEMI and treatment. It is concluded that the overall performance and knowledge of paramedic regarding pre-hospital thrombolytic therapy is generally poor. Further training need to be done prior to implementing pre-hospital STEMI thrombolytic therapy in Malaysia.
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spelling ukm.eprints-152112020-09-18T07:10:22Z http://journalarticle.ukm.my/15211/ Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey Nik Azlan Nik Muhamad, Muhamad Syis Z, Data on knowledge, attitude and ST Elevation Myocardial Infarction (STEMI) electrocardiography (ECG) detection among pre-hospital paramedics in Malaysia is still scarce. It is imperative to gain this information as a pre-requisite in initiating pre-hospital thrombolysis. This was a descriptive study conducted from May 2016 until November 2017 on paramedics from Universiti Kebangsaan Malaysia Medical Center (UKMMC) and Kuala Lumpur Hospital (HKL). It was to assess knowledge on pre-hospital thrombolytic therapy and ECG detection of STEMI. One hundred and six questionnaires were answered and analyzed. More than 60% of the candidates were unable to detect STEMI ECG changes and lacked of confidence in handling and administering thrombolytic treatment at the level of pre-hospital phase. Only 20.8% candidates managed to detect more than 8/10 of the correct ECG pattern in STEMI. Less than 40% of the candidates achieved more than 80% marks in answering questions regarding STEMI and treatment. It is concluded that the overall performance and knowledge of paramedic regarding pre-hospital thrombolytic therapy is generally poor. Further training need to be done prior to implementing pre-hospital STEMI thrombolytic therapy in Malaysia. Pusat Perubatan Universiti Kebangsaan Malaysia 2019 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15211/1/ms0233_pdf_19929.pdf Nik Azlan Nik Muhamad, and Muhamad Syis Z, (2019) Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey. Medicine & Health, 14 (1). pp. 34-43. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/14/1
spellingShingle Nik Azlan Nik Muhamad,
Muhamad Syis Z,
Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey
title Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey
title_full Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey
title_fullStr Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey
title_full_unstemmed Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey
title_short Confidence level and knowledge of pre-hospital thrombolysis therapy of paramedic in pre-hospital care: a survey
title_sort confidence level and knowledge of pre hospital thrombolysis therapy of paramedic in pre hospital care a survey
url http://journalarticle.ukm.my/15211/1/ms0233_pdf_19929.pdf
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