The reluctance of house staff to perform mouth-to-mouth resuscitation in the inpatient setting: what are the considerations?

摘要: Abstract Objective: Medical house staff are required to perform cardiopulmonary resuscitation (CPR) as part of their job responsibilities. Previously it has been shown that reluctant mouth-to-mouth (MMR) in an out hospital setting. Therefore, whether reluctance MMR extends the inpatient setting, and, if so, reasons for this were investigated. Design: All 74 internal medicine officers a large metropolitan responded presentations hypothetical cardiac arrest scenarios assess willingness MMR. Setting: A 1200 bed university-affiliated teaching Los Angeles, California. Subjects: categorical at hospital. Interventions: This study is survey which concerns officer would different scenarios. Results: Forty-rive percent on unknown patient and 39% elderly scenario. Only 16% do with small amount blood his lips only 7% presumed acquired immunodeficiency syndrome. housestaff much more elderly, trauma, or immunodeficient patients setting than outpatient indicated unwillingness cited fear human virus infection reason. Conclusion: quite Thus, educating medical about survive actual risks contracting infectious diseases, especially HIV infections, from preventative measures, such effective barrier masks, should result increased physicians mouth-to-mask ventilation inpatients.