Titre du document / Document title

Foster parents of medically fragile children can improve their BLS scores : Results of a demonstration project

Auteur(s) / Author(s)

SHARIEFF Ghazala Q. ⁽¹⁾ ; HOSTETTER Susan ⁽¹⁾ ; SILVA Patricia D. ⁽²⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Children's Hospital and Health Center, Division of Emergency Medicine, University of California, San Diego, California, ETATS-UNIS
⁽²⁾ Research Center Children's Hospital and Health Center, San Diego, California, ETATS-UNIS

Résumé / Abstract

Objectives: 1) To assess performance and comfort level with cardiopulmonary resuscitation (CPR), foreign body removal (FBR), and seizure management in foster parents of medically fragile children; 2) To determine if the parents' performance and comfort levels increase with an individual teaching session with a medical professional to review CPR and FBR. Methods: In this single cohort pilot study, 18 foster parents of medically fragile children were asked to rate their comfort level with pediatric CPR and FBR on a 5-point scale (1 = very uncomfortable, 5 = very comfortable). They then underwent five mock code scenarios and were evaluated using a 5-point scale (1 = poor performance, 5 = outstanding performance). A 6-month follow-up evaluation using similar scenarios was conducted. Results: At visit 1, the percentage of parents demonstrating adequate performance of CPR, FBR, and seizure management was: I) CPR: infant (78%); child (78%); 2) Foreign body removal: age <1 year (17%); age >1 year (65%); 3) Seizures (94%). At visit 2, performance improved in all areas, especially FBR, where the percentage of parents demonstrating adequate performance increased to 71% for children <1 year and 82% for children >1 year. As measured by the 5-point scales, CPR and FBR performance and parent comfort level with CPR improved significantly (Wilcoxon signed-ranks test, P < 0.004), but parent comfort level with FBR did not (P = 0.12). Conclusions: Based on this pilot study, foster parents of medically fragile children benefit from an individual teaching session by a medical professional. CPR instruction for this group of foster parents should include adequate review and assessment of foreign body removal procedures.

Revue / Journal Title

Pediatric emergency care   ISSN 0749-5161 

Source / Source

Congrès
Western Ambulatory Pediatrics Association Regional Meeting, Carmel California , ETATS-UNIS (31/01/1999)
American Public Health Association National Meeting (08/11/1999)
2001, vol. 17, n^o2, pp. 93-95 (5 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1985) (Revue)

Mots-clés anglais / English Keywords

Foster parent ; Child ; Critically ill ; Resuscitation ; Cardiopulmonary ; Foreign body ; Removal ; Evaluation ; Teaching ; Health worker ; Human ; Public health ;

Mots-clés français / French Keywords

Parent nourricier ; Enfant ; Malade état grave ; Réanimation ; Cardiopulmonaire ; Corps étranger ; Enlèvement ; Evaluation ; Enseignement ; Agent santé ; Homme ; Santé publique ;

Mots-clés espagnols / Spanish Keywords

Pariente nutricio ; Niño ; Enfermo estado grave ; Reanimación ; Cardiopulmonar ; Cuerpo extraño ; Toma ; Evaluación ; Enseñanza ; Hombre ; Salud pública ;

Localisation / Location

INIST-CNRS, Cote INIST : 20958, 35400009818593.0030