Assessment of EMS Providers' Competencies in Managing Cardiac Emergencies in Saudi Arabia: A Comparative Study with International Standards

Abstract

In cases of cardiac arrest, efficient cardiopulmonary resuscitation (CPR) is essential to improve prognoses. The purpose of this study is to evaluate the level of CPR competency among paramedics in Saudi Arabia, with an emphasis on compression depth and ventilation procedures. In this investigation, 69 paramedics participated, and CPR scenarios were simulated on an Ambu manikin. With an emphasis on the accuracy and effectiveness of breathing procedures as well as the constancy of compression depth, this configuration made it possible to thoroughly evaluate each participant's approach. According to the study, paramedics performed chest compressions with impressive skill, averaging 58.48 mm, which is within the recommended range of 50 to 60 mm. The compression depths did, however, differ substantially, ranging from 47 mm to 72 mm. Furthermore, there were notable discrepancies in the ventilation methods, with 87.4% of ventilations being carried out below the suggested volume limit. More participants' deviations from the recommended compression-to-ventilation ratio highlight the need for stricter adherence to the standards. Although paramedics have a solid foundation in CPR, there are noticeable variances and anomalies that highlight the need for ongoing, targeted training. To remedy these gaps, this report recommends creating and implementing focused training initiatives. To enhance overall CPR performance and subsequently improve patient outcomes in emergencies, such programs should prioritize adherence to established CPR recommendations and highlight the integration of realistic simulation experiences.