A survey-based assessment of emergency physicians’ proficiency in mechanical ventilator management

Purpose: Mechanical ventilation (MV) is a critical intervention frequently utilized in emergency departments, yet many emergency physicians receive limited formal training in its use. This study aimed to evaluate emergency physicians’ frequency of MV application, their theoretical and practical knowledge, and the adequacy of training received during residency in Türkiye. Materials and methods: A cross-sectional, survey-based study was conducted using a 20-item electronic questionnaire distributed via national emergency medicine associations. The survey assessed demographic characteristics, familiarity with ventilator terminology, and self-reported proficiency in MV management. A total of 215 physicians (152 specialists, 63 residents) participated. Statistical analyses were performed using chi-square tests with a significance level of p<0.05. Results: Despite 86% of participants reporting independent adjustment of ventilator settings, only 14.9% considered their MV knowledge sufficient. While 75.8% were familiar with basic parameters such as PEEP, only 36.3% understood advanced concepts like compliance and elastance. Half of the participants had not attended any formal MV training. No significant differences were observed in knowledge levels based on institution type or professional status. Conclusion: The findings reveal a critical gap between emergency physicians’ confidence and their actual knowledge in MV management. To bridge this gap, structured, simulation-based training should be integrated into residency curricula and continuing education programs to enhance both competence and patient outcomes.