Introduction: Military activity in the Amazon Jungle is related to the risk of illness due to adverse weather conditions, contact with venomous animals, activities in a fluvial environment, among others. The Battalion Sanitary Formations are responsible for urgent and emergency care. Training in urgent and emergency care is an opportunity for improvement that can optimize the quality of care, reduce patient morbidity and mortality, and whose implementation has a low associated cost.

Objective: to evaluate the impact of training and implementation of a cardiopulmonary resuscitation protocol on the quality of emergency care in the Sanitary Training (SF) of the 53rd Jungle Infantry Battalion (JIB).

Methodology: qualitative study of the quality improvement, carried out in the SF of the 53rd JIB. The study units are the 29 military personnel who work in the SF of the 53rd JIB, regardless of age, sex or rank, evaluated for a period of one month. Data sources are the military assessment form and patient records. The intervention was a theoretical-practical course and a cardiopulmonary resuscitation protocol produced in accordance with the AGREE II tool. The absolute and relative frequency of compliance and non-compliance with ten quality criteria was estimated before and after the intervention. Absolute improvement, relative improvement and statistical significance were calculated using the Z value test.

Results: The course took place with 18 participants. The average of correct answers in the pre-test was 12 questions (60%). The average number of correct answers in the post-test was 18 questions (90%). Analyzing the questions related to cardiopulmonary resuscitation, there was an average of three correct answers (50%) in the pre-test and six correct answers (100%) in the post-test. The levels of compliance with the quality criteria before the intervention were: use of PPE and assessment of scene safety (87.5%); cervical spine stabilization, maintenance of a patent airway and oxygen supply (100%); assessment and recognition of adequate ventilation and oxygenation (93.75%); shock diagnosis and control of external hemorrhage (87.5%); performance of a brief neurological examination (0%); restriction of spinal movement and adequate immobilization (81.25%); transport to the most appropriate hospital service (100%); cardiopulmonary arrest resuscitation with Basic Life Support (37.5%); cardiopulmonary arrest resuscitation with Advanced Life Support (50%); record of attendance in medical records (0%). There was still no measurement of post-intervention quality.

Conclusions: So far, we have observed that training SF professionals from the 53rd JIB in emergency care is a low-cost, feasible, reproducible initiative that can contribute to improve technical-scientific quality. The average of correct answers between pre-test and post-test increased, which may mean that there was content retention. More data is needed to assess the impact of this action on improving the quality of emergency care.