Barriers to dispatcher-assisted cardiopulmonary resuscitation in Singapore

Ho, Andrew Fu Wah; Sim, Zariel Jiaying; Shahidah, Nur; Ying, Hao; Ng, Yih Yng; Leong, Benjamin Sieu Hon; Zarinah, Siti; Teo, Winston K.L.; Goh, Geraldine Shu Yi; Jaafar, Hamizah; Ong, Marcus Eng Hock

doi:10.1016/j.resuscitation.2016.05.006

Cited by 57 publications

(37 citation statements)

References 21 publications

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“…a language barrier, (7) an inability to place victims on a hard, flat surface, (8) a physical inability to perform CPR, and (9) the caller hanging up the phone before CPR instruction (80). Concordant barriers were found by Ho et al (34). These studies explored barriers to performance of T-CPR when a need for T-CPR was recognised.…”

Section: Telephone-assisted Cpr Instructionsmentioning

confidence: 96%

“…Recognition of cardiac arrest is challenging both for bystanders and EMDs, mainly due to the presence of agonal breathing (27)(28)(29)(30)(31)(32). Studies on recognition of cardiac arrest by EMDs report wide variations; between 56 and 98% of OHCA are recognised by EMDs (27,30,(32)(33)(34)(35)(36)(37). Failure to recognise cardiac arrest during emergency calls is associated with decreased survival (30).…”

Section: Figure 1 the Chain Of Survivalmentioning

confidence: 99%

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Comparison of Medical Priority Dispatch (MPD) and Criteria Based Dispatch (CBD) relating to cardiac arrest calls

Hardeland¹,

Olasveengen²,

Lawrence³

et al. 2014

Resuscitation

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Section: Telephone-assisted Cpr Instructionsmentioning

confidence: 96%

Section: Figure 1 the Chain Of Survivalmentioning

confidence: 99%

Comparison of Medical Priority Dispatch (MPD) and Criteria Based Dispatch (CBD) relating to cardiac arrest calls

Hardeland¹,

Olasveengen²,

Lawrence³

et al. 2014

Resuscitation

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show abstract

“…For example, Folke et al (16) estimated that for the city of Copenhagen, 1104 AEDs would be required to cover 67% of arrests with the cost per qualityadjusted life year (QALY) gained being USD $40,900 (22). However this cost could possibly be reduced with use of smart technologies to link existing AEDs with lay responders.…”

Section: Cpr: Cardiopulmonary Resuscitation; Ems: Emergency Medical Smentioning

confidence: 99%

“…Problems with recognition of cardiac arrest by the public and the dispatcher One of the main barriers to timely initiation of EMS response and initiation of CPR is difficulty recognizing OHCA by the public, and similarly challenges for dispatchers to diagnose OHCA over the telephone (16). In particular, a patient in cardiac arrest may still have gasping movements, due to agonal breathing that may be misinterpreted as normal respiration (12).…”

Section: Introductionmentioning

confidence: 99%

Out-of-hospital cardiac arrest: prehospital management

2018

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(no more than 150 words)Sudden out of hospital cardiac arrest is the most time critical medical emergency. In this expert opinion and literature review, we consider important issues in the pre-hospital management of cardiac arrest. Successful resuscitation is reliant on a strong chain of survival drawn from the community, dispatch center, ambulance and hospital working together. Early cardiopulmonary resuscitation and defibrillation has the greatest impact on survival. If the community response does not restart the heart, resuscitation is continued by emergency medical services staff. There is uncertainty about the best approaches for airway management and the effectiveness of current drug treatments. Prognostic factors and termination of resuscitation rules may guide the duration of a resuscitation attempt and decision to transport to hospital. If return of spontaneous circulation is achieved, the focus of treatment shifts to stabilization, restoring normal physiological parameters and transporting to hospital for on-going care.2

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“…Furthermore, giving mouth-to-mouth ventilation has been shown to be a clear barrier to initiating CPR among laypersons and healthcare workers. (9)(10)(11) Hence, the giving of ventilation instructions is recommended to be limited to children, drowning victims or adults with a suspected respiratory cause of cardiac arrest.…”

Section: Should Dispatchers Give Instructions On Full or Handsonly Cpr?mentioning

confidence: 99%

The role of dispatch in resuscitation

Leong

Ong

2017

smedj

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The role of the dispatch centre has increasingly become a focus of attention in cardiac arrest resuscitation.The dispatch centre is part of the fi rst link in the chain of survival because without the initiation of early access, the rest of the chain is irrelevant. The infl uence of dispatch can also extend to the initiation of bystander cardiopulmonary resuscitation, early defi brillation and the rapid dispatch of emergency ambulances. The new International Liaison Committee on Resuscitation, the American Heart Association and, especially, the European Resuscitation Council 2015 guidelines have been increasing their emphasis on dispatch as the key to improving out-of-hospital cardiac arrest survival.

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Barriers to dispatcher-assisted cardiopulmonary resuscitation in Singapore

Cited by 57 publications

References 21 publications

Comparison of Medical Priority Dispatch (MPD) and Criteria Based Dispatch (CBD) relating to cardiac arrest calls

Comparison of Medical Priority Dispatch (MPD) and Criteria Based Dispatch (CBD) relating to cardiac arrest calls

Out-of-hospital cardiac arrest: prehospital management

The role of dispatch in resuscitation

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