Dispatcher-assisted cardiopulmonary resuscitation: Differential effects of landline, Mobile, and transferred calls

Huang, Shuo Kuen; Chen, Chihyu; Shih, Hong-Mo; Weng, Shao-Jen; Liu, Shih‐Chia; Huang, Fen-Wei; Su, Chi-Yueh; Chang, Shih-Hsien

doi:10.1016/j.resuscitation.2019.11.008

Cited by 12 publications

(17 citation statements)

References 22 publications

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“…Since 1997, such information has been collected by the quality management team of the Taichung Dispatch Center and integrated into the Taichung OHCA registry system. 12…”

Section: Prehospital Resuscitation and Registry System For Ohca In Taichungmentioning

confidence: 99%

Impact of the COVID-19 pandemic on emergency medical service response to out-of-hospital cardiac arrests in Taiwan: a retrospective observational study

Chen

et al. 2021

Emerg Med J

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BackgroundEmergency medical service (EMS) personnel have high COVID-19 risk during resuscitation. The resuscitation protocol for patients with out-of-hospital cardiac arrest (OHCA) was modified in response to the COVID-19 pandemic. However, how the adjustments in the EMS system affected patients with OHCA remains unclear.MethodsWe analysed data from the Taichung OHCA registry system. We compared OHCA outcomes and rescue records for 622 cases during the COVID-19 outbreak period (1 February to 30 April 2020) with those recorded for 570 cases during the same period in 2019.ResultsThe two periods did not differ significantly with respect to patient age, patient sex, the presence of witnesses or OHCA location. Bystander cardiopulmonary resuscitation and defibrillation with automated external defibrillators were more common in 2020 (52.81% vs 65.76%, p<0.001%, and 23.51% vs 31.67%, p=0.001, respectively). The EMS response time was longer during the COVID-19 pandemic (445.8±210.2 s in 2020 vs 389.7±201.8 s in 2019, p<0.001). The rate of prehospital return of spontaneous circulation was lower in 2020 (6.49% vs 2.57%, p=0.001); 2019 and 2020 had similar rates of survival discharge (5.96% vs 4.98%). However, significantly fewer cases had favourable neurological function in 2020 (4.21% vs 2.09%, p=0.035).ConclusionEMS response time for patients with OHCA was prolonged during the COVID-19 pandemic. Early advanced life support by EMS personnel remains crucial for patients with OHCA.

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“…Since 1997, such information has been collected by the quality management team of the Taichung Dispatch Center and integrated into the Taichung OHCA registry system. 12…”

Section: Prehospital Resuscitation and Registry System For Ohca In Taichungmentioning

confidence: 99%

Impact of the COVID-19 pandemic on emergency medical service response to out-of-hospital cardiac arrests in Taiwan: a retrospective observational study

Chen

et al. 2021

Emerg Med J

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“…, 53. , 55. of the included studies reported the introduction of and/or the impact of DA-CPR per se, with the other 27 studies describing the impact of various factors on B-CPR initiation and performance.…”

Section: Resultsmentioning

confidence: 99%

“…, 44. Technical language Perceived alive How directions are worded Perceived death Bystander calling from landline 55 Communication failure 37. , 52.…”

Section: Resultsmentioning

confidence: 99%

“…, 53. , 55. Calls transferred from a landline to mobile phone Simple language 49 Bystander characteristics 30 Younger bystanders Son or daughter versus spouse Witnessed arrest Multiple bystanders present Public OHCA 28 Continuing CPR If bystanders have had CPR training 36 Callers using a mobile phone 55 - Patient unrelated to bystander 36 Bystander adheres to DA-CPR protocol 36 CPR quality - Multiple bystanders 42 - Video emergency call 50 …”

Section: Resultsmentioning

confidence: 99%

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A scoping review to determine the barriers and facilitators to initiation and performance of bystander cardiopulmonary resuscitation during emergency calls

et al. 2022

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“…Patient education also needs to be linked to advancements in local initiatives. For example, the use of a cell phone rather than a landline when calling EMS to enable dispatcher CPR instructions to be provided in a timely manner [16]. In the future, the public may also need to be educated on how to interact with technology, such as the use of smart-phone video in the emergency call, smartwatch apps to receive real-time feedback on compression quality [17] and drones delivering defibrillators [18].…”

Section: Basic Life Support Training In High-risk Patientsmentioning

confidence: 99%

The future of resuscitation education

Bray

Greif

2022

Current Opinion in Critical Care

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Purpose of reviewThe purpose of this review is to provide an update for critical care clinicians and providers on the recent developments in patient and healthcare professional (HCP) resuscitation education. Recent findingsThe family members of patients at high-risk of cardiac arrest need to be provided with access to basic life support (BLS) training. Many low-cost methods are now available to provide BLS training beyond attending a traditional BLS instructor-led cardiopulmonary resuscitation (CPR) class. Hybrid-blended learning formats provide new opportunities to receive individualized CPR-training in a flexible and convenient format. HCPs' participation in accredited advanced life support courses improves patient outcomes. Monitoring HCPs exposure to resuscitation and supplementing with frequent simulation is recommended. Training should include human factors and nontechnical skills. Volunteering for first responder programs when off-duty provides a great opportunity for HCP's to improve out-of-hospital cardiac arrest survival and increase exposure to resuscitation. SummaryFrequent resuscitation education and training is critical to improving cardiac arrest patient outcomes. Recent evidence shows the effectiveness of technological developments to improve access to training and outcomes.

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Dispatcher-assisted cardiopulmonary resuscitation: Differential effects of landline, Mobile, and transferred calls

Cited by 12 publications

References 22 publications

Impact of the COVID-19 pandemic on emergency medical service response to out-of-hospital cardiac arrests in Taiwan: a retrospective observational study

Impact of the COVID-19 pandemic on emergency medical service response to out-of-hospital cardiac arrests in Taiwan: a retrospective observational study

A scoping review to determine the barriers and facilitators to initiation and performance of bystander cardiopulmonary resuscitation during emergency calls

The future of resuscitation education

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