The understandability and quality of telephone-guided bystander cardiopulmonary resuscitation in the Western Cape province of South Africa: A manikin-based study

A resuscitation systems analysis for South Africa: A narrative review

“…South Africans report that they would be willing to initiate bystander CPR of they were guided over the telephone. 79 This may be a cost-effective alternative to public mass CPR campaigns and overcome the limitations of OHCAs occurring in private settings.…”

“…78 While tCPR could assist in improving this, it results in suboptimal quality. 79 tCPR programmes are also not commonly applied in the country and there are multiple barriers to its initiation, resulting in low uptake by callers. 90 There exists no registry or specific legislation for AED placement, but defibrillation via EMS is likely delayed due to prolonged response times.…”

The barriers and facilitators to initiation of telephone-assisted bystander cardiopulmonary resuscitation for patients experiencing out-of-hospital cardiac arrest in a private emergency dispatch centre in South Africa

“…A recent tCPR study from South Africa found that 94% of participants felt that tCPR instructions should be provided in their home language. 40 In a multilingual country such as South Africa, this may not always be possible and previous research has shown that seeking an interpreter may cause delays in initiating tCPR 41 , which could influence outcome. Instead, the development of bespoke, contextual tCPR algorithms have been found to effectively overcome language barriers and result in expedited recognition of OHCA and improved tCPR uptake in callers with limited English-language proficiency.…”