‘We’re going to do CPR’: A linguistic study of the words used to initiate dispatcher-assisted CPR and their association with caller agreement

Riou, Marine; Ball, Stephen; Whiteside, Austin; Bray, Janet; Perkins, Gavin D.; Smith, Karen; O’Halloran, Kay; Fatovich, Daniel M; Inoue, Madoka; Bailey, Paul; Cameron, Peter; Brink, Deon; Finn, Judith

doi:10.1016/j.resuscitation.2018.10.011

Cited by 30 publications

(34 citation statements)

References 27 publications

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“…Across 21 European countries that participated in the EURECA-1 study, less than one third of patients received DA-CPR 50 . In light of our review findings, these data highlight the opportunity, to save more lives through the establishment of systems that ensure the effective delivery of DA-CPR in all cases of OHCA, such as some of the recent work done on dispatcher training and changes in the language used on such calls 51,52 .…”

Section: Interpretation Of Findingsmentioning

confidence: 76%

A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

et al. 2019

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Section: Interpretation Of Findingsmentioning

confidence: 76%

A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

et al. 2019

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“…If recognised, these trigger words could make dispatching faster and more specific. Although ILCOR notes that the trigger words associated with OHCA are a scientific knowledge gap, only one Dutch study has explored trigger words and a couple of Australian studies have examined the communication between emergency dispatchers and laypeople [7, 16, 17].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous trigger words associated with confirmed out-of-hospital cardiac arrest: a descriptive pilot study of emergency calls

Tamminen

Lydén

Kurki

et al. 2020

Scand J Trauma Resusc Emerg Med

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BackgroundAccording to the International Liaison Committee on Resuscitation (ILCOR), the trigger words used by callers that are associated with cardiac arrest constitute a scientific knowledge gap. This study was designed to find hypothetical trigger words in emergency calls in order to improve the specificity of out-of-hospital cardiac arrest recognition.MethodsIn this descriptive pilot study conducted in a Finnish hospital district, linguistic contents of 80 emergency calls of dispatcher-suspected or EMS-encountered out-of-hospital cardiac arrests between January 1, 2017 and May 31, 2017 were analysed. Spontaneous trigger words used by callers were transcribed and grouped into 36 categories. The association between the spontaneous trigger words and confirmed true cardiac arrests was tested with logistic regression.ResultsOf the suspected cardiac arrests, 51 (64%) were confirmed as true cardiac arrests when ambulance personnel met the patient. A total of 291 spontaneous trigger words were analysed. ‘Is not breathing’ (n = 9 [18%] in the true cardiac arrest group vs n = 1 [3%] in the non-cardiac arrest group, odds ratio [OR] 6.00, 95% confidence interval [CI] 0.72–50.0), ‘the patient is blue’ (n = 9 [18%] vs n = 1 [3%], OR 6.00, 95% CI 0.72–50.0), ‘collapsed or fallen down’ (n = 12 [24%] vs n = 2 [7%], OR 4.15, 95% CI 0.86–20.1) and ‘is wheezing’ (n = 17 [33%] vs n = 5 [17%], OR 2.40, 95% CI 0.78–7.40) were frequently used to describe true cardiac arrest. ‘Is snoring’ was associated with a false suspicion of cardiac arrest (n = 1 [2%] vs n = 6 [21%], OR 0.08, 95% CI 0.009–0.67).ConclusionsIn our pilot study, no trigger word was associated with confirmed cardiac arrest. ‘Is wheezing’ was a frequently used spontaneous trigger word among later confirmed cardiac arrest victims.

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“…Professional practice evaluation, feedback and adverse event analysis must be encouraged in order to achieve a positive culture of error. 36 37 The role of human factors was also studied in telephone exchanges by Riou et al , 38 who analysed the words used to initiate cardiopulmonary resuscitation (CPR) assisted by the dispatcher and their association with caller agreement. The quality of telephone communication should be formalised and evaluated.…”

Section: Discussionmentioning

confidence: 99%

Quality indicators development and prioritisation for emergency medical call centres: a stakeholder consensus

Alem¹,

Bacqué

Guihenneuc³

et al. 2021

BMJ Open Qual

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IntroductionEmergency medical regulation is a risky activity. In France, emergency medical societies have proposed activity and performance indicators, but their lists are non-exhaustive, unstructured and used heterogeneously among emergency medical call centres (Centres de Réception et de Régulation des Appels, CRRA). Our objective was to build by means of regional stakeholder consensus an operational quality dashboard for CRRAs.MethodsWe conducted an observational step in a French CRRA from June to September 2018 and at the same time listed existing activity and quality indicators through a rapid international literature review. We adapted and classified all indicators identified in a structured table. We prioritised them from April to September 2019 by seeking consensus with one regulator physician and one medical regulation assistant from the 13 CRRAs of the largest French region. We used an adapted Delphi method with a prioritisation scale from 1 to 9.ResultsThe rapid review of literature included 33 studies among the 414 identified and, with the first observational step, resulted in a list of 360 quality indicators covering the following areas: material resources, human resources, quality approach, call handling and postcall support. 15 of the 26 members participated in the entire process. Seventy indicators were considered as priorities with strong agreement among participants. We built an operational dashboard of quality indicators deemed high priority and provided 70 descriptive indicator sheets.ConclusionOur study allowed to build an operational quality dashboard for CRRAs as a ready-to-use support for an internal audit, for prioritisation of quality approach actions and for national and international benchmarking.

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‘We’re going to do CPR’: A linguistic study of the words used to initiate dispatcher-assisted CPR and their association with caller agreement

Abstract: Please refer to published version for the most recent bibliographic citation information. If a published version is known of, the repository item page linked to above, will contain details on accessing it.

Cited by 30 publications

References 27 publications

A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

Spontaneous trigger words associated with confirmed out-of-hospital cardiac arrest: a descriptive pilot study of emergency calls

Quality indicators development and prioritisation for emergency medical call centres: a stakeholder consensus

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