Swedish dispatchers' compliance with the American Heart Association performance goals for dispatch-assisted cardiopulmonary resuscitation and its association with survival in out-of-hospital cardiac arrest: A retrospective study.
Cardiopulmonary resuscitation
DA-CPR
Dispatcher
Emergency calls
Emergency medical dispatch centre
Emergency medical services
Out-of-hospital cardiac arrest (OHCA)
Resuscitation
Journal
Resuscitation plus
ISSN: 2666-5204
Titre abrégé: Resusc Plus
Pays: Netherlands
ID NLM: 101774410
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
08
09
2021
revised:
30
11
2021
accepted:
30
11
2021
entrez:
10
5
2022
pubmed:
11
5
2022
medline:
11
5
2022
Statut:
epublish
Résumé
We aimed 1) to investigate how Swedish dispatchers perform during emergency calls in accordance with the American Heart Association (AHA) goals for dispatcher-assisted cardiopulmonary resuscitation (DA-CPR), 2) calculate the potential impact on 30-day survival. This observational study includes a random sample of 1000 out-of-hospital cardiac arrest (OHCA) emergency ambulance calls during 2018 in Sweden. Voice logs were audited to evaluate dispatchers' handling of emergency calls according to the AHA performance goals. Number of possible additional survivors was estimated assuming the timeframes of the AHA performance goals was achieved. A total of 936 cases were included. An OHCA was recognized by a dispatcher in 79% (AHA goal 75%). In recognizable OHCA, dispatchers recognized 85% (AHA goal 95%). Dispatch-directed compressions were given in 61% (AHA goal 75%). Median time to OHCA recognition was 113 s [interquartile range (IQR), 62, 204 s] (AHA goal < 60 s). The first dispatch-directed compression was performed at a median time of 240 s [IQR, 176, 332 s] (AHA goal < 90 s). If eligible patients receive dispatch-directed compressions within the AHA 90 s goal, 73 additional lives may be saved; if all cases are recognized within the AHA 60 s goal, 25 additional lives may be saved. The AHA policy statement serves as a benchmark for all emergency medical dispatch centres (EMDC). Additional effort is needed at Swedish EMDC to achieve AHA goals for DA-CPR. Our study suggests that if EMDC further optimize handling of OHCA calls in accordance with AHA goals, many more lives may be saved.
Identifiants
pubmed: 35535343
doi: 10.1016/j.resplu.2021.100190
pii: S2666-5204(21)00115-6
pmc: PMC9076962
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100190Informations de copyright
© 2021 The Author(s).
Déclaration de conflit d'intérêts
The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: F. Byrsell is an employee at SOS Alarm AB. None of the other authors have any conflicts of interest to declare.
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