Hidetada Fukushima1, Micah Panczyk2, Daniel W Spaite3, Vatsal Chikani2, Christian Dameff4, Chengcheng Hu5, Tonje S Birkenes6, Helge Myklebust6, John Sutter7, Blake Langlais8, Zhixin Wu9, Bentley J Bobrow10. 1. Arizona Department of Health Services, Bureau of EMS and Trauma System, 150 North 18th Avenue, Phoenix, AZ 85007, United States; University of Arizona, Department of Emergency Medicine, Arizona Emergency Medicine Research Center, 714 East Van Buren St, Phoenix, AZ 85006, United States; Department of Emergency and Critical Care Medicine, Nara Medical University, Shijo-cho, 840, Kashihara City, Nara 6348522, Japan. Electronic address: hidetakarina@gmail.com. 2. Arizona Department of Health Services, Bureau of EMS and Trauma System, 150 North 18th Avenue, Phoenix, AZ 85007, United States. 3. University of Arizona, Department of Emergency Medicine, Arizona Emergency Medicine Research Center, 714 East Van Buren St, Phoenix, AZ 85006, United States. 4. University of Arizona College of Medicine Phoenix, 550 East Van Buren St, Phoenix, AZ 85004, United States; Maricopa Medical Center, 2601 East Roosevelt St, Phoenix, AZ 85008, United States. 5. University of Arizona, Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, 1295 North, Martin Avenue, Tucson, AZ 85724, United States. 6. Laerdal Medical AS, Tanke Svilandsgate 30, N-4002 Stavanger, Norway. 7. University of Arizona College of Medicine Phoenix, 550 East Van Buren St, Phoenix, AZ 85004, United States. 8. Arizona State University, School of Mathematical and Statistical Science, University Drive and Mill Avenue, Tempe, AZ 85287, United States. 9. Arizona Department of Health Services, Bureau of EMS and Trauma System, 150 North 18th Avenue, Phoenix, AZ 85007, United States; University of Arizona, Department of Emergency Medicine, Arizona Emergency Medicine Research Center, 714 East Van Buren St, Phoenix, AZ 85006, United States. 10. Arizona Department of Health Services, Bureau of EMS and Trauma System, 150 North 18th Avenue, Phoenix, AZ 85007, United States; University of Arizona, Department of Emergency Medicine, Arizona Emergency Medicine Research Center, 714 East Van Buren St, Phoenix, AZ 85006, United States; University of Arizona College of Medicine Phoenix, 550 East Van Buren St, Phoenix, AZ 85004, United States.
Abstract
AIM: Emergency medical telecommunicators can play a key role in improving outcomes from out-of-hospital cardiac arrest (OHCA) by providing instructions for cardiopulmonary resuscitation (CPR) to callers. Telecommunicators, however, frequently encounter barriers that obstruct the Telephone CPR (TCPR) process. The nature and frequency of these barriers in public and residential locations have not been well investigated. The aim of this study is to identify the barriers to TCPR in public and residential locations. METHODS: We conducted a retrospective study of audio recordings of EMS-confirmed OHCAs from eight regional 9-1-1 dispatch centers between January 2012 and December 2013. RESULTS: We reviewed 1850 eligible cases (public location OHCAs: N=223 and residential location OHCAs: N=1627). Telecommunicators less frequently encountered barriers such as inability to calm callers in public than in residential locations (2.1% vs 8.5%, p=0.002) or inability to place victims on a hard flat surface (13.9% vs 25.4%, p<0.001). However, the barrier where callers were not with patients was more frequently observed in public than in residential locations (11.8% vs 2.7%, p<0.001). CONCLUSIONS: This study revealed that barriers to TCPR are distributed differently across public and residential locations. Understanding these differences can aid in the development of strategies to enhance bystander CPR and improve overall patient outcomes. Copyright Â
AIM: Emergency medical telecommunicators can play a key role in improving outcomes from out-of-hospital cardiac arrest (OHCA) by providing instructions for cardiopulmonary resuscitation (CPR) to callers. Telecommunicators, however, frequently encounter barriers that obstruct the Telephone CPR (TCPR) process. The nature and frequency of these barriers in public and residential locations have not been well investigated. The aim of this study is to identify the barriers to TCPR in public and residential locations. METHODS: We conducted a retrospective study of audio recordings of EMS-confirmed OHCAs from eight regional 9-1-1 dispatch centers between January 2012 and December 2013. RESULTS: We reviewed 1850 eligible cases (public location OHCAs: N=223 and residential location OHCAs: N=1627). Telecommunicators less frequently encountered barriers such as inability to calm callers in public than in residential locations (2.1% vs 8.5%, p=0.002) or inability to place victims on a hard flat surface (13.9% vs 25.4%, p<0.001). However, the barrier where callers were not with patients was more frequently observed in public than in residential locations (11.8% vs 2.7%, p<0.001). CONCLUSIONS: This study revealed that barriers to TCPR are distributed differently across public and residential locations. Understanding these differences can aid in the development of strategies to enhance bystander CPR and improve overall patient outcomes. Copyright Â
Authors: Lauren Hampton; Peter Brindley; Andrew Kirkpatrick; Jessica McKee; Julian Regehr; Douglas Martin; Anthony LaPorta; Jason Park; Ashley Vergis; Lawrence Gillman Journal: Can J Surg Date: 2020-11-30 Impact factor: 2.089
Authors: Tomas Nuño; Bentley J Bobrow; Karen A Rogge-Miller; Micah Panczyk; Terry Mullins; Wayne Tormala; Antonio Estrada; Samuel M Keim; Daniel W Spaite Journal: Resuscitation Date: 2017-03-23 Impact factor: 5.262
Authors: Theresa M Olasveengen; Mary E Mancini; Gavin D Perkins; Suzanne Avis; Steven Brooks; Maaret Castrén; Sung Phil Chung; Julie Considine; Keith Couper; Raffo Escalante; Tetsuo Hatanaka; Kevin K C Hung; Peter Kudenchuk; Swee Han Lim; Chika Nishiyama; Giuseppe Ristagno; Federico Semeraro; Christopher M Smith; Michael A Smyth; Christian Vaillancourt; Jerry P Nolan; Mary Fran Hazinski; Peter T Morley Journal: Resuscitation Date: 2020-10-21 Impact factor: 5.262