Limits...
Telephone CPR Instructions in Emergency Dispatch Systems: Qualitative Survey of 911 Call Centers.

Sutter J, Panczyk M, Spaite DW, Ferrer JM, Roosa J, Dameff C, Langlais B, Murphy RA, Bobrow BJ - West J Emerg Med (2015)

Bottom Line: To begin to measure and improve this critical intervention, this study describes a nationwide survey of public safety answering points (PSAPs) focusing on the current practices and resources available to provide T-CPR to callers with the overall goal of improving survival from OHCA.Of the 1,924 respondents, 975 (51%) reported that they provide pre-arrival instructions for OHCA: 67 (3%) provide compression-only CPR instructions, 699 (36%) reported traditional CPR instructions (chest compressions with rescue breathing), 166 (9%) reported some other instructions incorporating ventilations and compressions, and 92 (5%) did not specify the type of instructions provided.These data showing that nearly half of the nation's PSAPs do not provide T-CPR for OHCA, and very few PSAPs provide compression-only instructions, suggest that there is significant potential to improve the implementation of this critical link in the chain of survival for OHCA.

View Article: PubMed Central - PubMed

Affiliation: Arizona Department of Health Services, Bureau of EMS and Trauma System, Phoenix, Arizona ; University of Arizona College of Medicine - Phoenix, Phoenix, Arizona.

ABSTRACT

Introduction: Out-of-hospital cardiac arrest (OHCA) is a leading cause of death. The 2010 American Heart Association Emergency Cardiovascular Care (ECC) Guidelines recognize emergency dispatch as an integral component of emergency medical service response to OHCA and call for all dispatchers to be trained to provide telephone cardiopulmonary resuscitation (T-CPR) pre-arrival instructions. To begin to measure and improve this critical intervention, this study describes a nationwide survey of public safety answering points (PSAPs) focusing on the current practices and resources available to provide T-CPR to callers with the overall goal of improving survival from OHCA.

Methods: We conducted this survey in 2010, identifying 5,686 PSAPs; 3,555 had valid e-mail addresses and were contacted. Each received a preliminary e-mail announcing the survey, an e-mail with a link to the survey, and up to three follow-up e-mails for non-responders. The survey contained 23 primary questions with sub-questions depending on the response selected.

Results: Of the 5,686 identified PSAPs in the United States, 3,555 (63%) received the survey, with 1,924/3,555 (54%) responding. Nearly all were public agencies (n=1,888, 98%). Eight hundred seventy-eight (46%) responding agencies reported that they provide no instructions for medical emergencies, and 273 (14%) reported that they are unable to transfer callers to another facility to provide T-CPR. Of the 1,924 respondents, 975 (51%) reported that they provide pre-arrival instructions for OHCA: 67 (3%) provide compression-only CPR instructions, 699 (36%) reported traditional CPR instructions (chest compressions with rescue breathing), 166 (9%) reported some other instructions incorporating ventilations and compressions, and 92 (5%) did not specify the type of instructions provided. A validation follow up showed no substantial difference in the provision of instructions for OHCA by non-responders to the survey.

Conclusion: This is the first large-scale, nationwide assessment of the practices of PSAPs in the United States regarding T-CPR for OHCA. These data showing that nearly half of the nation's PSAPs do not provide T-CPR for OHCA, and very few PSAPs provide compression-only instructions, suggest that there is significant potential to improve the implementation of this critical link in the chain of survival for OHCA.

No MeSH data available.


Related in: MedlinePlus

Script or guideline use by producing agency.APCO, association of public-safety communications officials
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4644043&req=5

f2-wjem-16-736: Script or guideline use by producing agency.APCO, association of public-safety communications officials

Mentions: Of 1,924 respondents, 1,021 (53%) PSAPs reportedly provide instructions for medical emergencies. On average, 87.65% (SD 29.47%) of the call-takers who provide T-CPR instructions are certified as emergency medical dispatch dispatchers (for example, national academy of emergency dispatch [NAED] or association of public-safety communications officials [APCO] certified or another certification), and a further 7.76% (SD 23.43%) are trained, but not certified. A structured script is used by 83% of agencies providing T-CPR instructions, while 14% use only written guidelines, and 3% do not use guidelines or a script (Table 2). Of those agencies using a script or guidelines, the type of script or guidelines used for T-CPR instructions varies between PSAPs as shown in Figure 2.


Telephone CPR Instructions in Emergency Dispatch Systems: Qualitative Survey of 911 Call Centers.

Sutter J, Panczyk M, Spaite DW, Ferrer JM, Roosa J, Dameff C, Langlais B, Murphy RA, Bobrow BJ - West J Emerg Med (2015)

Script or guideline use by producing agency.APCO, association of public-safety communications officials
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644043&req=5

f2-wjem-16-736: Script or guideline use by producing agency.APCO, association of public-safety communications officials
Mentions: Of 1,924 respondents, 1,021 (53%) PSAPs reportedly provide instructions for medical emergencies. On average, 87.65% (SD 29.47%) of the call-takers who provide T-CPR instructions are certified as emergency medical dispatch dispatchers (for example, national academy of emergency dispatch [NAED] or association of public-safety communications officials [APCO] certified or another certification), and a further 7.76% (SD 23.43%) are trained, but not certified. A structured script is used by 83% of agencies providing T-CPR instructions, while 14% use only written guidelines, and 3% do not use guidelines or a script (Table 2). Of those agencies using a script or guidelines, the type of script or guidelines used for T-CPR instructions varies between PSAPs as shown in Figure 2.

Bottom Line: To begin to measure and improve this critical intervention, this study describes a nationwide survey of public safety answering points (PSAPs) focusing on the current practices and resources available to provide T-CPR to callers with the overall goal of improving survival from OHCA.Of the 1,924 respondents, 975 (51%) reported that they provide pre-arrival instructions for OHCA: 67 (3%) provide compression-only CPR instructions, 699 (36%) reported traditional CPR instructions (chest compressions with rescue breathing), 166 (9%) reported some other instructions incorporating ventilations and compressions, and 92 (5%) did not specify the type of instructions provided.These data showing that nearly half of the nation's PSAPs do not provide T-CPR for OHCA, and very few PSAPs provide compression-only instructions, suggest that there is significant potential to improve the implementation of this critical link in the chain of survival for OHCA.

View Article: PubMed Central - PubMed

Affiliation: Arizona Department of Health Services, Bureau of EMS and Trauma System, Phoenix, Arizona ; University of Arizona College of Medicine - Phoenix, Phoenix, Arizona.

ABSTRACT

Introduction: Out-of-hospital cardiac arrest (OHCA) is a leading cause of death. The 2010 American Heart Association Emergency Cardiovascular Care (ECC) Guidelines recognize emergency dispatch as an integral component of emergency medical service response to OHCA and call for all dispatchers to be trained to provide telephone cardiopulmonary resuscitation (T-CPR) pre-arrival instructions. To begin to measure and improve this critical intervention, this study describes a nationwide survey of public safety answering points (PSAPs) focusing on the current practices and resources available to provide T-CPR to callers with the overall goal of improving survival from OHCA.

Methods: We conducted this survey in 2010, identifying 5,686 PSAPs; 3,555 had valid e-mail addresses and were contacted. Each received a preliminary e-mail announcing the survey, an e-mail with a link to the survey, and up to three follow-up e-mails for non-responders. The survey contained 23 primary questions with sub-questions depending on the response selected.

Results: Of the 5,686 identified PSAPs in the United States, 3,555 (63%) received the survey, with 1,924/3,555 (54%) responding. Nearly all were public agencies (n=1,888, 98%). Eight hundred seventy-eight (46%) responding agencies reported that they provide no instructions for medical emergencies, and 273 (14%) reported that they are unable to transfer callers to another facility to provide T-CPR. Of the 1,924 respondents, 975 (51%) reported that they provide pre-arrival instructions for OHCA: 67 (3%) provide compression-only CPR instructions, 699 (36%) reported traditional CPR instructions (chest compressions with rescue breathing), 166 (9%) reported some other instructions incorporating ventilations and compressions, and 92 (5%) did not specify the type of instructions provided. A validation follow up showed no substantial difference in the provision of instructions for OHCA by non-responders to the survey.

Conclusion: This is the first large-scale, nationwide assessment of the practices of PSAPs in the United States regarding T-CPR for OHCA. These data showing that nearly half of the nation's PSAPs do not provide T-CPR for OHCA, and very few PSAPs provide compression-only instructions, suggest that there is significant potential to improve the implementation of this critical link in the chain of survival for OHCA.

No MeSH data available.


Related in: MedlinePlus