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      Analysis of dispatcher-assisted cardiopulmonary resuscitation instructions to laypersons in an out-of-hospital cardiac arrest Translated title: Análisis de las instrucciones de la reanimación cardiopulmonar guiada por teléfono en paradas cardiacas extrahospitalarias atendidas por ciudadanos

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          Abstract

          Abstract Randomized simulation trial to analyze dispatcher-assisted cardiopulmonary resuscitation instructions provided from the emergency call center in an out-of-hospital heart arrest assisted by lay persons. An analysis of the telephone instructions was performed using a 14-item checklist by two external researchers. Simulations lasted nine minutes. Twenty-one volunteers were enrolled. All of them started resuscitation maneuvers. Telephone instructions were verbalized in very heterogeneous ways. Half of the indicators exceeded 90% compliance. Frequently the recommendation of push hard and fast on the patient’s chest was omitted and the dispatcher tended to mark a slower compression rate. The average time from the call to the start of the resuscitation was 3 min 33 s (SD: 1 min 7 s). The telephone instructions were verbalized in a very heterogeneous way. It is necessary to standardize and provide training in how to guide a dispatcher-assisted resuscitation.

          Translated abstract

          Resumen Estudio de simulación para analizar el contenido de las instrucciones telefónicas de reanimación cardiopulmonar emitidas por un centro coordinador de urgencias durante la parada cardiaca extrahospitalaria asistida por ciudadanos sin entrenamiento. Cada simulación duró nueve minutos. El análisis de las instrucciones telefónicas fue realizado por dos observadores mediante una lista de comprobación de catorce indicadores. Participaron veintiún voluntarios. Todos fueron capaces de iniciar maniobras de reanimación. La mitad de los indicadores superaron el 90% de cumplimiento. Frecuentemente se omitió la necesidad de comprimir fuerte y rápido el tórax, con tendencia a marcar un ritmo de compresiones lento. El tiempo medio desde la llamada hasta el inicio de la reanimación fue de 3 min 33 s (DE: 1 min 7 s). Las instrucciones telefónicas se verbalizaron de formas muy heterogéneas. Es preciso normalizar y entrenar la forma de guiar telefónicamente una reanimación.

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          Most cited references11

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          Efficacy of metronome sound guidance via a phone speaker during dispatcher-assisted compression-only cardiopulmonary resuscitation by an untrained layperson: a randomised controlled simulation study using a manikin.

          Untrained laypersons should perform compression-only cardiopulmonary resuscitation (COCPR) under a dispatcher's guidance, but the quality of the chest compressions may be suboptimal. We hypothesised that providing metronome sounds via a phone speaker may improve the quality of chest compressions during dispatcher-assisted COCPR (DA-COCPR).
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            A novel protocol for dispatcher assisted CPR improves CPR quality and motivation among rescuers—A randomized controlled simulation study

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              Factors associated with mortality in out-of-hospital cardiac arrests attended in basic life support units in the Basque Country (Spain).

              To describe the epidemiological characteristics of cardiac arrests attended in basic life support units in the Basque Country (Spain) and look for factors associated with failure of cardiopulmonary resuscitation.
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                Author and article information

                Journal
                asisna
                Anales del Sistema Sanitario de Navarra
                Anales Sis San Navarra
                Gobierno de Navarra. Departamento de Salud (Pamplona, Navarra, Spain )
                1137-6627
                August 2020
                : 43
                : 2
                : 203-207
                Affiliations
                [1] Bilbao orgnameBilbao-Basurto Integrated Healthcare Organisation Spain
                [3] Leioa Bizkaia orgnameUniversity of the Basque Country orgdiv1Faculty of Medicine and Nursing Spain
                [6] Bilbao orgnameBasque Health Service orgdiv1Emergency Medical Service Spain
                [4] Galdakao Bizkaia orgnameBarrualde-Galdakao Integrated Healthcare Organisation Spain
                [5] Urduliz Bizkaia orgnameUrduliz Advanced Life Support Unit orgdiv1Emergency Medical System Spain
                [2] Barakaldo orgnameBiocruces Bizkaia Health Research Institute Spain
                Article
                S1137-66272020000200009 S1137-6627(20)04300200009
                10.23938/assn.0873
                32814922
                e1119d12-a7ac-49fd-80bf-1d9385e6464b

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                : 16 June 2020
                : 27 April 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 5
                Product

                SciELO Spain

                Categories
                Brief Original Articles

                Desfibrilación externa automática,Automated external defibrillators,Reanimación cardiopulmonar,Cardiopulmonary resuscitation,Dispatch assisted,Simulation,Simulación,Soporte telefónico

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