Abstract
Objective: To examine how commonly barriers to telephone CPR occur and whether this affects the time it takes to perform the intervention.
Method: A retrospective quantitative analysis was undertaken using a convenience sample of 100 emergency calls. Calls were identified in the emergency control room as cardiac arrests and confirmed by the responding paramedics as cardiac arrests. The calls were listened to, established if CPR instructions were given, if the instructions were followed, if anything hindered the instructions undertaken, and the time taken to reach key points.
Findings: 18 cases had bystander CPR administered. An additional 56 of cases had CPR instructions provided but "barriers" in 49% (n = 27) hindered the effectiveness of these. The median time to recognition of cardiac arrest was 40 seconds, with time to first ventilation being 4 min 10 s and time to first compression 5 min 30 s. These times were notably higher in those cases where a barrier to effective telephone CPR existed.
Conclusions: Barriers to undertaking telephone CPR occurred with a high degree of frequency. These barriers affect the ability of the caller to perform rapid and effective telephone CPR.
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Selected References
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- Bång A., Biber B., Isaksson L., Lindqvist J., Herlitz J. Evaluation of dispatcher-assisted cardiopulmonary resuscitation. Eur J Emerg Med. 1999 Sep;6(3):175–183. [PubMed] [Google Scholar]
- Culley L. L., Clark J. J., Eisenberg M. S., Larsen M. P. Dispatcher-assisted telephone CPR: common delays and time standards for delivery. Ann Emerg Med. 1991 Apr;20(4):362–366. doi: 10.1016/s0196-0644(05)81655-5. [DOI] [PubMed] [Google Scholar]
- Hallstrom A., Cobb L., Johnson E., Copass M. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. N Engl J Med. 2000 May 25;342(21):1546–1553. doi: 10.1056/NEJM200005253422101. [DOI] [PubMed] [Google Scholar]
- Hew P., Brenner B., Kaufman J. Reluctance of paramedics and emergency medical technicians to perform mouth-to-mouth resuscitation. J Emerg Med. 1997 May-Jun;15(3):279–284. doi: 10.1016/s0736-4679(97)00006-1. [DOI] [PubMed] [Google Scholar]
- Rea T. D., Eisenberg M. S., Culley L. L., Becker L. Dispatcher-assisted cardiopulmonary resuscitation and survival in cardiac arrest. Circulation. 2001 Nov 20;104(21):2513–2516. doi: 10.1161/hc4601.099468. [DOI] [PubMed] [Google Scholar]
- Thompson R. G., Hallstrom A. P., Cobb L. A. Bystander-initiated cardiopulmonary resuscitation in the management of ventricular fibrillation. Ann Intern Med. 1979 May;90(5):737–740. doi: 10.7326/0003-4819-90-5-737. [DOI] [PubMed] [Google Scholar]
- Turner I., Turner S., Armstrong V. Does the compression to ventilation ratio affect the quality of CPR: a simulation study. Resuscitation. 2002 Jan;52(1):55–62. doi: 10.1016/s0300-9572(01)00435-x. [DOI] [PubMed] [Google Scholar]