Description of call handling in emergency medical dispatch centres in Scandinavia: recognition of out-of-hospital cardiac arrests and dispatcher-assisted CPR

Autor: Marieke T. Blom, Thea Palsgaard Møller, Andreas Claesson, Camilla Hardeland, Leif Svensson, Jacob Hollenberg, Stig Nikolaj Blomberg, Mattias Ringh, Anne-Mette Nygaard, Anette Nord, Fredrik Folke, Jo Kramer-Johansen, Freddy Lippert, Theresa M. Olasveengen
Přispěvatelé: General practice, ACS - Diabetes & metabolism, APH - Health Behaviors & Chronic Diseases, Cardiology, ACS - Heart failure & arrhythmias
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Resuscitation
medicine.medical_treatment
Improved survival
Emergency medical dispatch
030204 cardiovascular system & hematology
Scandinavian and Nordic Countries
Critical Care and Intensive Care Medicine
03 medical and health sciences
0302 clinical medicine
Medisinske Fag: 700 [VDP]
Emergency medical dispatch Centre
Emergency medical services
Dispatcher
Medicine
Humans
Cardiopulmonary resuscitation
Registries
Original Research
Aged
Out of hospital
Aged
80 and over
Out-of-hospital cardiac arrest
business.industry
RC86-88.9
Incidence
030208 emergency & critical care medicine
Medical emergencies. Critical care. Intensive care. First aid
Baseline data
Middle Aged
medicine.disease
Cardiac arrest
Emergency Medicine
Cpr
Female
Medical emergency
Template based
business
Emergency Service
Hospital
Zdroj: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 29, Iss 1, Pp 1-10 (2021)
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1):88. BioMed Central
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Scandinavian journal of trauma, resuscitation and emergency medicine, 29(1):88. BioMed Central
Hardeland, C, Claesson, A, Blom, M T, Blomberg, S N F, Folke, F, Hollenberg, J, Kramer-Johansen, J, Lippert, F, Nord, A, Nygaard, A M, Olasveengen, T M, Ringh, M, Svensson, L & Møller, T P 2021, ' Description of call handling in emergency medical dispatch centres in Scandinavia : recognition of out-of-hospital cardiac arrests and dispatcher-assisted CPR ', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 29, no. 1, 88 . https://doi.org/10.1186/s13049-021-00903-4
Hardeland, C, Claesson, A, Blom, M T, Blomberg, S N F, Folke, F, Hollenberg, J, Kramer-Johansen, J, Lippert, F, Nord, A, Nygaard, A M, Olasveengen, T M, Ringh, M, Svensson, L & Møller, T P 2021, ' Description of call handling in emergency medical dispatch centres in Scandinavia : recognition of out-of-hospital cardiac arrests and dispatcher-assisted CPR ', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 29, no. 1, 88, pp. 1-10 . https://doi.org/10.1186/s13049-021-00903-4
ISSN: 1757-7241
DOI: 10.1186/s13049-021-00903-4
Popis: BackgroundThe European resuscitation council have highlighted emergency medical dispatch centres as an important key player for early recognition of Out-of-Hospital Cardiac Arrest (OHCA) and in providing dispatcher assisted cardiopulmonary resuscitation (CPR) before arrival of emergency medical services. Early recognition is associated with increased bystander CPR and improved survival rates. The aim of this study is to describe OHCA call handling in emergency medical dispatch centres in Copenhagen (Denmark), Stockholm (Sweden) and Oslo (Norway) with focus on sensitivity of recognition of OHCA, provision of dispatcher-assisted CPR and time intervals when CPR is initiated during the emergency call (NO-CPRprior), and to describe OHCA call handling when CPR is initiated prior to the emergency call (CPRprior).MethodsBaseline data of consecutive OHCA eligible for inclusion starting January 1st 2016 were collected from respective cardiac arrest registries. A template based on the Cardiac Arrest Registry to Enhance Survival definition catalogue was used to extract data from respective cardiac arrest registries and from corresponding audio files from emergency medical dispatch centres. Cases were divided in two groups: NO-CPRpriorand CPRpriorand data collection continued until 200 cases were collected in the NO-CPRprior-group.ResultsNO-CPRpriorOHCA was recognised in 71% of the calls in Copenhagen, 83% in Stockholm, and 96% in Oslo. Abnormal breathing was addressed in 34, 7 and 98% of cases and CPR instructions were started in 50, 60, and 80%, respectively. Median time (mm:ss) to first chest compression was 02:35 (Copenhagen), 03:50 (Stockholm) and 02:58 (Oslo). Assessment of CPR quality was performed in 80, 74, and 74% of the cases. CPRpriorcomprised 71 cases in Copenhagen, 9 in Stockholm, and 38 in Oslo. Dispatchers still started CPR instructions in 41, 22, and 40% of the calls, respectively and provided quality assessment in 71, 100, and 80% in these respective instances.ConclusionsWe observed variations in OHCA recognition in 71–96% and dispatcher assisted-CPR were provided in 50–80% in NO-CPRpriorcalls. In cases where CPR was initiated prior to emergency calls, dispatchers were less likely to start CPR instructions but provided quality assessments during instructions.
Databáze: OpenAIRE
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