Display options
Cite
Fukushima H, Kawai Y, Asai H, et al. Performance review of regional emergency medical service pre-arrival cardiopulmonary resuscitation with or without dispatcher instruction: a population-based observational study. Acute Med Surg. 2017;4(3):293-299doi: 10.1002/ams2.273.
Fukushima, H., Kawai, Y., Asai, H., Seki, T., Norimoto, K., Urisono, Y., & Okuchi, K. (2017). Performance review of regional emergency medical service pre-arrival cardiopulmonary resuscitation with or without dispatcher instruction: a population-based observational study. Acute medicine & surgery, 4(3), 293-299. https://doi.org/10.1002/ams2.273
Fukushima, Hidetada, et al. "Performance review of regional emergency medical service pre-arrival cardiopulmonary resuscitation with or without dispatcher instruction: a population-based observational study." Acute medicine & surgery vol. 4,3 (2017): 293-299. doi: https://doi.org/10.1002/ams2.273
Fukushima H, Kawai Y, Asai H, Seki T, Norimoto K, Urisono Y, Okuchi K. Performance review of regional emergency medical service pre-arrival cardiopulmonary resuscitation with or without dispatcher instruction: a population-based observational study. Acute Med Surg. 2017 Apr 02;4(3):293-299. doi: 10.1002/ams2.273. eCollection 2017 Jul. PMID: 29123877; PMCID: PMC5674464.
Copy Download .nbib Format: NLM
Share it on

Acute Med Surg. 2017 Apr 02;4(3):293-299. doi: 10.1002/ams2.273. eCollection 2017 Jul.

Performance review of regional emergency medical service pre-arrival cardiopulmonary resuscitation with or without dispatcher instruction: a population-based observational study.

Acute medicine & surgery

Hidetada Fukushima, Yasuyuki Kawai, Hideki Asai, Tadahiko Seki, Kazunobu Norimoto, Yasuyuki Urisono, Kazuo Okuchi

Affiliations

  1. Department of Emergency and Critical Care Medicine Nara Medical University Kashihara City Nara Japan.
  2. Department of Emergency Nara Prefectural General Hospital Nara City Nara Japan.
  3. Department of Emergency Yodogawa Christian Hospital Osaka Japan.

PMID: 29123877 PMCID: PMC5674464 DOI: 10.1002/ams2.273

Abstract

BACKGROUND: To investigate variations in emergency medical service (EMS) pre-arrival cardiopulmonary resuscitation (CPR), including both bystander CPR without dispatch assistance and dispatch-assisted CPR (DACPR).

METHODS: We carried out an observational study by implementing EMS pre-arrival CPR reports in three fire agencies. We included adult, non-traumatic, and non-EMS witnessed out-of-hospital cardiac arrests. This reporting system comprised the dispatch instruction process and bystander CPR quality based on evaluations by EMS crews who arrived on the scene. Bystander CPR was categorized as "ongoing CPR" if the bystander was performing CPR when the EMS reached the patient's side and "good-quality CPR" if the CPR was performed proficiently. We compared the frequencies of ongoing and good-quality CPR in the bystander CPR already started without dispatch assistance (CPR in progress) group and DACPR group.

RESULTS: Of 688 out-of-hospital cardiac arrests, CPR was already started in 150 cases (CPR in progress group). Dispatcher CPR instruction was provided in 368 cases. Among these, callers started chest compressions in 162 cases (DACPR group). Ongoing CPR was performed in 220 cases and was more frequent in the DACPR group (128/162 [79.0%] versus 92/150 [61.3%],

CONCLUSIONS: Ongoing CPR and good-quality CPR were not frequent in EMS pre-arrival CPR. Detailed analysis of dispatch instructions and bystander CPR can contribute to improvement in EMS pre-arrival CPR.

Keywords: Cardiopulmonary arrest; emergency medical service; pre‐hospital care/medical control

References

  1. Resuscitation. 2014 Jul;85(7):869-73 - PubMed
  2. Circulation. 2009 Feb 10;119(5):728-34 - PubMed
  3. Resuscitation. 2008 Oct;79(1):97-102 - PubMed
  4. Circulation. 2013 Oct 1;128(14):1522-30 - PubMed
  5. Circulation. 2003 Jun 10;107(22):2780-5 - PubMed
  6. Ann Emerg Med. 1991 Aug;20(8):861-74 - PubMed
  7. Resuscitation. 2014 Jan;85(1):34-41 - PubMed
  8. Resuscitation. 2008 Apr;77(1):51-6 - PubMed
  9. Circulation. 2001 Nov 20;104(21):2513-6 - PubMed
  10. Resuscitation. 2010 Mar;81(3):293-6 - PubMed
  11. Acad Emerg Med. 2006 Jun;13(6):596-601 - PubMed
  12. Acta Anaesthesiol Scand. 2012 Jan;56(1):124-31 - PubMed
  13. Resuscitation. 2011 May;82(5):523-8 - PubMed
  14. Scand J Trauma Resusc Emerg Med. 2015 Sep 17;23:64 - PubMed
  15. JAMA. 2013 Oct 2;310(13):1377-84 - PubMed
  16. Resuscitation. 2010 Oct;81(10):1219-76 - PubMed
  17. Circulation. 2009 Apr 21;119(15):2096-102 - PubMed
  18. Resuscitation. 2014 Apr;85(4):492-8 - PubMed
  19. Circulation. 2012 Jan 31;125(4):648-55 - PubMed
  20. Circulation. 2015 Oct 20;132(16 Suppl 1):S51-83 - PubMed
  21. Resuscitation. 2009 Mar;80(3):334-40 - PubMed
  22. Resuscitation. 2005 Mar;64(3):269-77 - PubMed
  23. Curr Opin Crit Care. 2012 Jun;18(3):228-33 - PubMed

Publication Types