Display options
Cite
Asai H, Fukushima H, Bolstad F, et al. Quality of dispatch-assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study. Acute Med Surg. 2017;5(2):133-139doi: 10.1002/ams2.315.
Asai, H., Fukushima, H., Bolstad, F., & Okuchi, K. (2018). Quality of dispatch-assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study. Acute medicine & surgery, 5(2), 133-139. https://doi.org/10.1002/ams2.315
Asai, Hideki, et al. "Quality of dispatch-assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study." Acute medicine & surgery vol. 5,2 (2018): 133-139. doi: https://doi.org/10.1002/ams2.315
Asai H, Fukushima H, Bolstad F, Okuchi K. Quality of dispatch-assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study. Acute Med Surg. 2017 Oct 11;5(2):133-139. doi: 10.1002/ams2.315. eCollection 2018 Apr. PMID: 29657724; PMCID: PMC5891109.
Copy Download .nbib Format: NLM
Share it on

Acute Med Surg. 2017 Oct 11;5(2):133-139. doi: 10.1002/ams2.315. eCollection 2018 Apr.

Quality of dispatch-assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study.

Acute medicine & surgery

Hideki Asai, Hidetada Fukushima, Francesco Bolstad, Kazuo Okuchi

Affiliations

  1. Department of Emergency and Critical Care Medicine Nara Medical University Kashihara Nara Japan.
  2. Department of Clinical English Nara Medical University Kashihara Nara Japan.

PMID: 29657724 PMCID: PMC5891109 DOI: 10.1002/ams2.315

Abstract

AIM: Bystander cardiopulmonary resuscitation (CPR) is essential for improving the outcomes of sudden cardiac arrest patients. It has been reported that dispatch-assisted CPR (DACPR) accounts for more than half of the incidence of CPR undertaken by bystanders. Its quality, however, can be suboptimal. We aimed to measure the quality of DACPR using a simulation study.

METHODS: We recruited laypersons at a shopping mall and measured the quality of CPR carried out in our simulation. Dispatchers provided instruction in accordance with the standard DACPR protocol in Japan.

RESULTS: Twenty-three laypersons (13 with CPR training experience within the past 2 years and 10 with no training experience) participated in this study. The median chest compression rate and depth were 106/min and 33 mm, respectively. The median time interval from placing the 119 call to the start of chest compressions was 119 s. No significant difference was found between the groups with and without training experience. However, subjects with training experience more frequently placed their hands correctly on the manikin (84.6% versus 40.0%;

CONCLUSION: This current simulation study showed that the quality of DACPR carried out by lay rescuers can be less than optimal in terms of depth, hand placement, and minimization of pauses. Further studies are required to explore better DACPR instruction methods to help lay rescuers perform CPR with optimal quality.

Keywords: Cardiac arrest; cardiopulmonary resuscitation; emergency medical services; prehospital care/medical control; simulation

References

  1. Resuscitation. 2010 Oct;81(10):1434-44 - PubMed
  2. Resuscitation. 2010 Sep;81(9):1156-60 - PubMed
  3. Circulation. 2009 Feb 10;119(5):728-34 - PubMed
  4. Resuscitation. 2008 Oct;79(1):97-102 - PubMed
  5. Resuscitation. 2014 Jan;85(1):124-30 - PubMed
  6. Circulation. 2003 Jun 10;107(22):2780-5 - PubMed
  7. Resuscitation. 2007 May;73(2):314-7 - PubMed
  8. Circulation. 2014 Nov 25;130(22):1962-70 - PubMed
  9. Circulation. 2010 Jan 5;121(1):91-7 - PubMed
  10. Resuscitation. 2014 Jan;85(1):34-41 - PubMed
  11. Circulation. 2001 Nov 20;104(21):2513-6 - PubMed
  12. Resuscitation. 2012 Apr;83(4):494-9 - PubMed
  13. Resuscitation. 2014 Sep;85(9):1169-73 - PubMed
  14. Circ Cardiovasc Qual Outcomes. 2010 Jan;3(1):63-81 - PubMed
  15. Resuscitation. 2011 May;82(5):523-8 - PubMed
  16. JAMA. 2013 Oct 2;310(13):1377-84 - PubMed
  17. Scand J Trauma Resusc Emerg Med. 2013 Jun 22;21:47 - PubMed
  18. JAMA. 2008 Sep 24;300(12):1423-31 - PubMed
  19. Resuscitation. 2010 Jul;81(7):887-92 - PubMed
  20. Resuscitation. 2015 Nov;96:66-77 - PubMed
  21. Resuscitation. 2014 Apr;85(4):492-8 - PubMed
  22. Resuscitation. 2015 Nov;96:9-15 - PubMed
  23. Circulation. 2012 Jan 31;125(4):648-55 - PubMed
  24. J Emerg Med. 2014 Mar;46(3):363-70 - PubMed
  25. Prehosp Emerg Care. 2011 Apr-Jun;15(2):282-7 - PubMed
  26. Resuscitation. 2014 Feb;85(2):182-8 - PubMed
  27. Curr Opin Crit Care. 2012 Jun;18(3):228-33 - PubMed

Publication Types