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Rasmussen SE, Nebsbjerg MA, Bomholt KB, et al. Major Differences in the Use of Protocols for Dispatcher-Assisted Cardiopulmonary Resuscitation Among ILCOR Member Countries. Open Access Emerg Med. 2020;12:67-71doi: 10.2147/OAEM.S236038.
Rasmussen, S. E., Nebsbjerg, M. A., Bomholt, K. B., Krogh, L. Q., Krogh, K., Povlsen, J. A., & Løfgren, B. (2020). Major Differences in the Use of Protocols for Dispatcher-Assisted Cardiopulmonary Resuscitation Among ILCOR Member Countries. Open access emergency medicine : OAEM, 1267-71. https://doi.org/10.2147/OAEM.S236038
Rasmussen, Stinne Eika, et al. "Major Differences in the Use of Protocols for Dispatcher-Assisted Cardiopulmonary Resuscitation Among ILCOR Member Countries." Open access emergency medicine : OAEM vol. 12 (2020): 67-71. doi: https://doi.org/10.2147/OAEM.S236038
Rasmussen SE, Nebsbjerg MA, Bomholt KB, Krogh LQ, Krogh K, Povlsen JA, Løfgren B. Major Differences in the Use of Protocols for Dispatcher-Assisted Cardiopulmonary Resuscitation Among ILCOR Member Countries. Open Access Emerg Med. 2020 Apr 02;12:67-71. doi: 10.2147/OAEM.S236038. eCollection 2020. PMID: 32308508; PMCID: PMC7135133.
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Open Access Emerg Med. 2020 Apr 02;12:67-71. doi: 10.2147/OAEM.S236038. eCollection 2020.

Major Differences in the Use of Protocols for Dispatcher-Assisted Cardiopulmonary Resuscitation Among ILCOR Member Countries.

Open access emergency medicine : OAEM

Stinne Eika Rasmussen, Mette Amalie Nebsbjerg, Katrine Bjørnshave Bomholt, Lise Qvirin Krogh, Kristian Krogh, Jonas Agerlund Povlsen, Bo Løfgren

Affiliations

  1. Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, NE 8200, Denmark.
  2. Center for Health Sciences Education, Aarhus University, Aarhus, NE 8200, Denmark.
  3. Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, NE 8200, Denmark.
  4. Institute of Clinical Medicine, Aarhus University, Aarhus, NE 8200, Denmark.
  5. Department of Cardiology, Aarhus University Hospital, Aarhus, NE 8200, Denmark.
  6. Department of Internal Medicine, Regional Hospital of Randers, Randers, NE 8930, Denmark.

PMID: 32308508 PMCID: PMC7135133 DOI: 10.2147/OAEM.S236038

Abstract

INTRODUCTION AND PURPOSE: Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) increases the rate of bystander cardiopulmonary resuscitation (CPR). DA-CPR is recommended by resuscitation councils globally and it has been shown that the general public expects to receive pre-arrival instructions while waiting for help. A scientific advisory from the American Heart Association identifies standardized and structured DA-CPR protocols as important to increase bystander CPR rates. This study aims to investigate whether different International Liaison Committee on Resuscitation (ILCOR) member countries use DA-CPR protocols and to compare protocol contents between countries.

METHODS: All resuscitation councils forming ILCOR were inquired by email to provide a copy of their DA-CPR protocol, and to state whether this protocol was used by all emergency dispatch centers in their country. The collected protocols were translated into English, and content was compared.

RESULTS: A total of 60 countries were contacted (response rate: 83%). Of these, 46% stated to have a nationwide protocol, 30% reported to use local protocols, and 24% did not use a protocol. Overall, 54% provided a copy of their protocol. All translated protocols asked the rescuer to check for responsiveness and breathing, 35% to activate phone speaker function, half contained notes about agonal breathing and 59% included notes about integrating an automated external defibrillator.

CONCLUSION: Almost one quarter of ILCOR member countries did not use a protocol for DA-CPR. Half of the protocols included notes about agonal breathing. Activation of phone speaker function and protocolled encouragements during CPR were rarely included.

© 2020 Rasmussen et al.

Keywords: bystander; cardiac arrest; cardiopulmonary resuscitation; dispatcher

Conflict of interest statement

Professor Bo Løfgren is a member of the ILCOR Basic Life Support Task Force (2017–2020). The authors report no other conflicts of interest in this work.

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