Int J Emerg Med. 2020 Jun 11;13(1):31. doi: 10.1186/s12245-020-00287-9.
The effect of 10-min dispatch-assisted cardiopulmonary resuscitation training: a randomized simulation pilot study.
International journal of emergency medicine
Hidetada Fukushima, Hideki Asai, Tadahiko Seki, Keisuke Takano, Francesco Bolstad
Affiliations
Affiliations
- Department of Emergency and Critical Care Medicine, Nara Medical University, Shijo-cho 840, Kashihara City, Nara, 634-8522, Japan. [email protected].
- Department of Emergency and Critical Care Medicine, Nara Medical University, Shijo-cho 840, Kashihara City, Nara, 634-8522, Japan.
- Department of Emergency, Nara Prefecture General Medical Center, Shichijo-Nishimachi 2-897-5, Nara City, 630-8581, Japan.
- Clinical English, Nara Medical University, Shijo-cho 840, Kashihara City, Nara, 634-8522, Japan.
PMID: 32527221
PMCID: PMC7291724 DOI: 10.1186/s12245-020-00287-9
Abstract
BACKGROUND: Immediate bystander cardiopulmonary resuscitation (CPR) is essential for survival from sudden cardiac arrest (CA). Current CPR guidelines recommend that dispatchers assist lay rescuers performing CPR (dispatch-assisted CPR (DACPR)), which can double the frequency of bystander CPR. Laypersons, however, are not familiar with receiving CPR instructions from dispatchers. DACPR training can be beneficial for lay rescuers, but this has not yet been validated. The aim of this study was to determine the effectiveness of simple DACPR training for lay rescuers.
METHODS: We conducted a DACPR simulation pilot study. Participants who were non-health care professionals with no CPR training within 1 year prior to this study were recruited from Nara Medical University Hospital. The participants were randomly assigned to one of the two 90-min adult basic life support (BLS) training course groups: DACPR group (standard adult BLS training plus an additional 10-min DACPR training) or Standard group (standard adult BLS training only). In the DACPR group, participants practiced DACPR through role-playing of a dispatcher and an emergency caller. Six months after the training, all subjects were asked to perform a 2-min CPR simulation under instructions given by off-duty dispatchers.
RESULTS: Out of the 66 participants, 59 completed the simulation (30 from the DACPR group and 29 from the Standard group). The CPR quality was similar between the two groups. However, the median time interval between call receipt and the first dispatch-assisted compression was faster in the DACPR group (108 s vs 129 s, p = 0.042).
CONCLUSIONS: This brief DACPR training in addition to standard CPR training can result in a modest improvement in the time to initiate CPR. Future studies are now required to examine the effect of DACPR training on survival of sudden CA.
Keywords: Cardiac arrest; Prehospital; Resuscitation training
References
- Eur J Anaesthesiol. 2016 Aug;33(8):575-80 - PubMed
- Simul Healthc. 2018 Feb;13(1):27-32 - PubMed
- Resuscitation. 2014 Sep;85(9):1169-73 - PubMed
- JAMA. 2013 Oct 2;310(13):1377-84 - PubMed
- Circulation. 2009 Feb 10;119(5):728-34 - PubMed
- Resuscitation. 2014 Jul;85(7):869-73 - PubMed
- Crit Care Med. 2012 Mar;40(3):787-92 - PubMed
- JAMA. 2008 Sep 24;300(12):1423-31 - PubMed
- Resuscitation. 2014 Jan;85(1):34-41 - PubMed
- Resuscitation. 2008 Oct;79(1):97-102 - PubMed
- Circ Cardiovasc Qual Outcomes. 2010 Jan;3(1):63-81 - PubMed
- Circulation. 2003 Jun 10;107(22):2780-5 - PubMed
- Resuscitation. 2003 Aug;58(2):171-6 - PubMed
- Circulation. 2012 Jan 31;125(4):648-55 - PubMed
- Circulation. 2013 Oct 1;128(14):1522-30 - PubMed
- Curr Opin Crit Care. 2009 Jun;15(3):189-97 - PubMed
- Emerg Med J. 2013 Aug;30(8):657-61 - PubMed
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