Acceptability of telephone-cardiopulmonary resuscitation (T-CPR) practice in a resource-limited country- a cross-sectional study

Abstract

Background T-CPR has been shown to increase bystander CPR rates dramatically and is associated with improved patient survival. Objective To evaluate the acceptability of T-CPR by the bystanders and identify baseline quality measures of T-CPR in Karachi, Pakistan. Methods A cross-sectional study was conducted from January to December 2018 at the Aman foundation command and control center. Data was collected from audiotaped phone calls of patients who required assistance from the Aman ambulance and on whom the EMS telecommunicator recognized the need for CPR and provided instructions. Information was recorded using a structured questionnaire on demographics, the status of the patient, and different time variables involved in CPR performance. A One-way ANOVA was used to compare different time variables with recommended AHA guidelines. P-value ≤ 0.05 was considered significant. Results There were 481 audiotaped calls in which CPR instruction was given, listened to, and recorded data. Out of which in 459(95.4%) of cases CPR was attempted Majority of the patients were males (n = 278; 57.8%) and most had witnessed cardiac arrest (n = 470; 97.7%) at home (n = 430; 89.3%). The mean time to recognize the need for CPR by an EMS telecommunicator was 4:59 ± 1:59(min), while the mean time to start CPR instruction by a bystander was 5:28 ± 2:24(min). The mean time to start chest compression was 6:04 ± 1:52(min.). Conclusion Our results show the high acceptability of T-CPR by bystanders. We also found considerable delays in recognizing cardiac arrest and initiation of CPR by telecommunicators. Further training of telecommunicators could reduce these delays.

Cardiopulmonary Resuscitation Capacity Building Training for High School Students in Martapura, Banjar Regency

“…To reduce these delays, many countries have set up first aid networks. These networks are made up of BLS-certified professionals or lay rescuers who can be dispatched from EMS centers to care for patients suffering out-of-hospital cardiac arrest (Ahmed et al, 2022;Cash et al, 2022;Fazel et al, 2022;Jellestad et al, 2021;Liu et al, 2022;.…”

“…Chen et al, 2019;Mao et al, 2021;Nas et al, 2019). The general public is more likely to witness and even the first rescuers who have direct contact with the victim at the time of a heart attack (Ahmed et al, 2022;Cash et al, 2022;Doctor et al, 2017;Fazel et al, 2022). Knowledge of basic life support is very important to be known and carried out by the community to be able to save the lives of cardiac arrest victims before medical personnel arrives (Ali et al, 2021;Scapigliati et al, 2021;Taramarcaz et al, 2022).…”

“…Therefore, many parties, such as the government, independent organizations, activists, and even private companies, are trying to get around this problem. One of them is by utilizing mobile learning technology which is growing rapidly (Ahmed et al, 2022;Baldi et al, 2018;Fazel et al, 2022;Khan et al, 2022;Ko et al, 2021;Zheng et al, 2022). National association organizations engaged in social and humanitarian fields from various countries have developed many mobile learning applications for first aid such as PMI First Aid, First Aid by America Red Cross, First Aid by Kosova Red Cross, and First Aid by British Red Cross.…”

Evaluation of an emergency coordination center training intervention for staff providing telephone assistance for lay persons applying cardiopulmonary resuscitation in out-of-hospital emergencies

“…En el presente trabajo, no se ha registrado el periodo de tiempo transcurrido desde la identificación de la ausencia de respiración hasta el inicio de las maniobras. Sin embargo, no todos los SEM participantes en estudios sobre RCP telefónica disponen de médicos y enfermeras reguladoras, por lo que la asistencia telefónica es realizada por operadores telefónicos entrenados [19][20][21] . Estas diferencias en la metodología de los estudios hacen difícil la comparabilidad de los resultados.…”

Pakistan's Emergency Medical Services (EMS) system & out-of-hospital-cardiac-arrest (OHCA): A narrative review of an EMS system of a low middle income country in context of OHCA

“…Furthermore, the study highlighted that the mean time to initiate chest compressions was 6 minutes and 4 seconds, surpassing the minimal acceptable target of less than 3 minutes. 22 , 23 . These findings not only illuminate the current gaps in the EMS response times in Pakistan but also strongly advocate for the inclusion of these specific OHCA-related indicators in data collection efforts.…”