Factors impacting upon timely and adequate allocation of prehospital medical assistance and resources to cardiac arrest patients

European Resuscitation Council Guidelines for Resuscitation: 2017 update

“…compression-only CPR) to callers for adults with suspected out-of-hospital cardiac arrest." The ERC notes the gaps in knowledge identified by ILCOR and highlights the need for further research particularly in relation to improving identification of cardiac arrest [28], when to include ventilations as part of the dispatcher instructor sequence, and the role of enhanced citizen/first responder schemes [29][30][31][32][33][34].…”

Comparison of Medical Priority Dispatch (MPD) and Criteria Based Dispatch (CBD) relating to cardiac arrest calls

“…Recognition of cardiac arrest is challenging both for bystanders and EMDs, mainly due to the presence of agonal breathing (27)(28)(29)(30)(31)(32). Studies on recognition of cardiac arrest by EMDs report wide variations; between 56 and 98% of OHCA are recognised by EMDs (27,30,(32)(33)(34)(35)(36)(37). Failure to recognise cardiac arrest during emergency calls is associated with decreased survival (30).…”

“…In this study we sought to evaluate the effectiveness of performance based education, training and feedback on cardiac arrest call handling in our EMCC. In-depth analysis of quality of care during the baseline period utilising observations, interviews and cardiac arrest call process measures were used to develop a tailored education and training bundle including key issues identified by both EMDs and research team (37). These key issues were included in traditional lectures, web-based e-learning and simulation training.…”

Perspectives on “Novel” Techniques for Designing Age-Friendly Homes and Neighborhoods with Older Adults

“…Observation is an established and valuable method for examining and evaluating practices, services, and behaviors [38][39][40]. For example, in education, peer observation and critical self-reflection are employed to evaluate teaching technique and student engagement [41,42], while, in health research, observation is used to assess diverse items such as nature-based therapeutic interventions [43], dementia care and dementia care services in different settings [39,44,45], and the allocation of pre-hospital medical assistance and resources [46]. To help determine the potential value of the eight techniques as mechanisms for involving older adults in environmental design decisions, the first author observed and made field notes during and following the participatory design events on factors such as levels of engagement, group dynamics, successes, and areas for improvement.…”