Factors impeding dispatcher-assisted telephone cardiopulmonary resuscitation

Hauff, Samantha J.; Rea, Thomas D.; Culley, Linda; Kerry, Frieda; Becker, Linda; Eisenberg, Mickey S.

doi:10.1016/s0196-0644(03)00423-2

Cited by 176 publications

(140 citation statements)

References 9 publications

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“…Previous simulation studies reported that the time passed since the most recent BLS training affects CPR quality [19,20]; However, the present analyses revealed no association between BCPR quality and the duration of BLS training of bystanders within the last three years. In reality, bystander initiative may be more predictive of CPR quality than the time passed since BLS training because even trained bystanders suffer physical and emotional stress during OHCAs [21][22][23].…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

et al. 2014

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Aims:To identify the factors associated with good-quality bystander cardiopulmonary resuscitation (BCPR). Multiple logistic regression analysis indicated that multiple rescuers (odds ratio=2.8, 95% CI: 1.5-5.6), bystander-initiated BCPR (2.7, 1.1-7.3), non-elderly bystanders (1.9, 1.1-3.2), occurrence in the central region (2.1, 1.3-3.3) and duration of BCPR (1.1, 1.0-1.1) were associated with good-quality BCPR. Moreover, good-quality BCPR was initiated earlier after recognition/witness of cardiac arrest compared with poor-quality BCPR (3 vs. 4 min, p=0.0052). MethodsThe rate of neurologically favourable survival at one year was 2.7% and 0% in the good-quality and poor-quality groups, respectively (p=0.1357). Conclusions:The presence of multiple rescuers and bystander-initiated CPR are predominantly associated with good-quality BCPR.

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Section: Discussionmentioning

confidence: 99%

“…The population are older in the semi-rural/rural regions (30.5% vs. 21.6% aged over 65 years, respectively).…”

Section: Populations and Settingmentioning

confidence: 97%

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

et al. 2014

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“…173,182 Agonal breathing, present as frequently as 30% in cardiac arrest victims, can limit their ability to recognize cardiac arrest. 183,184 In Seattle, dispatchers overcalled cardiac arrest 14% of the time, leading to 4.3% inappropriate CPR administrations, though no adverse events were incurred. 185 CPR instructions may only be possible in 30% to 37% of cases.…”

Section: Where Should Cpr Instructions Be Given?mentioning

confidence: 99%

Understanding and improving low bystander CPR rates: a systematic review of the literature

Vaillancourt

Stiell

Wells

2008

CJEM

143

110

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Objectives: Cardiopulmonary resuscitation (CPR) is a crucial yet weak link in the chain of survival for out-of-hospital cardiac arrest. We sought to understand the determinants of bystander CPR and the factors associated with successful training. Methods: For this systematic review, we searched 11 electronic databases, 1 trial registry and 9 scientific websites. We performed hand searches and contacted 6 content experts. We reviewed without restriction all communications pertaining to who should learn CPR, what should be taught, when to repeat training, where to give CPR instructions and why people lack the motivation to learn and perform CPR. We used standardized forms to review papers for inclusion, quality and data extraction. We grouped publications by category and classified recommendations using a standardized classification system that was based on level of evidence. Results: We reviewed 2409 articles and selected 411 for complete evaluation. We included 252 of the 411 papers in this systematic review. Differences in their study design precluded a meta-analysis. We classified 22 recommendations; those with the highest scores were 1) 9-1-1 dispatchassisted CPR instructions, 2) teaching CPR to family members of cardiac patients, 3) Braslow's selftraining video, 4) maximizing time spent using manikins and 5) teaching the concepts of ambiguity and diffusion of responsibility. Recommendations not supported by evidence include mass training events, pulse taking prior to CPR by laymen and CPR using chest compressions alone. Conclusion:We evaluated and classified the potential impact of interventions that have been proposed to improve bystander CPR rates. Our results may help communities design interventions to improve their bystander CPR rates. RÉSUMÉ Objectifs : La réanimation cardio-respiratoire (RCR) est un maillon essentiel, quoique faible, de la chaîne de survie lors de la survenue d'un arrêt cardiaque hors de l'hôpital. Nous avons cherché à comprendre les déterminants du taux de passants pouvant administrer la RCR et les facteurs liés à une formation efficace. Méthodes : Dans le cadre de cette revue systématique, nous avons analysé 11 bases de données électroniques, un registre d'essais cliniques et neuf sites Web scientifiques. Nous avons réalisé des recherches manuelles et communiqué avec six experts du contenu. Nous avons examiné sans restriction toutes les communications portant sur les questions suivantes : qui devrait apprendre la RCR, ce qu'on devrait enseigner, QUAND la formation devrait être renouvelée, où les cours de

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“…25 SCA is commonly mistaken for a seizure. 26 Brief seizure-like activity or involuntary myoclonic jerks are reported in approximately 50% of young athletes with SCA. 27,28 Any patient with unexplained seizure activity should have a cardiovascular workup, including a 12-lead ECG and an echocardiogram at a minimum.…”

Section: Discussionmentioning

confidence: 99%

Warning Symptoms and Family History in Children and Young Adults with Sudden Cardiac Arrest

Drezner¹,

Fudge²,

Harmon³

et al. 2012

The Journal of the American Board of Family Medicine

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Background: Children and young adults with undiagnosed cardiovascular disorders at risk for sudden death may have warning symptoms or significant family history that is detectable through screening. The objective of this study was to determine the prevalence of warning symptoms and family history in a cohort of children and young adults who suffered sudden cardiac arrest (SCA).Methods: A retrospective survey investigating warning symptoms and family history of cardiovascular disease was completed by families with a child or young adult who suffered SCA.Results: Eighty-seven of 146 families (60%) returned a completed survey. The SCA victims were an average age of 16 years (range, <5-29 years), 69% male, and 68% white. Seventy-two percent of SCA victims were reported by their parents to have at least one cardiovascular symptom before SCA, with fatigue (44%) and near-syncope/lightheadedness (30%) the two most common. Twenty-four percent of SCA victims had one or more (average 2.6; range, 1 to 10) events of syncope or unexplained seizure that remained undiagnosed as a cardiac disorder before SCA. Parents reported that cardiovascular symptoms first occurred, on average, 30 months (range, 19 to 71 months) before SCA; a symptom was brought to the attention of the child's physician in 41% of cases. Twenty-seven percent of families reported a family member had suffered sudden death before age 50 because of a heart condition.

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Factors impeding dispatcher-assisted telephone cardiopulmonary resuscitation

Cited by 176 publications

References 9 publications

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction

Understanding and improving low bystander CPR rates: a systematic review of the literature

Warning Symptoms and Family History in Children and Young Adults with Sudden Cardiac Arrest

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