Recommendations in dispatcher-assisted bystander resuscitation from emergency call center

Epidemiological characteristics and factors associated with out-of-hospital cardiac arrest attended by bystanders before ambulance arrival

“…It is noteworthy that telephone instructions are the variable that most seems to influence the initiation of CPR without waiting for the arrival of the emergency services, since it is the only independent predictor that has the possibility of intervention. The need/opportunity that the telephone instructions offer to guide CPR has been known for decades 16 , although in Spain it was not until 2015 when the first recommendations for telephone support to CPR from the emergency coordination centres was agreed 17 , although, by then some EMS already had specific internal protocols 18 . In fact, telephone instructions appear to still be in the process of consolidation, in view of the discrete rate of guided CPR shown in our study.…”

An effort to reduce chest compression pauses during automated external defibrillator use among laypeople: A randomized partially blinded controlled trial

“… 9 If the participants called the EMS, they were given dispatcher instructions according to EMS protocols. 10 If not, the investigator played the role of a bystander making the call and put them in contact with the EMS. In this case, “ Calling EMS ” would be registered as “ not performed ”, since only those actions performed on the initiative of the participants themselves were considered as “ performed ”.…”

Analysis of dispatcher-assisted cardiopulmonary resuscitation instructions to laypersons in an out-of-hospital cardiac arrest

“…Phone calls were received at the corresponding EDC by an operator who, after initial questioning, transferred the communication to the center's health care coordinator for case management. The telephone instructions were given by eleven different dispatchers at the EDC (emergency team of physicians and nurses with at least five years of professional experience), following the recommendations of the Spanish Resuscitation Council 5 .…”

“…For the descriptive analysis of the content of the dispatcher-assisted cardiopulmonary resuscitation instructions, a checklist of fourteen indicators was used, prepared on the basis of the recommendations proposed in the literature 5,7 , in which the response was did or did not do. At the same time, the intervals of the call management process to the EDC were timed.…”

“…Some of the strategies implemented in Spain to help laypersons act correctly in the event of an out-of-hospital CA include the regulation and installation of publicly accessible automated external defibrillators (AED) 4 , as well as dispatcher assistance from the Emergency Dispatch Centre (EDC) on the steps to follow in initiating CPR 5 .…”