Time to identify cardiac arrest and provide dispatch-assisted cardio-pulmonary resuscitation in a criteria-based dispatch system

Dami, Fabrice; Heymann, Eric; Pasquier, Mathieu; Fuchs, Vincent; Carron, Pierre‐Nicolas; Hügli, Olivier

doi:10.1016/j.resuscitation.2015.09.390

Cited by 76 publications

(73 citation statements)

References 16 publications

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“…In 20% they did ask if the patient was breathing but misinterpreted answers confirming breathing as a sign of circulation when specific type of breathing never was described (30). These findings are supported by Dami et al who found that half of all missed OHCA cases were due to poor breathing assessment (27). Introduction of, and adherence to, scripted protocols for delivering T-CPR are indicated as effective measures to improve recognition of cardiac arrest (32,(82)(83)(84).…”

Section: Telephone-assisted Cpr Instructionsmentioning

confidence: 73%

“…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).…”

Section: Figure 1 the Chain Of Survivalmentioning

confidence: 99%

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

Hardeland¹,

Olasveengen²,

Lawrence³

et al. 2014

Resuscitation

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Section: Telephone-assisted Cpr Instructionsmentioning

confidence: 73%

Section: Figure 1 the Chain Of Survivalmentioning

confidence: 99%

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

Hardeland¹,

Olasveengen²,

Lawrence³

et al. 2014

Resuscitation

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“…Although, the Danish healthcare system is free, some patients bypass the dispatch system or public prehospital transport, and arrive on their own accord. In contrast to other diseases as trauma [25], cardiac arrest [26, 27], acute myocardial infarction [28] and stroke [29, 30], septic patients, to a lesser extent, arrived by public prehospital transport. In our study, part of the explanation for patients arriving without public pre-hospital transport could be the short distances with low traffic load.…”

Section: Discussionmentioning

confidence: 99%

Dispatch and prehospital transport for acute septic patients: an observational study

Pedersen

Henriksen

Mikkelsen

et al. 2017

Scand J Trauma Resusc Emerg Med

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BackgroundIn order to dispatch ambulances with the correct level of urgency, the dispatch center has to balance the perceived urgency and traffic safety considerations with the available resources. As urgency is not clear in all clinical situations, some high urgency patients may end up with a suboptimal mode of transport.Patients with severe sepsis or septic shock suffer from highly time dependent conditions but they present with a wide range of symptoms, which might be difficult to identify in the dispatch system.The aim of the study is to investigate the modes of prehospital transport among acute admitted patients with sepsis, severe sepsis and septic shock.MethodsWe included all adult patients (≥15 years) presenting to an acute medical unit at Odense University Hospital with a first-time admission of community-acquired sepsis between September 2010-August 2011. Cases and prehospital ambulance transport were identified by structured manual chart review. In all cases it was registered, whether the ordinary ambulance was assisted by the mobile emergency care unit (MECU), manned by anesthesiologists.ResultsWe included 1,713 patients median age 72 years (IQR 57–81), 793 (46.3%) male, 621 (36.3%) had sepsis, 1,071 (62.5%) severe sepsis, and 21 (1.2%) septic shock.In the group of sepsis patients, 390 (62.8%) arrived without public prehospital transport, 197 (31.7%) were transported by ambulance, and 34 (5.5%) were assisted by MECU. In the group of severe sepsis patients, the same percentage 62.8% arrived without public pre-hospital transport, a lower percentage 28.2% were transported by ambulance, and a larger percentage 9.0% were transported by MECU. Among 21 patients with septic shock, 10 arrived without public pre-hospital transport (47.7%), 7 (33.3%) were transported by ambulance, and 4 (19.0%) by MECU.The 30-day mortality hazard ratio was associated with mode of transport, with the adjusted highest hazard ratio found in the group of MECU transported patients 1.76 (95%Cl 1.16–2.66).ConclusionsA substantial proportion of patients with severe sepsis and septic shock arrive to hospital without public prehospital transport or by unspecialized ambulances.

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“…Swift recognition of cardiac arrest and activation of the emergency medical service system would allow professional first responders to arrive at the scene faster, provide high quality CPR, and apply AED. In a Swedish study that analyzed 1,254 cardiac arrest records of emergency medical dispatchers, it took 1 minute (median) to recognize cardiac arrest, and it took lay people 3.67 minutes to begin CPR 34) . There has as yet been no report about recognition of cardiac arrest to 119 activation in Korea.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Performance for Bystanders’ Cardiopulmonary Resuscitation in Geriatric and Out-of-Hospital Cardiac Arrested Patients

Bae¹,

Oh²,

Lee³

et al. 2016

Ann Geriatr Med Res

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Background: The purpose of this study was to determine if there were changes in bystanders' chest compression performance and activation of emergency medical services in geriatric and out-of-hospital cardiac patients following the institution of the 2010 International Resuscitation Guidelines and 2008 Good Samaritan Law in South Korea. Methods: This is a retrospective observational study using medical records, and including patient charts and an Utstein Style database in a tertiary hospital. We analyzed the existence of chest compression performance by bystanders, the required time from recognition of cardiac arrest to activation of 119 for emergency medicine services, and the required time from activation of 119 to arrival on the scene from 2005-2014. The data were compared after dividing the years into 2 groups: 2005-2009 and 2010-2014. Results: Of 317 geriatric and out-of-hospital cardiac arrest patients, 261 were eligible for this study. Twelve cases were excluded, and a total of 249 were analyzed. Bystander-initiated chest compression was higher from

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Time to identify cardiac arrest and provide dispatch-assisted cardio-pulmonary resuscitation in a criteria-based dispatch system

Cited by 76 publications

References 16 publications

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

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

Dispatch and prehospital transport for acute septic patients: an observational study

Analysis of the Performance for Bystanders’ Cardiopulmonary Resuscitation in Geriatric and Out-of-Hospital Cardiac Arrested Patients

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