Abstract 15593: Major Differences in the Use of Protocols for Dispatcher Assisted Cardiopulmonary Resuscitation - an Observational Study
Introduction: Dispatcher assisted cardiopulmonary resuscitation (DA-CPR) increases rate of bystander CPR. DA-CPR is recommended by resuscitation councils globally and it has been shown that the general public expects to receive pre-arrival instructions while waiting for help. A recent scientific advisory from the American Heart Association identifies standardized and structured DA-CPR protocols as important to increase bystander CPR.
Aim: To compare strategies for DA-CPR among different countries and to examine whether countries meet recommendations for DA-CPR.
Methods: From April to September 2014 all resuscitation countries forming the International Liaison Committee on Resuscitation (ILCOR) were inquired by E-mail about providing a copy of their DA-CPR protocol, and whether this protocol was used by all Emergency Dispatch Centers in their country. In addition, data was collected through e.g EMS in the different countries. If no response had been received, a reminder E-mail or follow-up phone call within 3 weeks and after additional 4 weeks was made. The collected protocols were translated to English, and their content was compared.
Results: A total of 60 countries (response rate: 83%) were contacted. Of these 46% stated to have a national DA-CPR protocol, 32% reported to use local protocols and 22% did not use a protocol. A copy of the DA-CPR protocol was provided by 54% of countries using either a national or local protocol of which 19 out of 21 were possible to translate into English. Of the translated protocols 100% asked the rescuer to check for responsiveness and breathing, 35% to activate the phone’s speaker function, 89% used chest compression only CPR, and 59% included notes about integrating an automated external defibrillator.
Conclusion: Among ILCOR members countries major differences were found in the use of dispatcher protocols for CPR whereas 22% did not use a protocols at all.
Author Disclosures: K. Bjørnshave: None. S.E. Rasmussen: None. M.A. Nebsbjerg: None. L.Q. Krogh: None. K. Krogh: None. J.A. Povlsen: None. B. Løfgren: None.
- © 2016 by American Heart Association, Inc.