Emergency medical dispatch services across Pan-Asian countries: a web-based survey

BMC Emergency Medicine

For the PAROS Clinical Research Network¹  Do Ngoc Son²  Desmond Renhao Mao³  Chih-Hao Lin⁴  Marcus Eng Hock Ong⁵  Benjamin Sieu-Hon Leong⁶  Boon Yang Chia⁷  G. V. Ramana Rao⁸  Takahiro Hara⁹  Yih Yng Ng^1,10  Jirapong Supasaovapak^1,11  Sang Do Shin^1,12  Faith Joan Gaerlan^1,13  Shawn Chieh Loong Lee^1,14 

[1] ;Bach Mai Hospital;Department of Acute and Emergency Care, Khoo Teck Puat Hospital;Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University;Department of Emergency Medicine, Singapore General Hospital;Emergency Medicine Department, National University Hospital;Emergency and Trauma Department, Miri Hospital;GVK Emergency Management and Research Institute (GVK EMRI);Graduate School of Emergency Medical System, Kokushikan University;Medical Department, Singapore Civil Defence Force;Narenthorn EMS Center, Rajavithi Hospital;Seoul National University College of Medicine;Southern Philippines Medical Center;UNSW Medicine, University of New South Wales;

关键词: Emergency medical services;    Out-of-hospital cardiac arrest;    Cardiopulmonary resuscitation;    Asia-pacific;    Public safety answering point;   

DOI  :  10.1186/s12873-019-0299-1

来源: DOAJ

【 摘 要 】

Abstract Background Dispatch services (DS’s) form an integral part of emergency medical service (EMS) systems. The role of a dispatcher has also evolved into a crucial link in patient care delivery, particularly in dispatcher assisted cardio-pulmonary resuscitation (DACPR) during out-of-hospital cardiac arrest (OHCA). Yet, there has been a paucity of research into the emerging area of dispatch science in Asia. This paper compares the characteristics of DS’s, and state of implementation of DACPR within the Pan-Asian Resuscitation Outcomes (PAROS) network. Methods A cross-sectional descriptive survey addressing population characteristics, DS structures and levels of service, state of DACPR implementation (including protocols and quality improvement programs) among PAROS DS’s. Results 9 DS’s responded, representing a total of 23 dispatch centres from 9 countries that serve over 80 million people. Most PAROS DS’s operate a tiered dispatch response, have implemented medical oversight, and tend to be staffed by dispatchers with a predominantly medical background. Almost all PAROS DS’s have begun tracking key EMS indicators. 77.8% (n = 7) of PAROS DS’s have introduced DACPR. Of the DS’s that have rolled out DACPR, 71.4% (n = 5) provided instructions in over one language. All DS’s that implemented DACPR and provided feedback to dispatchers offered feedback on missed OHCA recognition. The majority of DS’s (83.3%; n = 5) that offered DACPR and provided feedback to dispatchers also implemented corrective feedback, while 66.7% (n = 4) offered positive feedback. Compression-only CPR was the standard instruction for PAROS DS’s. OHCA recognition sensitivity varied widely in PAROS DS’s, ranging from 32.6% (95% CI: 29.9–35.5%) to 79.2% (95% CI: 72.9–84.4%). Median time to first compression ranged from 120 s to 220 s. Conclusions We found notable variations in characteristics and state of DACPR implementation between PAROS DS’s. These findings will lay the groundwork for future DS and DACPR studies in the PAROS network.

【 授权许可】

Unknown