Swedish dispatchers’ compliance with the American Heart Association performance goals for dispatch-assisted cardiopulmonary resuscitation and its association with survival in out-of-hospital cardiac arrest: A retrospective study

Resuscitation Plus

Martin Jonsson¹  Andreas Claesson²  Fredrik Byrsell³  Anette Nord³  Per Nordberg³  Jacob Hollenberg³  Leif Svensson³  Mattias Ringh³  Sune Forsberg⁴ 

[1] Corresponding author at: SOS Alarm AB, Annetorpsvägen 4, 216 23 Malmö, Sweden.;SOS Alarm AB, Stockholm, Sweden;Department of Clinical Science and Education, Centre for Resuscitation Science, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden;Department of Medicine, Solna Karolinska Institutet, Stockholm, Sweden;

关键词: Out-of-hospital cardiac arrest (OHCA);    Emergency calls;    Emergency medical dispatch centre;    Dispatcher;    Cardiopulmonary resuscitation;    Emergency medical services;   

DOI  :  

来源: DOAJ

【 摘 要 】

Aim: We aimed 1) to investigate how Swedish dispatchers perform during emergency calls in accordance with the American Heart Association (AHA) goals for dispatcher-assisted cardiopulmonary resuscitation (DA-CPR), 2) calculate the potential impact on 30-day survival. Methods: This observational study includes a random sample of 1000 out-of-hospital cardiac arrest (OHCA) emergency ambulance calls during 2018 in Sweden. Voice logs were audited to evaluate dispatchers’ handling of emergency calls according to the AHA performance goals. Number of possible additional survivors was estimated assuming the timeframes of the AHA performance goals was achieved. Results: A total of 936 cases were included. An OHCA was recognized by a dispatcher in 79% (AHA goal 75%). In recognizable OHCA, dispatchers recognized 85% (AHA goal 95%). Dispatch-directed compressions were given in 61% (AHA goal 75%). Median time to OHCA recognition was 113 s [interquartile range (IQR), 62, 204 s] (AHA goal < 60 s). The first dispatch-directed compression was performed at a median time of 240 s [IQR, 176, 332 s] (AHA goal < 90 s). If eligible patients receive dispatch-directed compressions within the AHA 90 s goal, 73 additional lives may be saved; if all cases are recognized within the AHA 60 s goal, 25 additional lives may be saved. Conclusions: The AHA policy statement serves as a benchmark for all emergency medical dispatch centres (EMDC). Additional effort is needed at Swedish EMDC to achieve AHA goals for DA-CPR. Our study suggests that if EMDC further optimize handling of OHCA calls in accordance with AHA goals, many more lives may be saved.

【 授权许可】

Unknown