'We're going to do CPR': A linguistic study of the words used to initiate dispatcher-assisted CPR and their association with caller agreement

RESUSCITATION

卷:133

Article

Riou, Marine¹  Ball, Stephen¹  Whiteside, Austin²  Bray, Janet^1,3  Perkins, Gavin D.^4,5  Smith, Karen^3,6,7,8  O'Halloran, Kay L.⁹  Fatovich, Daniel M.^1,6,10,11  Inoue, Madoka¹  Bailey, Paul^1,2  Cameron, Peter³  Brink, Deon^1,2  Finn, Judith^1,2,3,6 

[1] Curtin Univ, Sch Nursing Midwifery & Paramed, PRECRU, Bentley, WA 6102, Australia

[2] St John Ambulance WA, Belmont, WA 6104, Australia

[3] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia

[4] Univ Warwick, Warwick Clin Trials Unit, Coventry CV4 7AL, W Midlands, England

[5] Univ Warwick, Heart England NHS Fdn Trust, Coventry CV4 7AL, W Midlands, England

[6] Univ Western Australia, Emergency Med, Crawley, WA 6009, Australia

[7] Monash Univ, Dept Community Emergency Hlth & Paramed Practice, Melbourne, Vic 3004, Australia

[8] Ambulance Victoria, Blackburn North, Vic 3130, Australia

[9] Curtin Univ, Sch Educ, Bentley, WA 6102, Australia

[10] Royal Perth Hosp, Emergency Med, Perth, WA 6001, Australia

[11] Royal Perth Hosp, Harry Perkins Inst Med Res, Ctr Clin Res Emergency Med, Perth, WA 6847, Australia

关键词: Out-of-hospital cardiac arrest;    Bystander cardiopulmonary resuscitation;    Emergency medical services;    Dispatch;    Emergency calls;    Communication;    Linguistics;    Conversation analysis;   

DOI  :  10.1016/j.resuscitation.2018.10.011

来源: Elsevier

【 摘 要 】

Background: In emergency ambulance calls for out-of-hospital cardiac arrest (OHCA), dispatcher-assisted cardiopulmonary resuscitation (CPR) plays a crucial role in patient survival. We examined whether the language used by dispatchers to initiate CPR had an impact on callers' agreement to perform CPR. Methods: We analysed 424 emergency calls relating to cases of paramedic-confirmed OHCA where OHCA was recognised by the dispatcher, the caller was with the patient, and resuscitation was attempted by paramedics. We investigated the linguistic choices used by dispatchers to initiate CPR, and the impact of those choices on caller agreement to perform CPR. Results: Overall, CPR occurred in 85% of calls. Caller agreement was low (43%) when dispatchers used terms of willingness (do you want to do CPR?). Caller agreement was high (97% and 84% respectively) when dispatchers talked about CPR in terms of futurity (we are going to do CPR) or obligation (we need to do CPR). In 38% (25/66) of calls where the caller initially declined CPR, the dispatcher eventually secured their agreement by making several attempts at initiating CPR. Conclusion: There is potential for increased agreement to perform CPR if dispatchers are trained to initiate CPR with words of futurity and/or obligation.

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