DISPATCHER-ASSISTED CARDIOPULMONARY RESUSCITATION — AN EFFICIENT WAY FOR IMPROVING SURVIVAL AFTER OUT-OFHOSPITAL CARDIAC ARREST
https://doi.org/10.24884/2072-6716-2018-19-4-10-16
Abstract
Immediate witnesses of out-of-hospital cardiac arrest (OHCA) play the leading role in supporting human life. In cases when basic cardiopulmonary resuscitation (CPR) is not performed by the bystanders, precipitous hypoxia brings chances for recovery almost to zero by the time of emergency medical services (EMS) arrival. Carrying out CPR following the instructions given by EMS dispatcher over the telephone (T-CPR) is the fastest and most efficient way of increasing bystander CPR rates. Implementation of T-CPR programs is proved to increase survival from OHCA. Consequently, T-CPR is defined by the effective guidelines for resuscitation as an essential component of pre-hospital care. This review discusses the modern approaches to organizing and implementing T-CPR programs, as well as potential barriers and international experience of T-CPR implementation. The paper is meant for EMS directors and managers, EMS dispatchers and public health specialists.
About the Author
A. A. Birkun
Medical Academy named after S. I. Georgievsky of V. I. Vernadsky Crimean Federal University, Simferopol
Russian Federation
Russian Federation
References
1. Link M.S., Atkins D. L., Passman R. S. et al. Part 6: electrical therapies: automated external defibrillators, defibrillation, cardioversion, and pacing: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care // Circulation. 2010. Nov. 2; Vol. 122, 18 Suppl. 3. Р. 706– 719. doi: 10.1161/CIRCULATIONAHA.110.970954.
2. Böttiger B.W., Van Aken H. Kids save lives — Training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO) // Resuscitation. 2015 Sep. Vol. 94. Р. A5–7. doi: 10.1016/j.resuscitation.2015.07.005. Epub 2015 Jul 21.
3. Shumatov V. B., Kuznecov V. V., Lebedev S. V. Ehffektivnaya serdechno-legochnaya reanimaciya na dogospital’nom ehtape: osnovnye ehlementy, opyt vnedreniya. Tihookeanskij medicinskij zhurnal, 2006, No 1, рр. 81–84. (in Russ.)
4. Gräsner J.T., Lefering R., Koster R. W. et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe // Resuscitation. 2016. Vol. 105. Р. 188–195. doi: 10.1016/j.resuscitation.2016.06.004.
5. Birkun A. A., Altuhov A. V. Registr kak osnova ehpidemiologicheskogo kontrolya i optimizacii pomoshchi pri vnegospital’noj ostanovke krovoobrashcheniya. Zhurnal im. N. V. Sklifosovskogo «Neotlozhnaya medicinskaya pomoshch’», 2018, Vol. 7, No 3, рр. 234–243 (in Russ.)
6. Birkun A. A., Glotov M. A. Ehpidemiologicheskie pokazateli vnegospital’noj ostanovki krovoobrashcheniya na primere otdel’no vzyatogo administrativnogo centra Rossijskoj Federacii. Anesteziologiya i reanimatologiya, 2017, Vol. 62, No 2, рр. 113–117 (in Russ.)
7. Birkun A., Kosova Y. Social attitude and willingness to attend cardiopulmonary resuscitation training and perform resuscitation in the Crimea // World J. Emerg. Med. 2018. Vol. 9 (4). Р. 237–248. doi: 10.5847/ wjem.j.1920–8642.2018.04.001.
8. Bobrow B.J., Panczyk M., Subido C. Dispatch-assisted cardiopulmonary resuscitation: the anchor link in the chain of survival // Curr. Opin. Crit. Care. 2012. Jun; Vol. 18 (3). Р. 228–233. doi: 10.1097/ MCC.0b013e328351736b.
9. Kleinman M.E., Brennan E. E., Goldberger Z. D. et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care // Circulation. 2015. Nov. 3; Vol. 132, 18 Suppl. 2. Р. 414–435. doi: 10.1161/CIR.0000000000000259.
10. Perkins G.D., Handley A. J., Koster R. W. et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation // Resuscitation. 2015. Vol. 95. Р. 81–99.
11. American Heart Association. Telephone CPR (T-CPR) Program Recommendations and Performance Measures. 2018 [Электронный ресурс]. Режим доступа: https://cpr.heart.org/AHAECC/CPRAndECC/ ResuscitationScience/TelephoneCPR/RecommendationsPerformanceMeasures/UCM_477526_Telephone-CPRT-CPR-Program-Recommendations-and-Performance-Measures.jsp. Загл. с экрана. Проверено 10.11.2018.
12. Rea T.D., Fahrenbruch C., Culley L. et al. CPR with chest compression alone or with rescue breathing // N. Engl. J. Med. 2010. Vol. 363. Р. 423–433. doi: 10.1056/NEJMoa0908993.
13. Akahane M., Ogawa T., Tanabe S. et al. Impact of telephone dispatcher assistance on the outcomes of pediatric outof-hospital cardiac arrest // Crit Care Med. 2012. Vol. 40. Р. 1410–1416. doi: 10.1097/CCM.0b013e31823e99ae.
14. Eisenberg M.S., Hallstrom A. P., Carter W. B. et al. Emergency CPR instruction via telephone // Am. J. Public Health. 1985. Vol. 75. Р. 47–50.
15. Vaillancourt C., Verma A., Trickett J. et al. Evaluating the effectiveness of dispatch-assisted cardiopulmonary resuscitation instructions // Acad. Emerg. Med. 2007. Oct; Vol. 14 (10). Р. 877–883. Epub 2007 Aug 29.
16. Song K.J., Shin S. D., Park C. B. et al. Dispatcher-assisted bystander cardiopulmonary resuscitation in a metropolitan city: a before-after population-based study // Resuscitation. 2014. Jan; Vol. 85 (1). Р. 34–41. doi: 10.1016/j.resuscitation.2013.06.004. Epub 2013 Jun 17.
17. Bobrow B., Panczyk M., Stolz U. et al. Statewide Implementation of a Standardized Prearrival Telephone CPR Program Is Associated with Increased Bystander CPR and Survival from Out-of-Hospital Cardiac Arrest // Circulation. 2014. Vol. 130. A1.
18. Harjanto S., Na M. X., Hao Y. et al. A before-after interventional trial of dispatcher-assisted cardio-pulmonary resuscitation for out-of-hospital cardiac arrests in Singapore // Resuscitation. 2016. May; Vol. 102. Р. 85–93. doi: 10.1016/j.resuscitation.2016.02.014. Epub 2016 Mar 2.
19. Bol’shakova I.A., Kucherenko M. A., Samarina V. Yu., Kovalevskij D. V. Rol’ sluzhby skoroj medicinskoj pomoshchi v ramkah edinoj koncepcii likvidacii posledstvij dorozhno-transportnyh proisshestvij na territorii Novosibirskoj oblasti. Skoraya medicinskaya pomoshch’. 2017 [Ehlektronnoe izdanie]: Materialy 16-go Vserossijskogo kongressa (Nauchnoprakticheskoj konferencii s mezhdunarodnym uchastiem), posvyashchennogo 85-letiyu SPb NII skoroj pomoshchi im. I. I. Dzhanelidze i 35-letiyu kafedry skoroj medicinskoj pomoshchi Severo-Zapadnogo gosudarstvennogo medicinskogo universiteta im. I. I. Mechnikova (8–9 iyunya 2017 goda) / gl. red. S. F. Bagnenko. Saint Petersburg: PSPbGMU im. akad. I. P. Pavlova, 2017, рр. 18–20 (in Russ.)
20. Heward A., Damiani M., Hartley-Sharpe C. Does the use of the Advanced Medical Priority Dispatch System affect cardiac arrest detection? // Emerg. Med. J. 2004. Vol. 21 (1). Р. 115–118.
21. Besnier E., Damm C., Jardel B. et al. Dispatcher-assisted cardiopulmonary resuscitation protocol improves diagnosis and resuscitation recommendations for out-of-hospital cardiac arrest // Emerg. Med. Australas. 2015. Dec; Vol. 27 (6). Р. 590–596. doi: 10.1111/1742–6723.12493. Epub 2015 Oct 9.
22. Plodr M., Truhlar A., Krencikova J. et al. Effect of introduction of a standardized protocol in dispatcherassisted cardiopulmonary resuscitation // Resuscitation. 2016. Vol. 106. Р. 18–23.
23. Hallstrom A.P., Cobb L. A., Johnson E., Copass M. K. Dispatcher assisted CPR: implementation and potential benefit. A 12-year study // Resuscitation. 2003. Vol. 57 (2). Р. 123–129.
24. Painter I., Chavez D. E., Ike B. R. et al. Changes to DA-CPR instructions: can we reduce time to first compression and improve quality of bystander CPR? // Resuscitation. 2014. Sep.; Vol. 85 (9). Р. 1169–1173. doi: 10.1016/j. resuscitation.2014.05.015. Epub 2014 May 23.
25. Resuscitation Academy. 10 steps for improving survival from sudden cardiac arrest. 2018. http://www. resuscitationacademy.org/downloads/ebook/TenStepsforImprovingSurvivalFromSuddenCardiacArrest-RA-eBook-PDFFinal-v1_2.pdf. Загл. с экрана. Проверено 31.10.2018.
26. Viereck S., Møller T. P., Rothman J. P. et al. Recognition of out-of-hospital cardiac arrest during emergency calls — a systematic review of observational studies // Scand. J. Trauma Resusc. Emerg. Med. 2017. Vol. 25 (1). Р. 9.
27. White L., Rogers J., Bloomingdale M. et al. Dispatcher-assisted cardiopulmonary resuscitation: risks for patients not in cardiac arrest // Circulation. 2010. Vol. 121 (1). Р. 91–97.
28. Kern K.B., Hilwig R. W., Berg R. A. et al. Importance of continuous chest compressions during cardiopulmonary resuscitation: improved outcome during a simulated single lay-rescuer scenario // Circulation. 2002. Vol. 105. Р. 645–649.
29. Bohm K., Stålhandske B., Rosenqvist M. et al. Tuition of emergency medical dispatchers in the recognition of agonal respiration increases the use of telephone assisted CPR // Resuscitation. 2009. Vol. 80(9). Р. 1025–1028.
30. Hardeland C., Skåre C., Kramer-Johansen J. et al. Targeted simulation and education to improve cardiac arrest recognition and telephone assisted CPR in an emergency medical communication centre // Resuscitation. 2017. May. Vol. 114. Р. 21–26. doi: 10.1016/j.resuscitation.2017.02.013. Epub 2017 Feb 21.
31. Shah M., Bartram C., Irwin K. et al. Evaluating Dispatch-Assisted CPR Using the CARES Registry // Prehosp. Emerg. Care. 2018. Mar.-Apr.; Vol. 22 (2). Р. 222–228. doi: 10.1080/10903127.2017.1376133. Epub 2017 Dec 8.
32. Oman G., Bury G. Use of telephone CPR advice in Ireland: Uptake by callers and delays in the assessment process // Resuscitation. 2016. May; Vol. 102. Р. 6–10. doi: 10.1016/j.resuscitation.2016.02.006. Epub 2016 Feb 16.
33. Hauff S.R., Rea T. D., Culley L. L. et al. Factors impeding dispatcher-assisted telephone cardiopulmonary resuscitation // Ann. Emerg. Med. 2003. Dec; Vol. 42 (6). Р. 731–737.
34. Lewis M., Stubbs B. A., Eisenberg M. S. Dispatcher-assisted cardiopulmonary resuscitation: time to identify cardiac arrest and deliver chest compression instructions // Circulation. 2013. Oct. 1; Vol. 128 (14). Р. 1522– 1530. doi: 10.1161/CIRCULATIONAHA.113.002627. Epub 2013 Aug 27.
Review
For citations:
Birkun A.A. DISPATCHER-ASSISTED CARDIOPULMONARY RESUSCITATION — AN EFFICIENT WAY FOR IMPROVING SURVIVAL AFTER OUT-OFHOSPITAL CARDIAC ARREST. EMERGENCY MEDICAL CARE. 2018;19(4):10-16. (In Russ.) https://doi.org/10.24884/2072-6716-2018-19-4-10-16
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