Assessment of telecommunicator cardiopulmonary resuscitation performance during out-of-hospital cardiac arrest using a standardized tool for audio review.
Resuscitation
; 178: 102-108, 2022 09.
Article
in En
| MEDLINE
| ID: mdl-35483496
ABSTRACT
OBJECTIVE:
Telecommunicator cardiopulmonary resuscitation (T-CPR) is a critical component of optimized out-of-hospital cardiac arrest (OHCA) care. We assessed a pilot tool to capture American Heart Association (AHA) T-CPR measures and T-CPR coaching by telecommunicators using audio review.METHODS:
Using a pilot tool, we conducted a retrospective review of 911 call audio from 65 emergency medical services-treated out-of-hospital cardiac arrest (OHCA) patients. Data collection included events (e.g., OHCA recognition), time intervals, and coaching quality measures. We calculated summary statistics for all performance and quality measures.RESULTS:
Among 65 cases, the patients' mean age was 64.7 years (SD 14.6) and 17 (26.2%) were women. Telecommunicator recognition occurred in 72% of cases (47/65). Among 18 non-recognized cases, reviewers determined 12 (66%) were not recognizable based on characteristics of the call. Median time-to-recognition was 76 seconds (n = 40; IQR39-138), while median time-to-first-instructed-compression was 198 seconds (n = 26; IQR149-233). In 36 cases where coaching was needed, coaching on compression-depth occurred in 27 (75%); -rate in 28 (78%); and chest recoil in 10 (28%) instances. In 30 cases where repositioning was needed, instruction to position the patient's body flat occurred in 18 (60%) instances, on-back in 22 (73%) instances, and on-ground in 22 (73%) instances.CONCLUSIONS:
Successful collection of data to calculate AHA T-CPR measures using a pilot tool for audio review revealed performance near AHA benchmarks, although coaching instructions did not occur in many instances. Application of this standardized tool may aid in T-CPR quality review.Key words
9-1-1; 911; AHA; Abstraction; American Heart Association; Audio; CPR; Cardiac Arrest; Cardiopulmonary resuscitation; Coaching; Dispatch; Dispatch-Assisted; ECC; EMS; Emergency communication center; Emergency medical services; Identifiability; Identifiable; M-RISE; MPDS; Measurement; Metrics; OHCA; Out-of-hospital; PSAP; Performance; Pre-arrival; Protocol; Public safety answering point; Quality assurance; Recognition; Recognizability; Review; SFRN; T-CPR; Telecommunicator; Telephone; prearrival
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cardiopulmonary Resuscitation
/
Emergency Medical Services
/
Out-of-Hospital Cardiac Arrest
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Resuscitation
Year:
2022
Document type:
Article