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Improving emergency call detection of Out-of-Hospital Cardiac Arrests in the Greater Paris area: Efficiency of a global system with a new method of detection.
Derkenne, Clément; Jost, Daniel; Thabouillot, Oscar; Briche, Frédérique; Travers, Stéphane; Frattini, Benoit; Lesaffre, Xavier; Kedzierewicz, Romain; Roquet, Florian; de Charry, Félicité; Prunet, Bertrand.
Affiliation
  • Derkenne C; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France. Electronic address: clement.derkenne@pompiersparis.fr.
  • Jost D; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France; Sudden Death Expertise Center, Hôpital Pompidou, 1, Rue Leblanc, 75015 Paris, France.
  • Thabouillot O; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France.
  • Briche F; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France.
  • Travers S; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France; French Military Health Service, Val de Grâce Military Academy, 1, Place Alphonse Laveran, 75005 Paris, France.
  • Frattini B; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France.
  • Lesaffre X; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France.
  • Kedzierewicz R; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France.
  • Roquet F; Critical Care Department, Hôpital Pompidou, 1, Rue Leblanc, 75015 Paris, France; INSERM 1153 Unit, Hôpital St Louis, 1, Avenue Claude Vellefaux, 75010 Paris, France.
  • de Charry F; Percy Military Teaching Hospital, 1 rue Raoul Batany, 92140 Clamart, France.
  • Prunet B; Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France; French Military Health Service, Val de Grâce Military Academy, 1, Place Alphonse Laveran, 75005 Paris, France.
Resuscitation ; 146: 34-42, 2020 01 01.
Article de En | MEDLINE | ID: mdl-31734221
ABSTRACT

AIM:

The detection of cardiac arrests by dispatchers allows telephone-assisted cardiopulmonary resuscitation (t-CPR) and improves Out-of-Hospital Cardiac Arrest (OHCA) survival. To enhance the OHCA detection rate, in 2012, the Paris Fire Brigade dispatch center created an original technique called "Hand On Belly" (HoB). The new algorithm that resulted has become a central point in a broader program for dispatch-assisted cardiac arrests.

METHODS:

This is a repeated cross-sectional study with retrospective data of four 15-day call samples recorded from 2012 to 2018. We included all calls from OHCAs cared for by Basic Life Support (BLS) teams and excluded calls where the dispatcher was not in contact directly with a witness. The primary endpoint was the successful detection of an OHCA by the dispatcher; the secondary endpoints were successful t-CPR and measurements of the different time intervals related to the call. Logistic regressions were performed to assess parameters associated with detecting OHCAs and initiating t-CPR.

RESULTS:

From 2012 to 2018, among the detectable OCHAs, the proportion correctly identified increased from 54% to 93%; the rate of t-CPRs from 51% to 84%. OHCA detection and t-CPR initiation were both associated with HoB breathing assessments (adjustedOR 89, 95%CI 31-299, and adjustedOR 11.2, 95%CI 1.4-149, respectively). Over the study period, the times to answering calls and the time to sending BLS teams were shorter than those recommended by international guidelines; however, the times to OHCA recognition and starting t-CPR delivery were longer.

CONCLUSIONS:

The HoB effectively facilitated OHCA detection in our system, which has achieved very high performance levels.
Sujet(s)
Mots clés

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Réanimation cardiopulmonaire / Systèmes de communication des urgences / Arrêt cardiaque hors hôpital / Téléassistance / Répartition des urgences médicales Type d'étude: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limites: Female / Humans / Male / Middle aged Pays/Région comme sujet: Europa Langue: En Journal: Resuscitation Année: 2020 Type de document: Article

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Réanimation cardiopulmonaire / Systèmes de communication des urgences / Arrêt cardiaque hors hôpital / Téléassistance / Répartition des urgences médicales Type d'étude: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limites: Female / Humans / Male / Middle aged Pays/Région comme sujet: Europa Langue: En Journal: Resuscitation Année: 2020 Type de document: Article