Open AccessThe Effect of Telephone Advice on Cardiopulmonary Resuscitation (CPR) on the Rate of Bystander CPR in Out‐of‐Hospital Cardiopulmonary Arrest in a Typical Urban Area
Author(s) -
Moriwaki Y,
Tahara Y,
Kosuge T,
Suzuki N
Publication year - 2016
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791602300403
Subject(s) - cardiopulmonary resuscitation , medicine , return of spontaneous circulation , medical emergency , observational study , emergency medicine , emergency department , population , emergency medical services , resuscitation , nursing , environmental health
Introduction The frequency of telephone advice for cardiopulmonary resuscitation (T‐CPR) and its effect are unclear. We have few data concerning how many persons who are willing to perform CPR under the setting of the T‐CPR system. Most of these data were from action reports in the pre‐hospital EMS records. Methods: This study was a population‐based observational case series of out‐of‐hospital cardiopulmonary arrest (OHCPA). The primary outcome was the acceptability of a bystander to perform CPR according to T‐CPR. In our emergency department, one medical doctor interviewed the bystanders regarding T‐CPR and CPR; this doctor was devoted to obtaining information from the patients. Results Of the 803 patients in, T‐CPR advice was provided in 47% and CPR was actually performed in 47% independent of T‐CPR guidance. Of the 373 cases in which lay persons received T‐CPR, 95% provided CPR. Dispatchers could more easily provide T‐CPR to family members compared with friends and passengers. Twenty‐one percent of callers made emergency calls after consulting with others (indirect call). In non‐traumatic victims who underwent bystander CPR, 43% experienced the return of spontaneous circulation, and 5% were discharged with a mild disorder or no neurological abnormality. Conclusions We conclude that 95% of bystanders are willing to perform CPR under the T‐CPR system, but we cannot conclude that bystander CPR may not affect the survival rate. These findings indicate that bystanders should be guided with T‐CPR. (Hong Kong j.emerg. med. 2016;23:220‐226)