Impact of telephone cardiopulmonary resuscitation on the return of spontaneous circulation in Patients with out-of-hospital cardiac arrest

2020
journal article
article
dc.abstract.enThe aim: Research aim is the evaluation of return of spontaneous circulation (ROSC) ratio among the individuals with out-of-hospital sudden cardiac arrest (SCA), depending on the so-called Telephone Cardiopulmonary Resuscitation (TCPR). T-CPR is based on live instruction given by the dispatcher to incident witness, who is performing CPR efforts until the EMS team arrives on scene. Material and methods: Research was based on the analysis of 782 entries (from EMS documentation) which recorded SCA and CPR. Emergency call voice recording has been rehearsed for each case, in order to confirm the capability of recognizing SCA and providing T-CPR instructions. Data was divided into two groups and the results have been compared. The ROSC ratio for both groups (“T-CPR” and “No T-CPR”) were analyzed along with the type of incident location. Results: The research has shown that 26,4% of all SCA cases researched ended up with the ROSC. In 94% of cases the dispatcher had succeeded in encouraging the witness to perform CPR with telephone instruction (T-CPR) until the EMS team has arrived. In the “T-CPR” group, 28,7% of cases have ended with ROSC. In the “No T-CPR” group, 19,7% of cases have ended with ROSC (28,7% vs. 19,7%). Conclusions: The T-CPR should be utilized by dispatcher in the form of uniform protocol. In the process of training dispatchers there should be special emphasis on the skill of recognizing SCA upon receiving a call. The evaluation of SCA recognition, T-CPR undertaken and ROSC ratio may be an effective indicator of quality monitoring within the State Emergency Medical System.pl
dc.affiliationWydział Lekarski : Zakład Dydaktyki Medycznejpl
dc.cm.date2021-03-01
dc.cm.id102529
dc.contributor.authorJaskuła, Jerzy - 249929 pl
dc.contributor.authorNiemczyk, Karolinapl
dc.date.accessioned2021-03-01T16:50:33Z
dc.date.available2021-03-01T16:50:33Z
dc.date.issued2020pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number4pl
dc.description.physical256-260pl
dc.description.points20
dc.description.versionostateczna wersja wydawcy
dc.description.volume7pl
dc.identifier.doi10.36740/EmeMS202004102pl
dc.identifier.issn2391-7822pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/266103
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.entelephone cardiopulmonary resuscitation (T-CPR)pl
dc.subject.enout-of-hospital cardiac arrestpl
dc.subject.enEmergency Medical Servicespl
dc.subject.enambulance quality indicatorspl
dc.subject.enmedical dispatchpl
dc.subject.enchest compressionspl
dc.subtypeArticlepl
dc.titleImpact of telephone cardiopulmonary resuscitation on the return of spontaneous circulation in Patients with out-of-hospital cardiac arrestpl
dc.title.journalEmergency Medical Servicepl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
The aim: Research aim is the evaluation of return of spontaneous circulation (ROSC) ratio among the individuals with out-of-hospital sudden cardiac arrest (SCA), depending on the so-called Telephone Cardiopulmonary Resuscitation (TCPR). T-CPR is based on live instruction given by the dispatcher to incident witness, who is performing CPR efforts until the EMS team arrives on scene. Material and methods: Research was based on the analysis of 782 entries (from EMS documentation) which recorded SCA and CPR. Emergency call voice recording has been rehearsed for each case, in order to confirm the capability of recognizing SCA and providing T-CPR instructions. Data was divided into two groups and the results have been compared. The ROSC ratio for both groups (“T-CPR” and “No T-CPR”) were analyzed along with the type of incident location. Results: The research has shown that 26,4% of all SCA cases researched ended up with the ROSC. In 94% of cases the dispatcher had succeeded in encouraging the witness to perform CPR with telephone instruction (T-CPR) until the EMS team has arrived. In the “T-CPR” group, 28,7% of cases have ended with ROSC. In the “No T-CPR” group, 19,7% of cases have ended with ROSC (28,7% vs. 19,7%). Conclusions: The T-CPR should be utilized by dispatcher in the form of uniform protocol. In the process of training dispatchers there should be special emphasis on the skill of recognizing SCA upon receiving a call. The evaluation of SCA recognition, T-CPR undertaken and ROSC ratio may be an effective indicator of quality monitoring within the State Emergency Medical System.
dc.affiliationpl
Wydział Lekarski : Zakład Dydaktyki Medycznej
dc.cm.date
2021-03-01
dc.cm.id
102529
dc.contributor.authorpl
Jaskuła, Jerzy - 249929
dc.contributor.authorpl
Niemczyk, Karolina
dc.date.accessioned
2021-03-01T16:50:33Z
dc.date.available
2021-03-01T16:50:33Z
dc.date.issuedpl
2020
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
4
dc.description.physicalpl
256-260
dc.description.points
20
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
7
dc.identifier.doipl
10.36740/EmeMS202004102
dc.identifier.issnpl
2391-7822
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/266103
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
telephone cardiopulmonary resuscitation (T-CPR)
dc.subject.enpl
out-of-hospital cardiac arrest
dc.subject.enpl
Emergency Medical Services
dc.subject.enpl
ambulance quality indicators
dc.subject.enpl
medical dispatch
dc.subject.enpl
chest compressions
dc.subtypepl
Article
dc.titlepl
Impact of telephone cardiopulmonary resuscitation on the return of spontaneous circulation in Patients with out-of-hospital cardiac arrest
dc.title.journalpl
Emergency Medical Service
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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