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Background: Rapid recognition of pediatric out-of-hospital cardiac arrest (POHCA) is a critical component to prompt initiation of bystander interventions. We aimed to investigate barriers for responding to POHCA during emergency medical calls.
Methods And Results: We included all POHCA calls (aged 0-18 years) from the emergency dispatch center in the Capital Region of Denmark between 2018 and 2021 and excluded POHCAs with no resuscitation order, found dead, where trained health professionals were on site, or where there was no possibility for initiation of cardiopulmonary resuscitation.
RAndomized Cluster Evaluation of Cardiac ARrest Systems (RACE-CARS) trial: Study rationale and design.
Am Heart J
November 2024
Duke Clinical Research Institute, Durham, NC. Electronic address:
Out-of-hospital cardiac arrest (OHCA) occurs in nearly 350,000 people each year in the United States (US). Despite advances in pre and in-hospital care, OHCA survival remains low and is highly variable across systems and regions. The critical barrier to improving cardiac arrest outcomes is not a lack of knowledge about effective interventions, but rather the widespread lack of systems of care to deliver interventions known to be successful.
View Article and Find Full Text PDFDrone-Facilitated Real-Time Video-Guided Feedback Helps to Improve the Quality of Lay Bystander Basic Life Support. A Randomized Controlled Simulation Trial.
Prehosp Emerg Care
January 2025
Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Objectives: Telephone instructions are commonly used to improve cardiopulmonary resuscitation (CPR) by lay bystanders. This usually implies an audio but no visual connection between the provider and the emergency medical telecommunicator. We aimed to investigate whether video-guided feedback via a camera drone enhances the quality of CPR.
View Article and Find Full Text PDFPerformance of the Medical Priority Dispatch System® in Identifying Patients Requiring Chest Compressions at Overdose Prevention Services: A Retrospective Cohort Study.
Prehosp Emerg Care
April 2024
Department of Paramedicine, School of Primary and Allied Health Care, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Melbourne, Victoria, Australia.
Article Synopsis
- The study evaluates the effectiveness of the Medical Priority Dispatch System (MPDS)® in identifying cases requiring telecommunicator cardiopulmonary resuscitation (T-CPR) specifically in drug poisoning emergencies compared to out-of-hospital cardiac arrests (OHCA).
- It analyzed data from the provincial emergency medical system over a period of nearly four years, determining how well the MPDS correctly identified when T-CPR was necessary based on the patients' conditions upon paramedic arrival.
- Results indicated that while sensitivity was higher for drug poisoning cases, specificity was significantly lower, suggesting that MPDS may better identify need for CPR in overdoses but also has a higher chance of misclassifying non-cardiac arrest situations.
Pediatric Out-of-Hospital Cardiac Arrest: The Role of the Telecommunicator in Recognition of Cardiac Arrest and Delivery of Bystander Cardiopulmonary Resuscitation.
J Am Heart Assoc
January 2024
Division of Emergency Medical Services, Department of Public Health Seattle and King County Seattle WA.
Background: Telecommunicator CPR (T-CPR), whereby emergency dispatch facilitates cardiac arrest recognition and coaches CPR over the telephone, is an important strategy to increase early recognition and bystander CPR in adult out-of-hospital cardiac arrest (OHCA). Little is known about this treatment strategy in the pediatric population. We investigated the role of T-CPR and related performance among pediatric OHCA.
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