This short review addresses the evidence behind dispatcher-assisted CPR (DA-CPR) and whether it contributes to overall survival of out-of-hospital cardiac arrest (OHCA). Six papers directly addressed the review question and were selected for appraisal, including one systematic review. The outcomes of these studies demonstrate variable results from the implementation of DA-CPR strategies. While DA-CPR has some utility as a substitute for spontaneously delivered bystander CPR, available evidence suggests there is scope to improve. Further work should focus on the identification and adoption of more effective protocols.
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http://dx.doi.org/10.29045/14784726.2019.03.3.4.23 | DOI Listing |
Sci Rep
January 2025
Department of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama, Japan.
OHCA (out-of-hospital cardiac arrest) patients have improved neurological outcomes with public-access automated external defibrillator (PAD) use. However, the benefit of epinephrine administration after PAD use remains controversial. The purpose of the study was to investigate the impact of epinephrine administration on neurological outcomes in OHCA patients after PAD use.
View Article and Find Full Text PDFRev Cardiovasc Med
December 2024
School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
Background: Bystander-administered cardiopulmonary resuscitation (CPR) is crucial for the survival of out-of-hospital cardiac arrests. However, only roughly 58% of bystanders would provide CPR, with wide variations across different regions. Identifying each factor affecting the barrier or readiness to perform resuscitation is a significant challenge for researchers.
View Article and Find Full Text PDFEur J Emerg Med
February 2025
AP-HP, Département de santé publique, Hôpital universitaire Henri Mondor.
Background And Importance: Prolonged emergency medical services' response times (EMS-RT) are associated with poorer outcomes in out-of-hospital cardiac arrest (OHCA). The patient access time interval (PATI), from vehicle stop until contact with patient, may be increased in areas with low socioeconomic status (SES).
Objectives: The objective of this study is to identify predictors of prolonged EMS-RT intervals, and to evaluate associations with clinical outcomes in OHCAs occurring in the largest metropolitan area in France.
Mater Sociomed
January 2024
Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina.
Background: The Out-of-hospital cardiac arrest (OHCA) remains a major public health challenge worldwide, with survival outcomes heavily influenced by early intervention. The presence of an initial shockable rhythm significantly increases the likelihood of survival when combined with timely cardiopulmonary resuscitation (CPR) and defibrillation.
Objective: To analyze patient outcomes and the incidence of bystander and dispatch-guided CPR in cases of OHCA with an initial shockable rhythm treated by physician-led emergency medical teams in Bosnia and Herzegovina.
Resuscitation
December 2024
Department of Emergency Medicine, Seoul National University Hospital. Electronic address:
Introduction: A crowd crush can lead to respiratory arrest and result in multiple mass cardiac arrests (MCAs), which are often classified as Black Tag in disaster triage. Recently, many laypersons have been commonly trained in compression-only cardiopulmonary resuscitation (CPR) without ventilation support in various communities. This study aims to describe the characteristics of bystander CPR administered and the outcomes of MCAs during the Itaewon crowd crush incident.
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