Telephone-Cardiopulmonary Resuscitation Guided by a Telecommunicator: Design of a Guiding Algorithm for Telecommunicators

Background: Out-of-hospital cardiac arrest is considered a global problem. In the last few years, there has been a growing interest in telephone-cardiopulmonary resuscitation guided by a telecommunicator. Indeed, several studies have demonstrated that it increases the chances of survival rate. This...

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Published inJournal of clinical medicine Vol. 12; no. 18; p. 5884
Main Authors Yacobis-Cervantes, Tamara Rafaela, García-Méndez, Juan Antonio, Leal-Costa, César, Castaño-Molina, María Ángeles, Suárez-Cortés, María, Díaz-Agea, José Luis
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.09.2023
MDPI
Subjects
Algorithms
Analysis
Cardiac arrest
Cardiac arrhythmia
Cardiopulmonary resuscitation
Clinical medicine
Convulsions & seizures
CPR
CPR (First aid)
Discussion groups
Emergency services
Lifesaving
out-of-hospital cardiac arrest (OHCA)
Pilot projects
Simulation
survival
Systematic review
telephone-cardiopulmonary resuscitation
Australia
Asia
North America
Europe
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Summary:Background: Out-of-hospital cardiac arrest is considered a global problem. In the last few years, there has been a growing interest in telephone-cardiopulmonary resuscitation guided by a telecommunicator. Indeed, several studies have demonstrated that it increases the chances of survival rate. This study focuses on the key points the operator should follow when performing telephone-cardiopulmonary resuscitation. The main objective of this paper is to design an algorithm to improve the telephone-cardiopulmonary resuscitation response protocol. Methods: The available evidence and the areas of uncertainty that have not been previously mentioned in the literature are discussed. All the information has been analyzed by two discussion groups. Later, a consensus was reached among all members. Finally, a response algorithm was designed and implemented in clinical simulation. Results: All the witnesses were able to recognize the OHCA, call for emergency assistance, follow all the operator’s instructions, move the victim, and place their hands in the correct position to perform CPR. Discussion: The results of the pilot study provide us a basis for further experimental studies using randomization and experimental and control groups. Conclusions: No standardized recommendations exist for the operator to perform telephone-guided CPR. For this reason, a response algorithm was designed.
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ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12185884