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

• Published in: Journal 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
• Language: English
• 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
• DOI: 10.3390/jcm12185884
• ISSN: 2077-0383

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.