Cardiac arrest & resuscitation

Barriers to cardiopulmonary resuscitation (CPR) initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study

ResuscitationPublished Descriptive cohort study

Authors' conclusion

Barriers to CPR initiation and continuation were commonly experienced by callers, however they were frequently overcome.

Study context

Population
Emergency calls for paramedic-confirmed, non-traumatic, non-EMS-witnessed out-of-hospital cardiac arrest (OHCA) with the caller with the patient, 1 January - 30 April 2021
Participants
295 emergency calls
Outcome
Barriers to CPR initiation and continuation during the emergency call
Methodological detailsconsecutive emergency calls, Calls listened to in full and coded for barriers, patient and caller characteristics
  • Consecutive emergency calls
  • Calls listened to in full and coded for barriers, patient and caller characteristics

Main finding

As reported in the abstract

Barriers to CPR initiation and/or continuation

Callers experiencing barriers to CPR initiation and/or continuation

99%

Bystander physical ability (most prevalent barrier)

191 (65%) calls

Communication failure

160 (54%) calls

CPR stopped or interrupted due to fatigue

n = 54, 26% of callers who performed CPR

Observational data: associations, not effects.

Further findings

CPR performance

CPR performed
69% of calls
CPR continued until EMS arrival (of calls with CPR)
85%

Original publication

Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study. Resuscitation. Published 30 December 2023. doi:10.1016/j.resuscitation.2023.110104

Composed by AI from the published abstract and checked against it. How Briefs are made →

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