Safety, quality & education

Dispatchers trained in persuasive communication techniques improved the effectiveness of dispatcher-assisted cardiopulmonary resuscitation

ResuscitationPublished Before-and-after study

Authors' conclusion

The new communication model has enhanced the effectiveness of DACPR in terms of the ROSC rate, particularly when the caller was a family member or female, leading to improved rates of ROSC and favorable neurological outcomes.

Study context

Population
Non-trauma out-of-hospital cardiac arrest (OHCA) cases, Taichung dispatch center, May–Sep 2021 and Nov 2021–Mar 2022
Participants
640 vs 580
Comparison
Post-intervention vs pre-intervention dispatcher-assisted cardiopulmonary resuscitation (DACPR)
  • Preinterventionn = 640reference
  • Postinterventionn = 580
Outcome
ROSC, time to first chest compression and good neurological outcome
Methodological detailssingle dispatch centre
  • Single dispatch centre

Main finding

As reported in the abstract

ROSC

P < 0.001

Good neurological outcome

P = 0.024

Seconds

OutcomePreinterventionPostinterventionP value
Time to first chest compression168151P = 0.004

Further findings

OutcomeAdjusted OR (95% CI)P value
ROSC, caller a family member (subgroup)Multivariable regression model1.78 (0.59–1.25)P < 0.001
Return of spontaneous circulation (ROSC), caller a family member (subgroup) — ROSC, family caller: pre vs post intervention
18.7% vs. 31.4%, p < 0.001

ROSC and good neurological outcome, female caller (subgroup)

ROSC, female caller: before vs after intervention
19.8% vs. 36.6%, p < 0.001
Good neurological outcome, female caller: before vs after intervention
2.7% vs. 7.5%, p = 0.006

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Dispatchers trained in persuasive communication techniques improved the effectiveness of dispatcher-assisted cardiopulmonary resuscitation. Resuscitation. Published 22 January 2024. doi:10.1016/j.resuscitation.2024.110120

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

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