A simulation trial of traditional dispatcher-assisted CPR versus compressions--only dispatcher-assisted CPR

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Jefferson G WilliamsTracy Jalbuena

Abstract

Growing evidence indicates that it may not be essential to deliver ventilations in the first few minutes of CPR. We compared time to delivery of first compression in traditional CPR with ventilations and compressions to compression-only CPR performed by untrained laypersons assisted by a mock 911 dispatcher. This randomized-controlled simulation study included a convenience sample of English-speaking emergency department visitors during a 6-month period. Exclusion criteria were prior CPR training or physical incapacity. A cardiac arrest scenario was presented to subjects who were then provided with one of two sets of telephone CPR instructions by a mock 911 dispatcher. One group received traditional CPR instructions (TCPR) and the second group received compression only CPR instructions (COCPR). Subjects performed CPR on a Laerdal Resusci-Anne CPR manikin and recording strips were analyzed for frequency and quality measures. Pre-and post-test questionnaires assessed subject fatigue and telephone instruction understanding. The primary outcome was the time interval from 911 call to initiation of chest compressions. Analysis included Student t-test, Chi-square, and Wilcoxon Rank Sum. Of 377 potential subjects, 54 consented to rando...Continue Reading

References

May 4, 1979·JAMA : the Journal of the American Medical Association·M S EisenbergA Hallstrom
Apr 1, 1991·Annals of Emergency Medicine·L L CulleyM P Larsen
Jan 1, 1985·American Journal of Public Health·M S EisenbergJ Pierce
Mar 1, 1985·The American Journal of Emergency Medicine·R O CumminsP E Litwin
Apr 26, 1985·JAMA : the Journal of the American Medical Association·R O Cummins, M S Eisenberg
Sep 1, 1983·Critical Care Medicine·J E TsitlikH R Levin
Sep 1, 1995·Annals of Emergency Medicine·R A BergG A Ewy
May 1, 1993·Journal of Biomechanical Engineering·K G GrubenJ E Tsitlik
Jun 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R E Jackson, R A Swor
May 29, 2000·The New England Journal of Medicine·A HallstromM Copass
Nov 1, 2000·Circulation·B London
Jun 1, 2001·Annals of Emergency Medicine·V J De MaioUNKNOWN Ontario Prehospital Advanced Life Support (OPALS) Study Group
Apr 7, 2004·Circulation·Tom P AufderheideKeith G Lurie
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Lars WikPetter Andreas Steen
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Benjamin S AbellaLance B Becker

❮ Previous
Next ❯

Citations

Sep 8, 2010·The New England Journal of Medicine·Thomas D ReaMickey S Eisenberg
Apr 26, 2011·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Kristin K Drager
Dec 14, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Lee M Van Vleet, Michael W Hubble
Sep 1, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christian VaillancourtIan G Stiell

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.