How effectively can young people perform dispatcher-instructed cardiopulmonary resuscitation without training?

Resuscitation
Matthew BeardCorey Burrowes

Abstract

Survival from out-of-hospital cardiac arrest is increased by bystander cardiopulmonary resuscitation (CPR). Bystander performance can be improved when CPR instructions are delivered by a calltaker at the Emergency Communications Centre. Little is known about a young person's ability to understand these instructions and perform CPR correctly. We assessed the ability of a group of untrained young people to effectively apply these directions to an adult resuscitation manikin. 87 youngsters aged 7-15 years with no previous training in CPR were separately equipped with a mobile phone and an adult assessment manikin. They phoned the emergency number (111) and were automatically diverted to a senior emergency medical dispatcher (EMD). The EMD delivered resuscitation instructions which complied fully with Medical Priority Dispatch System (version 12.1). Performance was monitored using a Laerdal Computerised Skill Reporting System. Average compression depth increased with age from 10.3 mm to 30 mm for 8 and 15 year olds respectively. 100 compressions per minute was achieved in youngsters aged 10 years and older but the rate fatigued over time and improved after interruption for two ventilations. Those aged 11 years and older consistentl...Continue Reading

References

Mar 1, 1991·The British Journal of Nutrition·P DeurenbergJ C Seidell
Feb 15, 2007·Resuscitation·John F O'Neill, Charles D Deakin
May 30, 2009·Resuscitation·Lynn P RoppoloAhamed H Idris
Aug 4, 2009·Critical Care : the Official Journal of the Critical Care Forum·Roman FleischhacklNisha Chandra-Strobos
Mar 13, 2014·Resuscitation·Cristian Abelairas-GómezRoberto Barcala-Furelos

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