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Effectiveness of a Dispatcher-Assisted Cardiopulmonary Resuscitation Program Developed by the Thailand National Institute of Emergency Medicine (NIEMS)

Published online by Cambridge University Press:  14 October 2021

Chuenruthai Angkoontassaneeyarat ,
Chaiyaporn Yuksen Open the ORCID record for Chaiyaporn Yuksen [Opens in a new window] ,
Chetsadakon Jenpanitpong ,
Pemika Rukthai ,
Marisa Seanpan ,
Dumrongsak Pongprajak  and
Thanakorn Laksanamapune
Chuenruthai Angkoontassaneeyarat
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Chaiyaporn Yuksen*
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Chetsadakon Jenpanitpong
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Pemika Rukthai
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Marisa Seanpan
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Dumrongsak Pongprajak
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Thanakorn Laksanamapune
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
*
Correspondence: Chaiyaporn Yuksen Department of Emergency Medicine Faculty of Medicine Ramathibodi Hospital Mahidol University 270 Rama VI Road, Thung Phaya Thai, Ratchathewi Bangkok, Thailand, 10400 E-mail: [email protected]
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Abstract

Background:

Out-of-hospital cardiac arrest (OHCA) is a life-threatening condition with an overall survival rate that generally does not exceed 10%. Several factors play essential roles in increasing survival among patients experiencing cardiac arrest outside the hospital. Previous studies have reported that implementing a dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) program increases bystander CPR, quality of chest compressions, and patient survival. This study aimed to assess the effectiveness of a DA-CPR program developed by the Thailand National Institute for Emergency Medicine (NIEMS).

Methods:

This was an experimental study using a manikin model. The participants comprised both health care providers and non-health care providers aged 18 to 60 years. They were randomly assigned to either the DA-CPR group or the uninstructed CPR (U-CPR) group and performed chest compressions on a manikin model for two minutes. The sequentially numbered, opaque, sealed envelope method was used for randomization in blocks of four with a ratio of 1:1.

Results:

There were 100 participants in this study (49 in the DA-CPR group and 51 in the U-CPR group). Time to initiate chest compressions was statistically significantly longer in the DA-CPR group than in the U-CPR group (85.82 [SD = 32.54] seconds versus 23.94 [SD = 16.70] seconds; P <.001). However, the CPR instruction did not translate into better performance or quality of chest compressions for the overall sample or for health care or non-health care providers.

Conclusion:

Those in the CPR-trained group applied chest compressions (initiated CPR) more quickly than those who initiated CPR based upon dispatch-based CPR instructions.

Keywords

basic cardiac life supportcardiopulmonary resuscitationemergency medical dispatchEmergency Medical Serviceout-of-hospital cardiac arrest
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 6 , December 2021 , pp. 702 - 707
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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