Publication: Effectiveness of a dispatcher-assisted cardiopulmonary resuscitation program developed by the Thailand National Institute of Emergency Medicine (NIEMS)
2
Issued Date
2021-12-14
Resource Type
ISSN
19451938
1049023X
1049023X
Other identifier(s)
2-s2.0-85117609670
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Mahidol University
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SCOPUS
Bibliographic Citation
Prehospital and Disaster Medicine. Vol.36, No.6 (2021), 702-707
Suggested Citation
Chuenruthai Angkoontassaneeyarat, Chaiyaporn Yuksen, Chetsadakon Jenpanitpong, Pemika Rukthai, Marisa Seanpan, Dumrongsak Pongprajak, Thanakorn Laksanamapune Effectiveness of a dispatcher-assisted cardiopulmonary resuscitation program developed by the Thailand National Institute of Emergency Medicine (NIEMS). Prehospital and Disaster Medicine. Vol.36, No.6 (2021), 702-707. doi:10.1017/S1049023X21001084 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/77402
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Title
Effectiveness of a dispatcher-assisted cardiopulmonary resuscitation program developed by the Thailand National Institute of Emergency Medicine (NIEMS)
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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.