Prehospital, Resuscitation and Emergency Care Research Unit (PRECRU), School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, WA, 6102, Australia.
Prehospital, Resuscitation and Emergency Care Research Unit (PRECRU), School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, WA, 6102, Australia.
Resuscitation. 2018 Dec;133:95-100. doi: 10.1016/j.resuscitation.2018.10.011. Epub 2018 Oct 11.
In emergency ambulance calls for out-of-hospital cardiac arrest (OHCA), dispatcher-assisted cardiopulmonary resuscitation (CPR) plays a crucial role in patient survival. We examined whether the language used by dispatchers to initiate CPR had an impact on callers' agreement to perform CPR.
We analysed 424 emergency calls relating to cases of paramedic-confirmed OHCA where OHCA was recognised by the dispatcher, the caller was with the patient, and resuscitation was attempted by paramedics. We investigated the linguistic choices used by dispatchers to initiate CPR, and the impact of those choices on caller agreement to perform CPR.
Overall, CPR occurred in 85% of calls. Caller agreement was low (43%) when dispatchers used terms of willingness ("do you want to do CPR?"). Caller agreement was high (97% and 84% respectively) when dispatchers talked about CPR in terms of futurity ("we are going to do CPR") or obligation ("we need to do CPR"). In 38% (25/66) of calls where the caller initially declined CPR, the dispatcher eventually secured their agreement by making several attempts at initiating CPR.
There is potential for increased agreement to perform CPR if dispatchers are trained to initiate CPR with words of futurity and/or obligation.
在院外心脏骤停（OHCA）的紧急救护车呼叫中，调度员协助的心肺复苏（CPR）对患者的生存至关重要。我们研究了调度员用于启动 CPR 的语言是否会对呼叫者是否同意进行 CPR 产生影响。
我们分析了 424 个与经急救人员确认的 OHCA 相关的紧急呼叫，其中 OHCA 被调度员识别，呼叫者与患者在一起，并且急救人员尝试进行了复苏。我们调查了调度员用于启动 CPR 的语言选择，以及这些选择对呼叫者同意进行 CPR 的影响。
总体而言，85%的呼叫中进行了 CPR。当调度员使用意愿术语（“你想进行 CPR 吗？”）时，呼叫者的同意率较低（43%）。当调度员用未来时态（“我们将进行 CPR”）或义务（“我们需要进行 CPR”）谈论 CPR 时，呼叫者的同意率较高（分别为 97%和 84%）。在最初拒绝 CPR 的 66 个呼叫中的 38%（25/66）中，调度员通过多次尝试启动 CPR，最终获得了他们的同意。
如果培训调度员使用未来时态和/或义务性的语言来启动 CPR，那么可能会增加进行 CPR 的同意率。
