Rasmussen Stinne Eika, Nebsbjerg Mette Amalie, Bomholt Katrine Bjørnshave, Krogh Lise Qvirin, Krogh Kristian, Povlsen Jonas Agerlund, Løfgren Bo
Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, NE 8200, Denmark.
Center for Health Sciences Education, Aarhus University, Aarhus, NE 8200, Denmark.
Open Access Emerg Med. 2020 Apr 2;12:67-71. doi: 10.2147/OAEM.S236038. eCollection 2020.
Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) increases the rate of bystander cardiopulmonary resuscitation (CPR). DA-CPR is recommended by resuscitation councils globally and it has been shown that the general public expects to receive pre-arrival instructions while waiting for help. A scientific advisory from the American Heart Association identifies standardized and structured DA-CPR protocols as important to increase bystander CPR rates. This study aims to investigate whether different International Liaison Committee on Resuscitation (ILCOR) member countries use DA-CPR protocols and to compare protocol contents between countries.
All resuscitation councils forming ILCOR were inquired by email to provide a copy of their DA-CPR protocol, and to state whether this protocol was used by all emergency dispatch centers in their country. The collected protocols were translated into English, and content was compared.
A total of 60 countries were contacted (response rate: 83%). Of these, 46% stated to have a nationwide protocol, 30% reported to use local protocols, and 24% did not use a protocol. Overall, 54% provided a copy of their protocol. All translated protocols asked the rescuer to check for responsiveness and breathing, 35% to activate phone speaker function, half contained notes about agonal breathing and 59% included notes about integrating an automated external defibrillator.
Almost one quarter of ILCOR member countries did not use a protocol for DA-CPR. Half of the protocols included notes about agonal breathing. Activation of phone speaker function and protocolled encouragements during CPR were rarely included.
调度员辅助心肺复苏（DA-CPR）可提高旁观者心肺复苏（CPR）的实施率。全球复苏委员会均推荐DA-CPR，且有研究表明，公众期望在等待救援时能收到到达前的指导。美国心脏协会的一项科学咨询指出，标准化和结构化的DA-CPR方案对于提高旁观者CPR实施率至关重要。本研究旨在调查国际复苏委员会（ILCOR）的不同成员国是否使用DA-CPR方案，并比较各国方案的内容。
通过电子邮件询问所有组成ILCOR的复苏委员会，要求提供其DA-CPR方案的副本，并说明该国所有急救调度中心是否使用该方案。将收集到的方案翻译成英文，并比较内容。
共联系了60个国家（回复率：83%）。其中，46%表示有全国性方案，30%报告使用地方性方案，24%未使用方案。总体而言，54%提供了其方案的副本。所有翻译后的方案都要求救援人员检查患者的反应能力和呼吸，35%要求激活手机扬声器功能，一半包含关于濒死呼吸的说明，59%包含关于整合自动体外除颤器的说明。
近四分之一的ILCOR成员国未使用DA-CPR方案。一半的方案包含关于濒死呼吸的说明。很少有方案提及激活手机扬声器功能以及在CPR过程中的规范性鼓励措施。
