Imbriaco Guglielmo, Galazzi Alessandro, Semeraro Federico, Ramacciati Nicola
Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
118 Emilia Est Emergency Medical Communication Center, Maggiore Hospital Carlo Alberto Pizzardi, Largo Bartolo Nigrisoli 2, 40133, Bologna, Italy.
Intern Emerg Med. 2025 Aug 11. doi: 10.1007/s11739-025-03991-7.
Out-of-hospital cardiac arrest is a leading cause of mortality, with survival rates from 8 to 13%. Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) may increase bystander-initiated CPR, improving survival outcomes. Despite these benefits, DA-CPR is often hindered by barriers and organizational issues.
To map and summarize the existing literature on DA-CPR, to identify strategies to improve provision rates, overcoming potential barriers.
Primary studies with an English abstract, published between 2018 and 2024, focusing on experiences, challenges, and best practices related to DA-CPR. Studies were included if they reported on emergency callers and dispatchers (population), focusing on DA-CPR provision methods (concept), in any setting (context). Simulation studies were excluded.
The following databases were searched: Medline (PubMed), EMBASE, CINAHL, and the Cochrane Library. Grey literature from repositories, conference proceedings, and social media were also reviewed.
Characteristics of the included studies were reported in a specific extraction table and synthesized narratively.
Fifty-eight studies were included. Results were categorized into themes (dispatcher, caller, system, and community/context). Dispatcher training, simplified protocols, effective communication, and video calls emerged as elements potentially improving DA-CPR provision. Caller-related barriers like emotional distress and language problems were prevalent. System-level interventions, including centralized call-handling and performance evaluations, improved DA-CPR rates. Community initiatives for CPR education enhanced bystander compliance.
This scoping review identifies strategies to enhance DA-CPR provision, emphasizing tailored dispatcher protocols, communication strategies, system-level improvements, and community-based interventions. Future research should evaluate the effectiveness of these strategies to optimize out-of-hospital cardiac arrest response.
院外心脏骤停是主要的死亡原因，存活率为8%至13%。调度员辅助心肺复苏（DA-CPR）可能会增加旁观者实施的心肺复苏，从而改善生存结果。尽管有这些益处，但DA-CPR常常受到障碍和组织问题的阻碍。
梳理和总结关于DA-CPR的现有文献，确定提高实施率、克服潜在障碍的策略。
2018年至2024年期间发表的有英文摘要的原创研究，重点关注与DA-CPR相关的经验、挑战和最佳实践。如果研究报告了紧急呼叫者和调度员（人群），重点关注DA-CPR的实施方法（概念），且适用于任何环境（背景），则纳入研究。排除模拟研究。
检索了以下数据库：医学期刊数据库（PubMed）、荷兰医学文摘数据库（EMBASE）、护理学与健康领域数据库（CINAHL）和考克兰图书馆。还查阅了来自知识库、会议论文集和社交媒体的灰色文献。
纳入研究的特征在特定的提取表中报告，并进行叙述性综合。
纳入了58项研究。结果分为几个主题（调度员、呼叫者、系统和社区/背景）。调度员培训、简化规程、有效沟通和视频通话成为可能提高DA-CPR实施率的因素。与呼叫者相关的障碍，如情绪困扰和语言问题很普遍。系统层面的干预措施，包括集中呼叫处理和绩效评估，提高了DA-CPR率。社区心肺复苏教育倡议提高了旁观者的依从性。
这项范围综述确定了提高DA-CPR实施率的策略，强调了量身定制的调度员规程、沟通策略、系统层面的改进和基于社区的干预措施。未来的研究应评估这些策略的有效性，以优化院外心脏骤停的应对措施。
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