Analysis of the emergency medical service call centre actions in patients with cardiac arrest

Background/Aim: Cardiac arrest (CA) is a leading cause of mortality in the last forty years worldwide. Immediately initiated cardiopulmonary resuscitation (CPR) improves chances for survival. Aim of this study was to determine the efficiency of the Emergency medical service (EMS) dispatch centre in...

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Autores principales:	Jokšić-Mazinjanin Radojka, Đuričin Aleksandar, Jokšić-Zelić Milena, Šaponja Predrag, Saravolac Siniša, Gojković Zoran, Vasović Velibor, Mikov Momir
Formato:	article
Lenguaje:	EN SR
Publicado:	Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine 2021
Materias:	emergency medical service dispatcher out-of-hospital cardiac arrest cardiopulmonary resuscitation telephone cpr Medicine R
Acceso en línea:	https://doaj.org/article/4649d67f195e4806ab2a086c50753251
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spelling	oai:doaj.org-article:4649d67f195e4806ab2a086c507532512021-12-05T21:31:53ZAnalysis of the emergency medical service call centre actions in patients with cardiac arrest2490-33292303-795410.5937/scriptamed52-31429https://doaj.org/article/4649d67f195e4806ab2a086c507532512021-01-01T00:00:00Zhttps://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2021/2490-33292103230J.pdfhttps://doaj.org/toc/2490-3329https://doaj.org/toc/2303-7954Background/Aim: Cardiac arrest (CA) is a leading cause of mortality in the last forty years worldwide. Immediately initiated cardiopulmonary resuscitation (CPR) improves chances for survival. Aim of this study was to determine the efficiency of the Emergency medical service (EMS) dispatch centre in the absence of the uniform emergency medical dispatch assessment protocols in the management of cardiac arrest. Methods: The retrospective and observational study was conducted in Institute for Emergency Medical Service Novi Sad (IEMS Novi Sad) Serbia during a one-year follow-up. The study included patients with out-of-hospital cardiac arrests who underwent CPR. Results: EMS teams of the IEMS Novi Sad had 198 CPRs in the follow-up period. In 142 (71.72 %) calls, the EMS dispatcher got information that the patient was unconscious. The reported reaction time I by the dispatchers for the unconscious patients was 1.37 ± 1.27 minutes, actual duration of the conversation between the dispatcher and a caller - was longer: 138.21 ± 103.02 seconds (p < 0.001). The average conversation time with a caller was 61.37 ± 31.13 seconds. In 6 (4.22 %) cases, the EMS team was dispatched to a patient before the phone call was terminated. At the moment of arrival, all patients were unconscious, 194 (94.37 %) were pulseless, while the remaining 8 (5.63 %) experienced cardiac arrest during the examination. The cardiac arrest was witnessed by a layman in 120 (84.51 %) cases and CPR was initiated by bystanders, before the arrival of the EMS team, only in 13 (10.83 %) patients. Twenty-seven (19.01 %) patients arrived in a hospital with vital signs. Conclusion: The absence of the uniform EMS dispatch assessment protocols for the triage of incoming calls and phone assisted CPR for lay rescuers decreases the survival rate of patients with cardiac arrest.Jokšić-Mazinjanin RadojkaĐuričin AleksandarJokšić-Zelić MilenaŠaponja PredragSaravolac SinišaGojković ZoranVasović VeliborMikov MomirMedical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicinearticleemergency medical servicedispatcherout-of-hospital cardiac arrestcardiopulmonary resuscitationtelephone cprMedicineRENSRScripta Medica, Vol 52, Iss 3, Pp 230-234 (2021)
institution	DOAJ
collection	DOAJ
language	EN SR
topic	emergency medical service dispatcher out-of-hospital cardiac arrest cardiopulmonary resuscitation telephone cpr Medicine R
spellingShingle	emergency medical service dispatcher out-of-hospital cardiac arrest cardiopulmonary resuscitation telephone cpr Medicine R Jokšić-Mazinjanin Radojka Đuričin Aleksandar Jokšić-Zelić Milena Šaponja Predrag Saravolac Siniša Gojković Zoran Vasović Velibor Mikov Momir Analysis of the emergency medical service call centre actions in patients with cardiac arrest
description	Background/Aim: Cardiac arrest (CA) is a leading cause of mortality in the last forty years worldwide. Immediately initiated cardiopulmonary resuscitation (CPR) improves chances for survival. Aim of this study was to determine the efficiency of the Emergency medical service (EMS) dispatch centre in the absence of the uniform emergency medical dispatch assessment protocols in the management of cardiac arrest. Methods: The retrospective and observational study was conducted in Institute for Emergency Medical Service Novi Sad (IEMS Novi Sad) Serbia during a one-year follow-up. The study included patients with out-of-hospital cardiac arrests who underwent CPR. Results: EMS teams of the IEMS Novi Sad had 198 CPRs in the follow-up period. In 142 (71.72 %) calls, the EMS dispatcher got information that the patient was unconscious. The reported reaction time I by the dispatchers for the unconscious patients was 1.37 ± 1.27 minutes, actual duration of the conversation between the dispatcher and a caller - was longer: 138.21 ± 103.02 seconds (p < 0.001). The average conversation time with a caller was 61.37 ± 31.13 seconds. In 6 (4.22 %) cases, the EMS team was dispatched to a patient before the phone call was terminated. At the moment of arrival, all patients were unconscious, 194 (94.37 %) were pulseless, while the remaining 8 (5.63 %) experienced cardiac arrest during the examination. The cardiac arrest was witnessed by a layman in 120 (84.51 %) cases and CPR was initiated by bystanders, before the arrival of the EMS team, only in 13 (10.83 %) patients. Twenty-seven (19.01 %) patients arrived in a hospital with vital signs. Conclusion: The absence of the uniform EMS dispatch assessment protocols for the triage of incoming calls and phone assisted CPR for lay rescuers decreases the survival rate of patients with cardiac arrest.
format	article
author	Jokšić-Mazinjanin Radojka Đuričin Aleksandar Jokšić-Zelić Milena Šaponja Predrag Saravolac Siniša Gojković Zoran Vasović Velibor Mikov Momir
author_facet	Jokšić-Mazinjanin Radojka Đuričin Aleksandar Jokšić-Zelić Milena Šaponja Predrag Saravolac Siniša Gojković Zoran Vasović Velibor Mikov Momir
author_sort	Jokšić-Mazinjanin Radojka
title	Analysis of the emergency medical service call centre actions in patients with cardiac arrest
title_short	Analysis of the emergency medical service call centre actions in patients with cardiac arrest
title_full	Analysis of the emergency medical service call centre actions in patients with cardiac arrest
title_fullStr	Analysis of the emergency medical service call centre actions in patients with cardiac arrest
title_full_unstemmed	Analysis of the emergency medical service call centre actions in patients with cardiac arrest
title_sort	analysis of the emergency medical service call centre actions in patients with cardiac arrest
publisher	Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
publishDate	2021
url	https://doaj.org/article/4649d67f195e4806ab2a086c50753251
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Analysis of the emergency medical service call centre actions in patients with cardiac arrest

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