Resuscitation
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Observational Study
Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest.
Spanish-only speaking residents in the United States face barriers to receiving potentially life-saving 911 interventions such as Telephone -cardiopulmonary resuscitation (TCPR) instructions. Since 2015, 911 dispatchers have placed an increased emphasis on rapid identification of potential cardiac arrest. The purpose of this study was to describe the utilization and timing of the 911 system during suspected out-of-hospital cardiac arrest (OHCA) by Spanish-speaking callers in Metropolitan Phoenix, Arizona. ⋯ Our study suggests that Hispanic callers under-utilize the 911 system, and when they do call 911, there are significant delays in initiating CPR.
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Observational Study
Barriers to Patient Positioning for Telephone Cardiopulmonary Resuscitation in Out-Of-Hospital Cardiac Arrest.
9-1-1 callers often face barriers preventing them from starting Telephone CPR (TCPR). The most common problem is getting patients to a hard, flat surface. This study describes barriers callers report when trying to move patients to a hard, flat surface and assesses conditions associated with overcoming these barriers. ⋯ Inability to move patients to a hard, flat surface is associated with a reduced rate of TCPR and increased time to first compression. Assessing the conditions under which such barriers are overcome is important for telecommunicator training and can help improve rates and timeliness of TCPR.
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Little is known about the most recent nationwide and regional trends in out-of-hospital cardiac arrest (OHCA) outcome. We therefore sought to investigate the recent nationwide and regional trends in OHCA outcome in Japan. ⋯ We found nationwide and regional improvement of favourable neurological outcomes from OHCA of medical origin with persistent regional variation.
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Letter Multicenter Study
A novel US-CAB protocol for ultrasonographic evaluation during cardiopulmonary resuscitation.