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Emergency medical dispatch services across Pan-Asian countries: a web-based survey

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Authors
Lee, Shawn C L; Mao, Desmond R; Ng, Yih Y; Leong, Benjamin S; Supasaovapak, Jirapong; Gaerlan, Faith J; Son, Do N; Chia, Boon Y; Sang Do, Shin; Lin, Chih-Hao; Rao, G. V R; Hara, Takahiro; Ong, Marcus E H
Issue Date
2020-01-07
Publisher
BMC
Citation
BMC Emergency Medicine, 20(1):1
Keywords
Emergency medical servicesOut-of-hospital cardiac arrestCardiopulmonary resuscitationAsia-pacificPublic safety answering point
Abstract
Background
Dispatch services (DS’s) form an integral part of emergency medical service (EMS) systems. The role of a dispatcher has also evolved into a crucial link in patient care delivery, particularly in dispatcher assisted cardio-pulmonary resuscitation (DACPR) during out-of-hospital cardiac arrest (OHCA). Yet, there has been a paucity of research into the emerging area of dispatch science in Asia. This paper compares the characteristics of DS’s, and state of implementation of DACPR within the Pan-Asian Resuscitation Outcomes (PAROS) network.

Methods
A cross-sectional descriptive survey addressing population characteristics, DS structures and levels of service, state of DACPR implementation (including protocols and quality improvement programs) among PAROS DS’s.

Results
9 DS’s responded, representing a total of 23 dispatch centres from 9 countries that serve over 80 million people. Most PAROS DS’s operate a tiered dispatch response, have implemented medical oversight, and tend to be staffed by dispatchers with a predominantly medical background. Almost all PAROS DS’s have begun tracking key EMS indicators. 77.8% (n = 7) of PAROS DS’s have introduced DACPR. Of the DS’s that have rolled out DACPR, 71.4% (n = 5) provided instructions in over one language. All DS’s that implemented DACPR and provided feedback to dispatchers offered feedback on missed OHCA recognition. The majority of DS’s (83.3%; n = 5) that offered DACPR and provided feedback to dispatchers also implemented corrective feedback, while 66.7% (n = 4) offered positive feedback. Compression-only CPR was the standard instruction for PAROS DS’s. OHCA recognition sensitivity varied widely in PAROS DS’s, ranging from 32.6% (95% CI: 29.9–35.5%) to 79.2% (95% CI: 72.9–84.4%). Median time to first compression ranged from 120 s to 220 s.

Conclusions
We found notable variations in characteristics and state of DACPR implementation between PAROS DS’s. These findings will lay the groundwork for future DS and DACPR studies in the PAROS network.
ISSN
1471-227X
Language
English
URI
https://doi.org/10.1186/s12873-019-0299-1

http://hdl.handle.net/10371/164914
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College of Medicine/School of Medicine (의과대학/대학원)Emergency Medicine (응급의학전공)Journal Papers (저널논문_응급의학전공)
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