Effects of a New Dispatcher-Assisted Basic Life Support Training Program

Seoul National University Hospital18,822 enrolled

Overview

Despite aggressive cardiopulmonary resuscitation (CPR) training, the outcome of cardiac arrest is not good. The problem is method of education. So, the investigators want to add the dispatcher-assisted CPR simulation into conventional CPR training. In this study, the study is aimed to investigate the effect of newer CPR training program.

The training program focuses on working in team with dispatcher, performing all steps from recognizing cardiac arrest to performing CPR, together with the dispatcher. The one hours training session is split into four parts: 1. Video self-instruction manikin practice (30 min), including a brief introduction to automated external defibrillator (AED). 2. Practice in pairs (15 min). Practicing the dispatcher and rescuer role in a simulation to enhance learning. 3. Debriefing. Questions, answers and reflection (15 min). 4. Homework. Leaflet with tasks like learn how to activate the speaker function on your own phone. The main difference between dispatcher-assisted basic life support (DA-BLS) and traditional BLS training is that DA-BLS provides the scenes and interactive experiences on calling emergency medical service (EMS) and receiving CPR instruction via telephone speaker function, following up the skill training by scenario simulation training.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

18,822

Conditions

Out of Hospital Cardiac Arrest

Interventions

BLS CPR program with dispatcher assisted CPR simulationOTHER

the training program more focuses on cooperation with a dispatcher, from recognition to perform DA-CPR and hands-on practice.

Eligibility

Sex: ALLMin age: 19 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All out-of-hospital cardiac arrest (OHCA) patients with presumed cardiac etiology who are 19 years of age or older and assessed and treated by EMS providers after dispatched by the EMS dispatch center will be included. Exclusion Criteria: * We will exclude patients with non-cardiac etiology, prolonged cardiac arrest with a suspected duration more than 30 minutes, cases such as livor mortis or rigor mortis, and decapitated or decomposed body, and patients who have "Do-Not-Resuscitate" card documented by doctor.

Locations (1)

Seoul National University Hospital

Seoul, South Korea

Outcomes

Primary Outcomes

Number of Participants Surviving to Hospital Discharge

The study end points are survival to hospital discharge. Survival to discharge will be measured as proportions of patients who were discharged from a hospital with their spontaneous circulation recovered. This information will be collected from medical record review.

Time frame: from date of discharge, assessed up to 3 months

Secondary Outcomes

Number of Participants With Return of Spontaneous Circulation (ROSC)

The return of spontaneous circulation will be measured as proportion of the patients who were recovered their circulation at emergency department. This information will be collected from the medical review.

Time frame: from date of cardiac arrest occurred, assessed up to 1 week

Number of Participants With Good Neurological Recovery

The Cerebral Performance Categories (CPC) score will be used to measure neurological recovery status: CPC 1 (good cerebral performance), CPC 2 (moderate cerebral disability), CPC 3 (severe cerebral disability), CPC 4 (coma or vegetative state), CPC 5 (brain death). We defined the good neurological recovery as CPC 1 or CPC 2. This information will be collected from medical record review.

Time frame: from date of discharge, assessed up to 3 months

Data from ClinicalTrials.gov

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