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Unmeasured Interface in Emergency Cardiovascular Care
Circulation ( IF 37.8 ) Pub Date : 2018-03-06 , DOI: 10.1161/circulationaha.117.030895
Audrey L. Blewer 1, 2 , Benjamin S. Abella 1
Affiliation  

Cardiac arrest survival remains poor, in part as a result of low rates of bystander cardiopulmonary resuscitation (B-CPR) in many communities. It has generally been assumed that training laypersons in CPR would increase the frequency of B-CPR delivery. Another means of increasing B-CPR frequency is the provision of dispatch-assisted telephone CPR, also known as telecommunicator-CPR (T-CPR), in which a 911 dispatcher provides CPR instruction over the telephone to bystanders who may need prompting or encouragement. Although numerous studies over the past decade have assessed methods to improve layperson CPR training and T-CPR independently, it is surprising that few studies have examined the interactions between these 2 important strategies (Figure). For example, it is unclear whether laypersons respond to T-CPR instructions adequately if they have not received CPR training previously. Furthermore, current CPR training courses do not typically incorporate T-CPR information (or practice with T-CPR), and whether to include such training to improve actual care delivery remains an unanswered question. Enormous efforts have been focused on both T-CPR and layperson CPR education independently over the past decades. The time is ripe to bring these …



中文翻译:

紧急心血管护理中无法测量的界面

心脏骤停生存率仍然很差,部分原因是许多社区的旁观者心肺复苏(B-CPR)发生率低。通常认为,对心肺复苏术进行培训的外行人士会增加B-CPR的交付频率。增加B-CPR频率的另一种方法是提供调度辅助电话CPR,也称为远程通信CPR(T-CPR),其中911调度员通过电话向可能需要提示或鼓励的旁观者提供CPR指令。尽管在过去的十年中,许多研究已经评估了独立改进外行CPR训练和T-CPR的方法,但令人惊讶的是,很少有研究检查这两种重要策略之间的相互作用(图)。例如,目前尚不清楚,如果外行以前没有接受过CPR培训,他们是否会充分响应T-CPR的指示。此外,当前的CPR培训课程通常不包含T-CPR信息(或与T-CPR一起练习),并且是否包括此类培训以改善实际护理质量仍然是一个未解决的问题。在过去的几十年中,大力开展了独立于T-CPR和外行CPR教育的工作。带来这些的时机已经成熟……

更新日期:2018-03-06
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