Every year in the United States, >350 000 people have sudden cardiac arrest outside of a hospital environment. Sudden cardiac arrest is the unexpected loss of heart function, breathing, and consciousness and is commonly the result of an electric disturbance in the heart. Unfortunately, only ≈1 in 10 victims survives this dramatic event. Early access to 9-1-1 and early cardiopulmonary resuscitation (CPR) are the first 2 links in the chain of survival for out-of-hospital cardiac arrest. Although 9-1-1 is frequently accessed, in the majority of cases, individuals with out-of-hospital cardiac arrest do not receive lay rescuer CPR and wait for the arrival of professional emergency rescuers. Telecommunicators are the true first responders and a critical link in the cardiac arrest chain of survival. In partnership with the 9-1-1 caller, telecommunicators have the first opportunity to identify a patient in cardiac arrest and provide initial care by delivering CPR instructions while quickly dispatching emergency medical services. The telecommunicator and the caller form a unique team in which the expertise of the telecommunicator is provided just in time to a willing caller, transforming the caller into a lay rescuer delivering CPR. The telecommunicator CPR (T-CPR) process, also previously described as dispatch CPR, dispatch-assisted CPR, or telephone CPR, represents an important opportunity to improve survival from sudden cardiac arrest. Conversely, failure to provide T-CPR in this manner results in preventable harm. This statement describes the public health impact of out-of-hospital cardiac arrest, provides guidance and resources to construct and maintain a T-CPR program, outlines the minimal acceptable standards for timely and high-quality delivery of T-CPR instructions, and identifies strategies to overcome common implementation barriers to T-CPR.

中文翻译：

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远程通信心肺复苏术：美国心脏协会的政策声明。

在美国，每年有超过35万人在医院环境之外发生心脏骤停。突然的心脏骤停是心脏功能，呼吸和意识的意外丧失，通常是心脏电干扰的结果。不幸的是，十分之一的受害者中只有约1人幸免于难。早期获得9-1-1和早期心肺复苏（CPR）是院外心脏骤停生存过程中的前两个环节。尽管经常访问9-1-1，但在大多数情况下，患有院外心脏骤停的人员不会接受非专业救援人员的CPR，而不会等待专业紧急救援人员的到来。远程通讯员是真正的第一反应者，是心脏骤停生存链中的关键环节。与9-1-1来电者合作，远程通信人员有第一个机会来识别心脏骤停的患者，并通过提供CPR指令来提供初步护理，同时迅速分发紧急医疗服务。远程通信者和呼叫者组成一个独特的团队，在该团队中，及时向愿意的呼叫者提供远程通信者的专业知识，从而将呼叫者转变为提供CPR的非专业人员。远程通信心肺复苏（T-CPR）过程（以前也称为调度心肺复苏，调度辅助心肺复苏或电话心肺复苏）代表了重要的机会，可提高因心脏骤停而生存的机会。相反，未能以这种方式提供T-CPR会导致可预防的伤害。该声明描述了院外心脏骤停对公共健康的影响，为构建和维护T-CPR计划提供了指导和资源，