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Assessment of the quality of cardiopulmonary resuscitation following modification of a standard telephone-directed protocol

Assessment of the quality of cardiopulmonary resuscitation following modification of a standard telephone-directed protocol
Assessment of the quality of cardiopulmonary resuscitation following modification of a standard telephone-directed protocol
Introduction

Current Advanced Medical Priority Dispatch System (AMPDS) V.11.1 telephone instructions are limited in their ability to produce correctly performed basic life support. The current telephone instructions were modified in an attempt to improve areas of poor CPR performance.

Methods

Fifty subjects performed CPR on an instrumented adult manikin by following instructions modified from AMPDS V.11.1 instructions. Instructions were given by telephone from a different room.

Results

No improvements were seen with opening the airway or delivering rescue breaths. The rate of chest compression improved from 52 to 81 min?1 (P = 0.004), although the depth of chest compression fell to 2.0 cm compared with 3.2 cm documented with the original AMPDS instructions (P = 0.004). Instructions to put the telephone down while performing CPR improved all aspects of CPR.

Discussion

The effective delivery of telephone-directed CPR to untrained bystanders is a complex process. Changing verbal instructions to improve the quality of CPR is not easy. Further work is urgently needed to strengthen this important link in the chain of survival.
bystander CPR, cardiopulmonary resuscitation (CPR), telephone, advanced medical priority dispatch system (AMPDS)
0300-9572
436-443
Deakin, Charles D.
f308bd7c-4c95-4b55-8983-8237cde25967
Cheung, Spencer
9aad94f3-3c88-4bb8-8d21-d5a959594d2d
Petley, Graham W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0
Clewlow, Frank
94c8568b-d5ea-4446-a712-4fa1560895c2
Deakin, Charles D.
f308bd7c-4c95-4b55-8983-8237cde25967
Cheung, Spencer
9aad94f3-3c88-4bb8-8d21-d5a959594d2d
Petley, Graham W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0
Clewlow, Frank
94c8568b-d5ea-4446-a712-4fa1560895c2

Deakin, Charles D., Cheung, Spencer, Petley, Graham W. and Clewlow, Frank (2007) Assessment of the quality of cardiopulmonary resuscitation following modification of a standard telephone-directed protocol. Resuscitation, 72 (3), 436-443. (doi:10.1016/j.resuscitation.2006.08.003). (PMID:17239515)

Record type: Article

Abstract

Introduction

Current Advanced Medical Priority Dispatch System (AMPDS) V.11.1 telephone instructions are limited in their ability to produce correctly performed basic life support. The current telephone instructions were modified in an attempt to improve areas of poor CPR performance.

Methods

Fifty subjects performed CPR on an instrumented adult manikin by following instructions modified from AMPDS V.11.1 instructions. Instructions were given by telephone from a different room.

Results

No improvements were seen with opening the airway or delivering rescue breaths. The rate of chest compression improved from 52 to 81 min?1 (P = 0.004), although the depth of chest compression fell to 2.0 cm compared with 3.2 cm documented with the original AMPDS instructions (P = 0.004). Instructions to put the telephone down while performing CPR improved all aspects of CPR.

Discussion

The effective delivery of telephone-directed CPR to untrained bystanders is a complex process. Changing verbal instructions to improve the quality of CPR is not easy. Further work is urgently needed to strengthen this important link in the chain of survival.

Full text not available from this repository.

More information

Published date: March 2007
Keywords: bystander CPR, cardiopulmonary resuscitation (CPR), telephone, advanced medical priority dispatch system (AMPDS)
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 383368
URI: http://eprints.soton.ac.uk/id/eprint/383368
ISSN: 0300-9572
PURE UUID: fdaefabe-51de-4c76-a906-2e5176c55437
ORCID for Graham W. Petley: ORCID iD orcid.org/0000-0002-3295-0444

Catalogue record

Date deposited: 18 Jan 2016 12:36
Last modified: 10 Dec 2019 01:53

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Contributors

Author: Charles D. Deakin
Author: Spencer Cheung
Author: Frank Clewlow

University divisions

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