Emergency Medical Services (EMS) regularly respond to lift assist calls. Previous studies have shown lift assist calls present a significant risk of morbidity and mortality. This group of callers is also likely to make repeated calls to 911 for EMS assistance. The ability to foresee which of these patients may need to call 911 again within 24 hours could help decrease the risk posed to patients in these situations. To describe calls originating as lift assist calls with repeat calls within 24 hours, explore the...
Without bystander CPR, cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcher-assisted CPR (D-CPR) has been shown to increase the rates of bystander CPR and cardiac arrest survival. Other reports suggest that the most critical component of bystander CPR is chest compressions with minimal interruption. Beginning with version 11.2 of the Medical Priority Dispatch System™ (MPDS) protocols, instructions for mouthto-mouth ventilation (MTMV) and pulse-check were removed and a compressions-first pathway introduced to facilitate rapid delivery of...
In the absence of bystander Cardiopulmonary Resuscitation (CPR), cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcher-assisted CPR (D-CPR) increase rates of bystander CPR and cardiac arrest survival, with chest compressions recognized as the most important component of bystander CPR. To facilitate rapid delivery of chest compressions, the Medical Priority Dispatch System (MPDS™) altered instructions for mouth-tomouth ventilation (MTMV) and removed pulse-check, plus other minor changes to the D-CPR pre-arrival instructions. However, factors beyond...
Bystander Cardiopulmonary Resuscitation (CPR) has been recognized as a critical component in the survival of out-of-hospital cardiac arrest (OHCA); likewise, time is a factor in the effectiveness of CPR. Pre-arrival instructions (PAIs) for CPR performance by Emergency Medical Dispatchers (EMDs) increase the rate of bystander CPR and OHCA survival. While uncontrollable barriers to PAIs delivery exists, time to first compression (TTFC) remains a modifiable component of the EMD-caller interaction. To develop a model describing the impact of TTFC intervals of...
