Experiences, challenges, and best practices of dispatcher-assisted cardiopulmonary resuscitation: a scoping review.

IF 3.8 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Internal and Emergency Medicine Pub Date : 2025-09-01 Epub Date: 2025-08-11 DOI:10.1007/s11739-025-03991-7

Guglielmo Imbriaco, Alessandro Galazzi, Federico Semeraro, Nicola Ramacciati

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引用次数: 0

Abstract

Background: Out-of-hospital cardiac arrest is a leading cause of mortality, with survival rates from 8 to 13%. Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) may increase bystander-initiated CPR, improving survival outcomes. Despite these benefits, DA-CPR is often hindered by barriers and organizational issues.

Objective: To map and summarize the existing literature on DA-CPR, to identify strategies to improve provision rates, overcoming potential barriers.

Eligibility criteria: Primary studies with an English abstract, published between 2018 and 2024, focusing on experiences, challenges, and best practices related to DA-CPR. Studies were included if they reported on emergency callers and dispatchers (population), focusing on DA-CPR provision methods (concept), in any setting (context). Simulation studies were excluded.

Sources of evidence: The following databases were searched: Medline (PubMed), EMBASE, CINAHL, and the Cochrane Library. Grey literature from repositories, conference proceedings, and social media were also reviewed.

Charting methods: Characteristics of the included studies were reported in a specific extraction table and synthesized narratively.

Results: Fifty-eight studies were included. Results were categorized into themes (dispatcher, caller, system, and community/context). Dispatcher training, simplified protocols, effective communication, and video calls emerged as elements potentially improving DA-CPR provision. Caller-related barriers like emotional distress and language problems were prevalent. System-level interventions, including centralized call-handling and performance evaluations, improved DA-CPR rates. Community initiatives for CPR education enhanced bystander compliance.

Conclusions: This scoping review identifies strategies to enhance DA-CPR provision, emphasizing tailored dispatcher protocols, communication strategies, system-level improvements, and community-based interventions. Future research should evaluate the effectiveness of these strategies to optimize out-of-hospital cardiac arrest response.

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调度员辅助心肺复苏的经验、挑战和最佳实践：范围综述。

背景：院外心脏骤停是导致死亡的主要原因，存活率为8%至13%。调度员辅助心肺复苏（DA-CPR）可能增加旁观者启动的心肺复苏术，改善生存结果。尽管有这些好处，但DA-CPR经常受到障碍和组织问题的阻碍。目的：梳理和总结现有的关于DA-CPR的文献，以确定提高供给率的策略，克服潜在的障碍。入选标准：2018年至2024年间发表的带有英文摘要的初级研究，重点关注与DA-CPR相关的经验、挑战和最佳实践。如果研究报告了紧急呼叫者和调度员（人口），则将其纳入，重点是在任何环境（背景）下的DA-CPR提供方法（概念）。排除模拟研究。证据来源：检索了以下数据库：Medline （PubMed）、EMBASE、CINAHL和Cochrane图书馆。我们还回顾了来自知识库、会议记录和社交媒体的灰色文献。制图方法：纳入研究的特征在特定的提取表中报告，并进行叙述综合。结果：共纳入58项研究。结果被分类为主题（调度员、呼叫者、系统和社区/上下文）。调度员培训、简化协议、有效沟通和视频通话成为可能改善DA-CPR提供的要素。与呼叫者相关的障碍，如情绪困扰和语言问题很普遍。系统级干预措施，包括集中呼叫处理和绩效评估，提高了DA-CPR率。社区倡议的心肺复苏术教育提高了旁观者的依从性。结论：本综述确定了加强DA-CPR提供的策略，强调量身定制的调度员协议、沟通策略、系统级改进和社区干预。未来的研究应评估这些策略的有效性，以优化院外心脏骤停反应。

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来源期刊

Internal and Emergency Medicine 医学-医学：内科

CiteScore

7.20

自引率

4.30%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Internal and Emergency Medicine (IEM) is an independent, international, English-language, peer-reviewed journal designed for internists and emergency physicians. IEM publishes a variety of manuscript types including Original investigations, Review articles, Letters to the Editor, Editorials and Commentaries. Occasionally IEM accepts unsolicited Reviews, Commentaries or Editorials. The journal is divided into three sections, i.e., Internal Medicine, Emergency Medicine and Clinical Evidence and Health Technology Assessment, with three separate editorial boards. In the Internal Medicine section, invited Case records and Physical examinations, devoted to underlining the role of a clinical approach in selected clinical cases, are also published. The Emergency Medicine section will include a Morbidity and Mortality Report and an Airway Forum concerning the management of difficult airway problems. As far as Critical Care is becoming an integral part of Emergency Medicine, a new sub-section will report the literature that concerns the interface not only for the care of the critical patient in the Emergency Department, but also in the Intensive Care Unit. Finally, in the Clinical Evidence and Health Technology Assessment section brief discussions of topics of evidence-based medicine (Cochrane’s corner) and Research updates are published. IEM encourages letters of rebuttal and criticism of published articles. Topics of interest include all subjects that relate to the science and practice of Internal and Emergency Medicine.