scholarly journals Quality assessment of instructions for dispatcher-assisted telephone cardiopulmonary resuscitation (DATCPR) performed between emergency medical technicians (EMTs) and registered nurses (RNs)

Resuscitation ◽  
2018 ◽  
Vol 130 ◽  
pp. e135
Author(s):  
Wei-Shu Lin ◽  
Chien-Yu Chi ◽  
Chih-Hsien Wu ◽  
Mei-Fen Yang ◽  
Kah-Meng Chong ◽  
...  
Author(s):  
J. Arturo Abraldes ◽  
Ricardo J. Fernandes ◽  
Núria Rodríguez ◽  
Ana Sousa

Survival outcomes increase significantly when cardiopulmonary resuscitation (CPR) is provided correctly, but rescuer’s fatigue can compromise CPR delivery. We investigated the effect of a 100-m maximal run on CPR and physiological variables in 14 emergency medical technicians (age 29.2 ± 5.8 years, height 171.2 ± 1.1 cm and weight 73.4 ± 13.1 kg). Using an adult manikin and a compression-ventilation ratio of 30:2, participants performed 4-min CPR after 4-min baseline conditions (CPR) and 4-min CPR after a 100-m maximal run carrying emergency material (CPR-run). Physiological variables were continuously measured during baseline and CPR conditions using a portable gas analyzer (K4b2, Cosmed, Rome, Italy) and analyzed using two HD video cameras (Sony, HDR PJ30VE, Japan). Higher VO2 (14.4 ± 2.1 and 22.0 ± 2.5 mL·kg−1·min−1) and heart rate (123 ± 17 and 148 ± 17 bpm) were found for CPR-run. However, the compression rate was also higher during the CPR-run (373 ± 51 vs. 340 ± 49) and between every three complete cycles (81 ± 9 vs. 74 ± 14, 99 ± 14 vs. 90 ± 10, 99 ± 10 vs. 90 ± 10, and, 101 ± 15 vs. 94 ± 11, for cycle 3, 6, 9 and 12, respectively). Fatigue induced by the 100-m maximal run had a strong impact on physiological variables, but a mild impact on CPR emergency medical technicians’ performance.


2015 ◽  
Vol 43 (6) ◽  
pp. 841-850
Author(s):  
Chu Hyun Kim ◽  
Gi Woon Kim ◽  
Won Chul Cha ◽  
Bo Ra Kang ◽  
Han ho Do ◽  
...  

2021 ◽  
Vol 35 (6) ◽  
pp. 127-136
Author(s):  
Min Hui Kim ◽  
Namgirl Kim ◽  
Song Yi Park

This study aims to explore how emergency medical service (EMS) providers with registered nurses perceive their practice scope in Korea. This qualitative study analyzed the interview data of nine EMS providers with registered nurses using Braun and Clarke’s thematic analysis. Three themes and 10 subthemes were revealed. Theme 1 was “not clearly knowing the scope.” They perceived their scope as similar to that of a first-grade emergency medical technicians (EMTs), as wider than that of EMTs' scope, as focused on the controversial scope, it is determined according to the medical director. Theme 2 was “anxiety and distrust.” They were concerned whether they can be protected legally by the practice guideline, showed no confidence in the legal protection of the practice guideline, and were confused about their professional identity. Theme 3 was “different strengths in practices.” They reported that EMTs are more experienced and skillful in the prehospital field, as nurses lack education on prehospital emergency. However, they have different strengths from the beginning such as patient’s care. For ensuring stability of and consistency in the provided service, the practice scope of EMS providers with registered nurses needs to be clearly stipulated.


2019 ◽  
Vol 8 (1) ◽  
pp. 60-67 ◽  
Author(s):  
A. A. Birkun ◽  
L. I. Dezhurny

Rapid recognition of cardiac arrest based on the data reported by a bystander, and delivering telephone cardiopulmonary resuscitation instructions by emergency medical services (EMS) dispatcher promote timely provision of frst aid by people who witness the emergency, and this may signifcantly influence the outcome of out-of-hospital cardiac arrest (OHCA). This review is aimed to analyze the up-to-date scientifc literature on EMS dispatcher recognition of OHCA. In particular, general concept and experience of algorithm-based diagnosis of cardiac arrest, diffculties of telephone OHCA recognition, approaches for dispatcher diagnosis quality evaluation and assurance are discussed herein. Based on the analysis results, recommendations on organizing and improving the effectiveness of EMS dispatcher recognition of cardiac arrest are formulated. The review is designed primarily for EMS and public health specialists.


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