کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3010450 1181515 2008 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Impact of adding video communication to dispatch instructions on the quality of rescue breathing in simulated cardiac arrests—A randomized controlled study ◊
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Impact of adding video communication to dispatch instructions on the quality of rescue breathing in simulated cardiac arrests—A randomized controlled study ◊
چکیده انگلیسی

SummaryObjectiveBoth ventilations and compressions are important for victims of prolonged cardiopulmonary resuscitation (CPR) and asphyxial arrest. Dispatch assistance increases bystander CPR, but the quality of dispatcher-assisted CPR (DA-CPR), especially rescue breathing, remains unsatisfactory. This study was conducted to assess the impact of adding interactive video communication to dispatch instructions on the quality of rescue breathing in simulated cardiac arrests.MethodsIn this simulation-based study, adults without CPR training within 5 years were recruited between April and July 2007 and randomized to receive dispatch assistance with either voice instruction alone (voice group, n = 53) or interactive voice and video instruction (video group, n = 43) via a video cell phone. The quality of rescue breathing was evaluated by reviewing the videos and mannequin reports.ResultsSubjects in the video group were more likely to open the airway correctly (95.3% vs. 58.5%, P < 0.01) and to lift the chin properly (95.3% vs. 62.3%, P < 0.01), but had similar rates of head-tilt (95.3% vs. 84.9%, P = 0.10). Volunteers in the video group had larger volume of ventilation (median volume 540 ml vs. 0 ml, P < 0.01), greater possibility to sustain an open airway (88.4% vs. 60.4%, P < 0.01) and a tendency towards better nose-pinch (97.7% vs. 86.8%, P = 0.06). The video group spent longer time to open the airway (59 s vs. 56 s, P < 0.05) and to give the first rescue breathing (139 s vs. 102 s, P < 0.01).ConclusionAdding video communication to dispatch instructions improved the quality of bystander rescue breathing, including higher proportion of airway opened, and larger volume of ventilation delivered, in simulated cardiac arrests.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Resuscitation - Volume 78, Issue 3, September 2008, Pages 327–332
نویسندگان
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