Barriers to dispatcher-assisted cardiopulmonary resuscitation in Thailand

Authors

  • Nantawan Tippayanate Field of Study Paramedicine, Faculty of Medicine, Mahasarakham University, Thailand
  • Patchalee Phonkanya Command Control Center of Subdistrict Administrative Organization, Mahasarakham Province, Thailand
  • Kanokwan Neungkantee Command Control Center of Subdistrict Administrative Organization, Mahasarakham Province, Thailand
  • Kamonchanok Neungkantee Command Control Center of Subdistrict Administrative Organization, Mahasarakham Province, Thailand
  • Kwansiri Raksapakdee Command Control Center of Subdistrict Administrative Organization, Mahasarakham Province, Thailand
  • Watcharaporn Boonnop Command Control Center, Chao Phraya Abhaibhubejhr Hospital, Prachinburi Province, Thailand
  • Natlada Jitsuwan Command Control Center of Subdistrict Administrative Organization, Songkhla Province, Thailand

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240948

Keywords:

Bystander CPR, Emergency medical dispatchers, OHCA, CPR training

Abstract

Background: Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) has proven effective in boosting bystander CPR rates in out-of-hospital cardiac arrests (OHCA). Recently, Thailand has implemented a DA-CPR program. Our objective was to delineate the obstacles to initiating chest compressions by callers.

Methods: We reviewed dispatch recordings of OHCA cases received by the ambulance call center from July 2012 to March 2015. Excluding audio recordings of subpar quality, trained evaluators documented the successive stages of the dispatcher's CPR recognition, delivery of CPR instructions, and the caller's execution of CPR. The time required to achieve these milestones was recorded, while barriers hindering chest compressions were identified.

Results: Throughout the study period, researchers identified 280 cases of OHCA. Among these cases, it was observed that 134 bystanders declined to administer CPR. Reasons for refusal varied: 25.4% cited difficulty in controlling their emotions, 21.65% encountered challenges accessing the scene, 20.9% refused to perform CPR, 14.9% dropped out of the call, 9.7% did not approach the emergency patient, 5.9% were unable to perform CPR due to physical limitations, and 2.9% faced difficulty moving the emergency patient to the ground floor.

Conclusions: Barriers were present in 47.85% correlating with a reduced proportion of CPR initiation and longer delays in CPR initiation.

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References

Lim SL, Smith K, Dyson K, Chan SP, Earnest A, Nair R, et al. Incidence and Outcomes of Out-of-Hospital Cardiac Arrest in Singapore and Victoria: A Collaborative Study. J Am Heart Assoc. 2020;9(21):e015981.

Shin SD, Ong MEH, Tanaka H, Ma MHM. Comparison of Emergency Medical Services Systems Across Pan-Asian Countries: A Web-based Survey. Prehospital Emergency Care. 2012;16(4):477-96.

Ong ME, Shin SD, De Souza NN, Hideharu T, Tatsuya N, Kyoung JS, et al. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS). Resuscitation. 2015;96:100-8.

Sirikul W, Piankusol C, Wittayachamnankul B, Riyapan S, Supasaovapak J, Wongtanasarasin W, et al. A retrospective multi-centre cohort study: Pre-hospital survival factors of out-of-hospital cardiac arrest (OHCA) patients in Thailand. Resuscitation Plus. 2022;9:100196.

Cummins RO, Ornato JP, Thies WH, Pepe PE. Improving survival from sudden cardiac arrest: the" chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation. 1991;83(5):1832-47.

Nolan J, Soar J, Eikeland H. The chain of survival. Resuscitation. 2006;71(3):270-1.

Cummins RO, Eisenberg MS, Hallstrom AP, Litwin PE. Survival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation. Am J Emergency Med. 1985;3(2):114-9.

Nikolaou N, Dainty KN, Couper K, Morley P, Tijssen J, Vaillancourt C, et al. A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children. Resuscitation. 2019;138:82-105.

Smith CM. Improving public-access automated external defibrillator use in a volunteer first-responder system for out-of-hospital cardiac arrest (Doctoral dissertation, University of Warwick). 2020.

Olasveengen TM, Mancini ME, Perkins GD, Suzanne A, Steven B, Maaret C, et al. Adult Basic Life Support Collaborators. Adult Basic Life Support: International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation. 2020;156:35-79.

Riyapan S, Saengsung P, Chantanakomes J, Nakornchai T, Limsuwat C. Impact of the motorcycle-taxi cardiopulmonary resuscitation (CPR) project on bystander CPR in the Bangkoknoi district of Bangkok, Thailand. Resuscitation. 2021;162:180-1.

Yeeheng U, Rawiworrakul T. Bystander Cardio-Pulmonary Resuscitation Practice among Out-of-Hospital Cardiac Arrest: Rajavithi Hospital’s Narenthorn Emergency Medical Service Center, Thailand. J Publ Heal. 2018;48(2):256-69.

Eiamla-or P, Takan S, Wongsasung J, Nunchai K. Effectiveness of Basic Life Support Short Course Training Among Thai Vocational College Students. Human Behav Develop Society. 2023;24(3):19-27.

Tippayanate NW, Phrom KC, Boonrueang WC. Comparing the effectiveness of cardiopulmonary resuscitation training at the basic level using video and traditional training methods among high school students in Mahasarakham Province. J Sci Technol. 2018;37(4).

Khunsawai B, Promarak T, Tippayanate N. The effects of the SMART SAFE program on the basic life support competency of community health volunteers in Tha Tad Cheung Chum Subdistrict, Mueang District, Sakon Nakhon Province. J Publ Heal Res. 2020;9(2):69-79.

Angkoontassaneeyarat C, Yuksen C, Jenpanitpong C, Rukthai P, Seanpan M, Pongprajak D, et al. Effectiveness of a dispatcher-assisted cardiopulmonary resuscitation program developed by the Thailand National Institute of Emergency Medicine (NIEMS). Prehospital Disaster Med. 2021;36(6):702-7.

Tippayanate N, Phonkanya P, Neungkantee K, Neungkantee K, Raksapakdee K, Boonnop W, et al. Enhancing the detection of out-of-hospital cardiac arrest: a study of emergency medical system in Thailand. Int J Community Med Public Health. 2023;10(10):3490-95.

Astuti Z, Jannah MN. The Willingness of Bystander to Perform CPR to the Patient with Out of Hospital Cardiac Arrest During the Pandemic COVID-19: A Literature Review. Int Conference Nursing Health Sci. 2021;2(2):67-74.

Ong MEH, Cho J, Ma MHM, Tanaka H, Nishiuchi T, Al Sakaf O, et al. Comparison of emergency medical services systems in the Pan-Asian Resuscitation Outcomes Study countries: Report from a literature review and survey. Emergency Med Aust. 2013;25(1):55-63.

Swor R, Khan I, Domeier R, Honeycutt L, Chu K, Compton S. CPR training and CPR performance: do CPR‐trained bystanders perform CPR? Academic Emergency Med. 2006;13(6):596-601.

Case R, Cartledge S, Siedenburg J, Smith K, Straney L, Barger B, Finn J, Bray JE. Identifying barriers to the provision of bystander cardiopulmonary resuscitation (CPR) in high-risk regions: A qualitative review of emergency calls. Resuscitation. 2018;129:43-7.

Matsuyama T, Andrea S, Tommaso P, Robert G, Taku I. Willingness to perform bystander cardiopulmonary resuscitation: A scoping review. Resuscitation Plus. 2020;4:100043.

Chocron R, Jobe J, Guan S, Kim M, Shigemura M, Fahrenbruch C, et al. Bystander cardiopulmonary resuscitation quality: potential for improvements in cardiac arrest resuscitation. J Am Heart Assoc. 2021;10(6):e017930.

Böttiger BW, Lockey A, Aickin R, Carmona M, Cassan P, Castrén M, et al. Up to 206 million people reached and over 5.4 million trained in cardiopulmonary resuscitation worldwide: the 2019 International Liaison Committee on Resuscitation World Restart a Heart Initiative. J Am Heart Assoc. 2020;9(15):e017230.

Lund-Kordahl I, Maria M, Jørgen M, Theresa MO, Kjetil S, Knut F. Relationship between level of CPR training, self-reported skills, and actual manikin test performance-an observational study. Int J Emergency Med. 2019;12(1):1-8.

Chang YH, Kwak SD, Shin YS, Ro DK. Characteristics of bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrests: a national observational study from 2012 to 2014. Resuscitation. 2017;211:26-33,

Chen M, Wang Y, Li X, Hou L, Wang Y, Liu J, et al. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation in China. BioMed Res Int. 2017;2017:3250485..

Fang-Yu L, Kun-Chang L, Chian-Shiu C, Wan-Ting H, Yi-Ying L, Yi-Ping Y, et al. The impact of bystander cardiopulmonary resuscitation on patients with out-of-hospital cardiac arrests. J Chinese Med Assoc. 2021;84(12):1078-83.

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Published

2024-04-12

How to Cite

Tippayanate, N., Phonkanya, P., Neungkantee, K., Neungkantee, K., Raksapakdee, K., Boonnop, W., & Jitsuwan, N. (2024). Barriers to dispatcher-assisted cardiopulmonary resuscitation in Thailand. International Journal Of Community Medicine And Public Health, 11(5), 1758–1762. https://doi.org/10.18203/2394-6040.ijcmph20240948

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Original Research Articles