Reporting of data from out-of-hospital cardiac arrest has to involve emergency medical dispatching--taking the recommendations on reporting OHCA the Utstein style a step further |
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Authors: | Castrén M Bohm K Kvam A M Bovim E Christensen E F Steen-Hansen J-E Karlsten R |
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Affiliation: | a Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset and Section of Emergency Medicine, Södersjukhuset, Stockholm, Sweden b Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden c Division of Emergency Medical Services, Buskerud Hospital HF, N-3004 Drammen, Norway d National Centre on Emergency Communication in Health, MØllendalsbacken 9, N5009 Bergen, Norway e Hospital for Prehospital Emergency Medical Services and Coordination Center of Preparedness, Olof Palmes Allé 34, DK 8200 Århus N, Denmark f Prehospital Clinic, Vestfold Hospital Trust, 3103 Tønsberg, Norway g Dept of Anaesthesiology and Intensive Care, Uppsala University Hospital, S-751 85 Uppsala, Sweden |
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Abstract: | ObjectivesAs a part of the chain of survival, the emergency medical communication centre (EMCC) and the emergency medical dispatcher (EMD) has an important role in early identification of out-of-hospital cardiac arrests (OHCA). The EMD may provide instructions to the caller and thereby initiate cardiopulmonary resuscitation in a substantial number of subjects and thus contribute to increased survival. The EMCC provides a response with first responders, ambulances, physician manned units and potentially other health care providers. EMCC in many cases initiates the communication with experts in the referral hospital and provide added value to the post resuscitation care by providing advanced transport, logistics and follow up. In research there is a growing focus on the EMCC/EMDs impact on survival in OHCA. The lack of standards in reporting results from medical dispatching is an obstacle for thorough evaluation of results in this area and comparison of data. The objective for this paper is to introduce a framework for uniform reporting of the dispatching process for quality improvement, collecting and reporting data and exchanging information regarding OHCA. |
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Keywords: | Cardiac arrest Emergency medical dispatching Emergency medical communication centres EMS Utstein Resuscitation |
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