Identification of cardiac arrest by emergency dispatchers |
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| Authors: | M S Eisenberg W Carter A Hallstrom R Cummins P Litwin T Hearne |
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| Affiliation: | 1. Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA;2. Department of Geography, University of Colorado at Boulder, Boulder, CO;3. Department of Biostatistics and Epidemiology University of Pennsylvania Perelman School of Medicine, Philadelphia, PA;4. Penn Medicine Center for Innovation, University of Pennsylvania, Philadelphia, PA;5. The Wharton School, the University of Pennsylvania, Philadelphia, PA;6. The Philadelphia Veterans Affairs Medical Center, Philadelphia, PA;7. University of Washington–Harborview Center for Prehospital Emergency Care, Department of Medicine, University of Washington, Seattle, WA |
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| Abstract: | Prompt identification of cardiac arrest by emergency dispatchers can save valuable time and increase the likelihood of successful resuscitation. The authors reviewed 516 cardiac and 146 non-cardiac calls to identify features of a probable cardiac arrest call. The results indicate that information about sex, location, and activity is of little use in the identification of cardiac arrest. When the patient is over 50 years old and the caller is emotional, the possibility of cardiac arrest is high, suggesting that questions about consciousness and breathing should be asked immediately. Additional information can be obtained or telephone cardiopulmonary resuscitation (CPR) instructions can be given after dispatch of an emergency vehicle. |
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