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Dispatcher-Assisted Telephone Cardiopulmonary Resuscitation Using a French-Language Compression-Ventilation Pediatric
Michael Peters1, Samuel Stipulante, Anne-Sophie Delfosse
1From the *Department of Public Health, University of Liege; †Federal Public Health Services, Belgium; Departments of ‡Emergency Medicine and §Paediatrics, University Hospital of Liege; ∥Department of Paediatric Critical Care, Centre Hospitalier Chrétien of Liège; and ¶Department of Medical Informatics and Biostatistics, University of Liege, Liège, Belgium.
Insights
Telephone dispatcher-assisted cardiopulmonary resuscitation (CPR) significantly improves pediatric resuscitation performance in both trained and untrained bystanders. This protocol enhances bystander CPR quality and ventilation delivery during out-of-hospital cardiac arrest events.
Area of Science:
- Emergency Medicine
- Pediatric Resuscitation Science
Background:
- Out-of-hospital cardiac arrest (OHCA) in children has a high mortality rate.
- Telephone dispatcher-assisted CPR (T-CPR) is effective for adult OHCA but underdeveloped for pediatric cases.
Purpose of the Study:
- To evaluate a pediatric T-CPR protocol's effectiveness in untrained and trained bystanders.
- To assess the feasibility and effectiveness of ventilation within the pediatric T-CPR protocol.
Main Methods:
- 115 volunteers (untrained and nursing students) were randomized to T-CPR or no-T-CPR groups.
- Participants performed CPR on a pediatric manikin model simulating OHCA.
- Cardiff evaluation test was used to collect CPR performance data.
Main Results:
- Guided T-CPR groups showed improved CPR performance compared to non-guided groups.
- 81.2% of untrained guided and 83.3% of trained guided participants provided correct ventilation frequency.
- The protocol demonstrated feasibility and improved resuscitation metrics.
Conclusions:
- Pediatric T-CPR instructions significantly enhance resuscitation performance in OHCA manikin models.
- The protocol is effective for both untrained and previously trained bystanders.
- T-CPR improves chest compressions and ventilation delivery in pediatric emergencies.
Objective:
Out-of-hospital cardiac arrest (OHCA) in pediatrics is a devastating event associated with poor survival rates. Although telephone dispatcher-assisted cardiopulmonary resuscitation (CPR; T-CPR) instructions improve the frequency and quality of bystander CPR for OHCA in adults, this support remains undeveloped in children. Our objective was to assess the effectiveness of a pediatric T-CPR protocol in untrained and trained bystanders. Secondarily, we sought to determine the feasibility and the effectiveness of ventilation in such a protocol.
Methods:
Eligible adults with no CPR experience were recruited in a movie theater in Liege, as well as bachelor nursing students in Liege. All volunteers were randomly assigned either to T-CPR or to no-T-CPR using randomization. The volunteers were exposed to a pediatric manikin model cardiac arrest. On the basis of Cardiff evaluation test, data were collected to evaluate CPR performance.
Results:
A total of 115 volunteers were assigned to 4 groups: untrained nonguided group (n = 27), untrained guided group (n = 32), trained nonguided group (n = 26), and trained guided group (n = 30). We found an improvement in CPR performance in the guided groups. Most volunteers (81.2%) in untrained guided group and 83.3% in the trained guided group were able to give 2 ventilations after each compressions cycle.
Conclusions:
In a pediatric manikin model of OHCA, T-CPR instructions including mouth-to-mouth ventilations and chest compressions produced a significant increase in resuscitation performance not only among previously untrained but also among trained volunteers.
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