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Area of Science:

  • Emergency Medicine
  • Cardiology
  • Public Health

Background:

  • Traditional cardiopulmonary resuscitation (CPR) protocols require patients to be in a supine position for effective chest compressions.
  • Patients unable to achieve a supine position pose a challenge for telecommunicators, potentially delaying or preventing bystander CPR.
  • Delayed or absent bystander CPR in out-of-hospital cardiac arrest (OHCA) is associated with poorer patient outcomes.

Purpose of the Study:

  • To report the successful implementation of dispatch-directed prone CPR instructions.
  • To demonstrate that trained telecommunicators can guide bystanders in administering CPR to patients in a prone position.

Main Methods:

  • Case report of two out-of-hospital cardiac arrest (OHCA) victims who could not be positioned supine.
  • Trained telecommunicators provided step-by-step instructions for bystander-administered prone CPR.
  • Focus on overcoming positioning challenges in emergency dispatch protocols.

Main Results:

  • Successful delivery of bystander-administered prone CPR was achieved in both cases.
  • Telecommunicator-guided prone CPR was initiated for patients unable to be placed supine.
  • Demonstrated feasibility of adapting CPR instructions for non-traditional patient positioning.

Conclusions:

  • Dispatch-directed prone CPR instructions are a viable option for OHCA patients unable to be positioned supine.
  • This approach can overcome positioning barriers, enabling timely bystander CPR and potentially improving clinical outcomes.
  • Highlights the need for updated emergency dispatch protocols to include alternative CPR positioning.