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Association between patient age and pediatric cardiac arrest recognition by emergency medical dispatchers

Tae Han Kim1, Jin Hee Jung2, Kyoung Jun Song1

  • 1Department of Emergency Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Republic of Korea; Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Republic of Korea; Department of Emergency Medicine, Seoul National University College of Medicine, Republic of Korea.

The American Journal of Emergency Medicine
|June 25, 2022
PubMed

Insights

Dispatcher recognition of cardiac arrest is lower in older children (7-18 years) compared to infants. Tailored protocols may improve dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) for pediatric out-of-hospital cardiac arrest (OHCA).

Area of Science:

  • Emergency Medicine
  • Pediatric Cardiology
  • Public Health

Background:

  • Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is crucial for pediatric out-of-hospital cardiac arrest (OHCA) survival.
  • Dispatcher recognition of cardiac arrest is a critical determinant of successful DA-CPR.
  • Understanding age-related factors influencing dispatcher recognition is vital.

Purpose of the Study:

  • To investigate the association between pediatric age and dispatcher recognition of cardiac arrest.
  • To identify age groups with lower dispatcher recognition rates in pediatric OHCA cases.

Main Methods:

  • Retrospective observational study utilizing a nationwide OHCA registry.
  • Inclusion of patients under 19 years, categorized into four age groups: <1, 1-6, 7-13, and 14-18 years.
  • Multivariable logistic regression analysis to assess the primary outcome of dispatcher cardiac arrest recognition.

Main Results:

  • A total of 2754 pediatric OHCA patients were analyzed.
  • A significant negative trend was observed between increasing age and dispatcher recognition rates (p < 0.01).
  • Recognition rates were highest in infants (<1 year, 61.5%) and lowest in adolescents (14-18 years, 47.1%).
  • Patients aged 7-18 years showed significantly decreased odds of recognition compared to infants.

Conclusions:

  • Older pediatric patients (7-18 years) are less likely to have their cardiac arrest recognized by dispatchers.
  • This age-related disparity impacts timely DA-CPR instruction provision.
  • Developing age- and cause-specific protocols is recommended to enhance dispatcher performance in pediatric OHCA.
Abstract

Keywords:
Cardiac arrestDispatcher-assisted cardiopulmonary resuscitationEmergency dispatch centerPediatric

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