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  1. Home
  2. Impact Of Language Barrier During Emergency Call On Out Of Hospital Cardiac Arrest Treatment And Outcomes.
  1. Home
  2. Impact Of Language Barrier During Emergency Call On Out Of Hospital Cardiac Arrest Treatment And Outcomes.

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Impact of language barrier during emergency call on out of hospital cardiac arrest treatment and outcomes.

Ishani Joshi1, Kosuke Kume2, Christopher Drucker2

  • 1Department of Medicine, University of Washington, Seattle, WA, United States.

Resuscitation
|June 13, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

A language barrier during 9-1-1 calls for out-of-hospital cardiac arrest (OHCA) delayed early interventions like CPR and defibrillation. However, subsequent emergency medical services (EMS) and hospital care, along with survival outcomes, remained unaffected.

Keywords:
Language barrierOut of hospital cardiac arrest

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Area of Science:

  • Emergency Medicine
  • Public Health
  • Cardiology

Background:

  • Language barriers in emergency calls can impede out-of-hospital cardiac arrest (OHCA) recognition and care.
  • The downstream effects of language barriers on the OHCA chain of survival and clinical outcomes are not well understood.

Purpose of the Study:

  • To assess the influence of a language barrier during 9-1-1 calls on the chain of survival and clinical outcomes in adult OHCA patients.
  • To identify specific points in the OHCA care pathway affected by language barriers.

Main Methods:

  • A cohort investigation of adult OHCA cases in King County, Washington (2014-2023).
  • Language barriers were identified from audio recordings of 9-1-1 calls.
  • Statistical analyses (chi-square, Mann-Whitney-U, logistic regression) compared outcomes based on language barrier status.

Main Results:

  • Of 6146 OHCA cases, 3% involved a language barrier.
  • Language barriers were associated with delayed OHCA recognition and bystander CPR, and lower rates of bystander CPR and AED use (p < 0.001).
  • No significant differences were observed in EMS/hospital care or survival to discharge between groups (p > 0.1).

Conclusions:

  • Language barriers significantly challenge early resuscitation efforts (CPR, defibrillation) in OHCA.
  • Despite initial delays, EMS and hospital systems provided comparable care regardless of language barriers.
  • This highlights the resilience of emergency systems in managing OHCA patients with communication challenges.