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Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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SBAR I: Understanding the Concept01:29

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Related Experiment Video

Updated: Jun 16, 2025

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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
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.