Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review
Aim: To summarize existing literature and identify knowledge gaps regarding barriers and enablers of telecommunicators’ recognition of out-of-hospital cardiac arrest (OHCA). Methods: This scoping review was undertaken by an International Liaison Committee on Resuscitation (ILCOR) Basic Life Support...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520424002054 |
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| author | Anne Juul Grabmayr Bridget Dicker Vihara Dassanayake Janet Bray Christian Vaillancourt Katie N. Dainty Theresa Olasveengen Carolina Malta Hansen |
| author_facet | Anne Juul Grabmayr Bridget Dicker Vihara Dassanayake Janet Bray Christian Vaillancourt Katie N. Dainty Theresa Olasveengen Carolina Malta Hansen |
| author_sort | Anne Juul Grabmayr |
| collection | DOAJ |
| description | Aim: To summarize existing literature and identify knowledge gaps regarding barriers and enablers of telecommunicators’ recognition of out-of-hospital cardiac arrest (OHCA). Methods: This scoping review was undertaken by an International Liaison Committee on Resuscitation (ILCOR) Basic Life Support scoping review team and guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed and explored barriers and enablers of telecommunicator recognition of OHCA. We searched Ovid MEDLINE® and Embase and included articles from database inception till June 18th, 2024. Results: We screened 9,244 studies and included 62 eligible studies on telecommunicator recognition of OHCA. The studies ranged in methodology. The majority were observational studies of emergency calls. The barriers most frequently described to OHCA recognition were breathing status and agonal breathing. The most frequently tested enabler for recognition was a variety of dispatch protocols focusing on breathing assessment. Only one randomized controlled trial (RCT) was identified, which found no difference in OHCA recognition with the addition of machine learning alerting telecommunicators in suspected OHCA cases. Conclusion: Most studies were observational, assessed barriers to recognition of OHCA and compared different dispatch protocols. Only one RCT was identified. Randomized trials should be conducted to inform how to improve telecommunicator recognition of OHCA, including recognition of pediatric OHCAs and assessment of dispatch protocols. |
| format | Article |
| id | doaj-art-dc09e07775e44cf8a6ec0948f28558c9 |
| institution | OA Journals |
| issn | 2666-5204 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-dc09e07775e44cf8a6ec0948f28558c92025-08-20T02:32:21ZengElsevierResuscitation Plus2666-52042024-12-012010075410.1016/j.resplu.2024.100754Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping reviewAnne Juul Grabmayr0Bridget Dicker1Vihara Dassanayake2Janet Bray3Christian Vaillancourt4Katie N. Dainty5Theresa Olasveengen6Carolina Malta Hansen7Emergency Medical Services Capital Region of Denmark – University of Copenhagen, Ballerup, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark; Corresponding author at: Telegrafvej 5, 2750 Ballerup, Denmark.Clinical Audit and Research Team, Hato Hone St John, National Headquarters, Ellerslie, Auckland, New Zealand; Paramedicine Research Unit, Paramedicine Department, Auckland University of Technology, Manukau, Auckland, New ZealandDepartment of Anaesthesiology & Critical Care, Faculty of Medicine, University of Colombo & National Hospital of Sri Lanka, Sri LankaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaDepartment of Emergency Medicine, Ottawa Hospital Research Institute, University of Ottawa, CanadaResearch and Innovation, North York General Hospital, Toronto, Ontario, Canada; Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, CanadaInstitute of Clinical Medicine, University of Oslo and Department of Anesthesia and Intensive Care Medicine, Oslo University Hospital, NorwayEmergency Medical Services Capital Region of Denmark – University of Copenhagen, Ballerup, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark; Department of Cardiology, Herlev and Gentofte Hospital, University of Copenhagen, Denmark; Department of Cardiology, Rigshospitalet, Copenhagen University, DenmarkAim: To summarize existing literature and identify knowledge gaps regarding barriers and enablers of telecommunicators’ recognition of out-of-hospital cardiac arrest (OHCA). Methods: This scoping review was undertaken by an International Liaison Committee on Resuscitation (ILCOR) Basic Life Support scoping review team and guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed and explored barriers and enablers of telecommunicator recognition of OHCA. We searched Ovid MEDLINE® and Embase and included articles from database inception till June 18th, 2024. Results: We screened 9,244 studies and included 62 eligible studies on telecommunicator recognition of OHCA. The studies ranged in methodology. The majority were observational studies of emergency calls. The barriers most frequently described to OHCA recognition were breathing status and agonal breathing. The most frequently tested enabler for recognition was a variety of dispatch protocols focusing on breathing assessment. Only one randomized controlled trial (RCT) was identified, which found no difference in OHCA recognition with the addition of machine learning alerting telecommunicators in suspected OHCA cases. Conclusion: Most studies were observational, assessed barriers to recognition of OHCA and compared different dispatch protocols. Only one RCT was identified. Randomized trials should be conducted to inform how to improve telecommunicator recognition of OHCA, including recognition of pediatric OHCAs and assessment of dispatch protocols.http://www.sciencedirect.com/science/article/pii/S2666520424002054Out-of-Hospital Cardiac ArrestEmergency Medical ServicesTelecommunicatorDispatchSymptomsScoping Review |
| spellingShingle | Anne Juul Grabmayr Bridget Dicker Vihara Dassanayake Janet Bray Christian Vaillancourt Katie N. Dainty Theresa Olasveengen Carolina Malta Hansen Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review Resuscitation Plus Out-of-Hospital Cardiac Arrest Emergency Medical Services Telecommunicator Dispatch Symptoms Scoping Review |
| title | Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review |
| title_full | Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review |
| title_fullStr | Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review |
| title_full_unstemmed | Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review |
| title_short | Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review |
| title_sort | optimising telecommunicator recognition of out of hospital cardiac arrest a scoping review |
| topic | Out-of-Hospital Cardiac Arrest Emergency Medical Services Telecommunicator Dispatch Symptoms Scoping Review |
| url | http://www.sciencedirect.com/science/article/pii/S2666520424002054 |
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