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Emergency medical dispatch services across Pan-Asian countries: a web-based survey.
BMC Emerg Med 2020; 20(1):1BE

Abstract

BACKGROUND

Dispatch services (DS's) form an integral part of emergency medical service (EMS) systems. The role of a dispatcher has also evolved into a crucial link in patient care delivery, particularly in dispatcher assisted cardio-pulmonary resuscitation (DACPR) during out-of-hospital cardiac arrest (OHCA). Yet, there has been a paucity of research into the emerging area of dispatch science in Asia. This paper compares the characteristics of DS's, and state of implementation of DACPR within the Pan-Asian Resuscitation Outcomes (PAROS) network.

METHODS

A cross-sectional descriptive survey addressing population characteristics, DS structures and levels of service, state of DACPR implementation (including protocols and quality improvement programs) among PAROS DS's.

RESULTS

9 DS's responded, representing a total of 23 dispatch centres from 9 countries that serve over 80 million people. Most PAROS DS's operate a tiered dispatch response, have implemented medical oversight, and tend to be staffed by dispatchers with a predominantly medical background. Almost all PAROS DS's have begun tracking key EMS indicators. 77.8% (n = 7) of PAROS DS's have introduced DACPR. Of the DS's that have rolled out DACPR, 71.4% (n = 5) provided instructions in over one language. All DS's that implemented DACPR and provided feedback to dispatchers offered feedback on missed OHCA recognition. The majority of DS's (83.3%; n = 5) that offered DACPR and provided feedback to dispatchers also implemented corrective feedback, while 66.7% (n = 4) offered positive feedback. Compression-only CPR was the standard instruction for PAROS DS's. OHCA recognition sensitivity varied widely in PAROS DS's, ranging from 32.6% (95% CI: 29.9-35.5%) to 79.2% (95% CI: 72.9-84.4%). Median time to first compression ranged from 120 s to 220 s.

CONCLUSIONS

We found notable variations in characteristics and state of DACPR implementation between PAROS DS's. These findings will lay the groundwork for future DS and DACPR studies in the PAROS network.

Authors+Show Affiliations

UNSW Medicine, University of New South Wales, Sydney, New South Wales, 2033, Australia. me@shawnlcl.com. Emergency Medicine Department, National University Hospital, Singapore, Singapore. me@shawnlcl.com.Department of Acute and Emergency Care, Khoo Teck Puat Hospital, Singapore, Singapore.Medical Department, Singapore Civil Defence Force, Singapore, Singapore.Emergency Medicine Department, National University Hospital, Singapore, Singapore.Narenthorn EMS Center, Rajavithi Hospital, Bangkok, Thailand.Southern Philippines Medical Center, Davao, Philippines.Bach Mai Hospital, Hanoi, Vietnam.Emergency and Trauma Department, Miri Hospital, Miri, Sarawak, Malaysia.Seoul National University College of Medicine, Seoul, South Korea.Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.GVK Emergency Management and Research Institute (GVK EMRI), Secunderabad, Telangana, India.Graduate School of Emergency Medical System, Kokushikan University, Tokyo, Japan.Department of Emergency Medicine, Singapore General Hospital, Singapore, Singapore. Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31910801

Citation

Lee, Shawn Chieh Loong, et al. "Emergency Medical Dispatch Services Across Pan-Asian Countries: a Web-based Survey." BMC Emergency Medicine, vol. 20, no. 1, 2020, p. 1.
Lee SCL, Mao DR, Ng YY, et al. Emergency medical dispatch services across Pan-Asian countries: a web-based survey. BMC Emerg Med. 2020;20(1):1.
Lee, S. C. L., Mao, D. R., Ng, Y. Y., Leong, B. S., Supasaovapak, J., Gaerlan, F. J., ... Ong, M. E. H. (2020). Emergency medical dispatch services across Pan-Asian countries: a web-based survey. BMC Emergency Medicine, 20(1), p. 1. doi:10.1186/s12873-019-0299-1.
Lee SCL, et al. Emergency Medical Dispatch Services Across Pan-Asian Countries: a Web-based Survey. BMC Emerg Med. 2020 Jan 7;20(1):1. PubMed PMID: 31910801.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergency medical dispatch services across Pan-Asian countries: a web-based survey. AU - Lee,Shawn Chieh Loong, AU - Mao,Desmond Renhao, AU - Ng,Yih Yng, AU - Leong,Benjamin Sieu-Hon, AU - Supasaovapak,Jirapong, AU - Gaerlan,Faith Joan, AU - Son,Do Ngoc, AU - Chia,Boon Yang, AU - Do Shin,Sang, AU - Lin,Chih-Hao, AU - Rao,G V Ramana, AU - Hara,Takahiro, AU - Ong,Marcus Eng Hock, AU - ,, Y1 - 2020/01/07/ PY - 2019/11/03/received PY - 2019/12/30/accepted PY - 2020/1/9/entrez PY - 2020/1/9/pubmed PY - 2020/1/9/medline KW - Asia-pacific KW - Cardiopulmonary resuscitation KW - Emergency medical services KW - Out-of-hospital cardiac arrest KW - Public safety answering point SP - 1 EP - 1 JF - BMC emergency medicine JO - BMC Emerg Med VL - 20 IS - 1 N2 - BACKGROUND: Dispatch services (DS's) form an integral part of emergency medical service (EMS) systems. The role of a dispatcher has also evolved into a crucial link in patient care delivery, particularly in dispatcher assisted cardio-pulmonary resuscitation (DACPR) during out-of-hospital cardiac arrest (OHCA). Yet, there has been a paucity of research into the emerging area of dispatch science in Asia. This paper compares the characteristics of DS's, and state of implementation of DACPR within the Pan-Asian Resuscitation Outcomes (PAROS) network. METHODS: A cross-sectional descriptive survey addressing population characteristics, DS structures and levels of service, state of DACPR implementation (including protocols and quality improvement programs) among PAROS DS's. RESULTS: 9 DS's responded, representing a total of 23 dispatch centres from 9 countries that serve over 80 million people. Most PAROS DS's operate a tiered dispatch response, have implemented medical oversight, and tend to be staffed by dispatchers with a predominantly medical background. Almost all PAROS DS's have begun tracking key EMS indicators. 77.8% (n = 7) of PAROS DS's have introduced DACPR. Of the DS's that have rolled out DACPR, 71.4% (n = 5) provided instructions in over one language. All DS's that implemented DACPR and provided feedback to dispatchers offered feedback on missed OHCA recognition. The majority of DS's (83.3%; n = 5) that offered DACPR and provided feedback to dispatchers also implemented corrective feedback, while 66.7% (n = 4) offered positive feedback. Compression-only CPR was the standard instruction for PAROS DS's. OHCA recognition sensitivity varied widely in PAROS DS's, ranging from 32.6% (95% CI: 29.9-35.5%) to 79.2% (95% CI: 72.9-84.4%). Median time to first compression ranged from 120 s to 220 s. CONCLUSIONS: We found notable variations in characteristics and state of DACPR implementation between PAROS DS's. These findings will lay the groundwork for future DS and DACPR studies in the PAROS network. SN - 1471-227X UR - https://www.unboundmedicine.com/medline/citation/31910801/Emergency_medical_dispatch_services_across_Pan-Asian_countries:_a_web-based_survey L2 - https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-019-0299-1 DB - PRIME DP - Unbound Medicine ER -