Dispatcher-assisted "phone" cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation.
Based on both animal studies and field studies of the process and intermediate outcomes related to cardiopulmonary resuscitation (CPR), we initiated a randomized trial of dispatcher-assisted CPR, with the intervention arm receiving instructions for chest compression only and the control arm receiving standard instructions for airway maintenance ventilation, and chest compression. Of 241 patents randomized to chest compression instructions only, 35 survived (14.6%) compared with 29 of 279 (10.4%) patients in the control arm (p = .09). These results may have implications for future guidelines and teaching CPR.
Hallstrom
A P
AP
Clinical Trial Center, University of Washington, Seattle 98105, USA.
D000368:Aged; D016887:Cardiopulmonary Resuscitation / Q000193:education / Q000379:methods*; D004631:Emergency Medical Service Communication Systems; D005260:Female; D006323:Heart Arrest / Q000401:mortality / Q000628:therapy; D006336:Heart Massage; D006801:Humans; D008297:Male; D010343:Patient Admission / Q000706:statistics & numerical data; D012121:Respiration, Artificial; D015996:Survival Rate; D013689:Telephone