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{ "pk": 15350, "title": "Dispatcher Self-assessment and Attitude Toward Video Assistance as a New Tool in Simulated Cardiopulmonary Resuscitation", "subtitle": null, "abstract": "Introduction:\n Video-assisted cardiopulmonary resuscitation (V-CPR) describes an advanced telephone-assisted CPR (T-CPR), in which emergency medical service (EMS) dispatchers view a live video steam of the resuscitation. Dispatchers ’ general attitudes toward and self-assessment in V-CPR have not been previously investigated.\nMaterial and Methods:\n We conducted this quantitative analysis along with a pilot study on V-CPR. After conducting V-CPR with laypersons in a simulation, EMS dispatchers were given questionnaires with 21 items concerning their personal attitude toward V-CPR and their self-assessment in providing instructions. The actual CPR performance achieved was recorded and compared to the dispatchers’ self-assessments.\nResults:\n Dispatchers completed 49 questionnaires, and the data is presented descriptively. Over 80% strongly agreed that V-CPR was helpful in guiding and that their feedback improved CPR quality. Fifty-one percent agreed that video images supported them in making a diagnosis, while 44.9% disagreed. A vast majority (80-90% each) strongly agreed that V-CPR helped them recognize CPR issues such as compression point, compression rate, and deterioration. In contrast, data for improved compression depth and release were weaker. Thirty percent found V-CPR to be more stressful or exhausting than T-CPR. A majority stated they would prefer V-CPR as an addition to T-CPR in the future. There was a huge gap between dispatchers’ own view of CPR effort and measured CPR quality. \nConclusion:\n Dispatchers generally embrace V-CPR and praise the abilities it provides. Our results indicate that the use of V-CPR did not automatically result in an overall improvement in guideline-compliant CPR quality.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "CPR" }, { "word": "resuscitation" }, { "word": "Video-assisted CPR" }, { "word": "dispatcher" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5kx9x0c6", "frozenauthors": [ { "first_name": "Hannes", "middle_name": "", "last_name": "Ecker", "name_suffix": "", "institution": "University of Cologne, Medical Faculty and University Hospital Cologne, Department of Anaesthesiology and Intensive Care Medicine, Cologne, Germany", "department": "None" }, { "first_name": "Sabine", "middle_name": "", "last_name": "Wingen", "name_suffix": "", "institution": "University of Cologne, Medical Faculty and University Hospital Cologne, Department of Anaesthesiology and Intensive Care Medicine, Cologne, Germany; FOM University of Applied Sciences, Cologne, Germany", "department": "None" }, { "first_name": "Anna", "middle_name": "", "last_name": "Hagemeier", "name_suffix": "", "institution": "University of Cologne, Medical Faculty and University Hospital Cologne, Institute of Medical Statistics and Computational Biology, Cologne, Germany", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Plata", "name_suffix": "", "institution": "University of Cologne, Medical Faculty and University Hospital Cologne, Department of Anaesthesiology and Intensive Care Medicine, Cologne, Germany; University Hospital RWTH Aachen, Department of Emergency Medicine, Aachen, Germany", "department": "None" }, { "first_name": "Bernd", "middle_name": "W.", "last_name": "Böttiger", "name_suffix": "", "institution": "University of Cologne, Medical Faculty and University Hospital Cologne, Department of Anaesthesiology and Intensive Care Medicine, Cologne, Germany", "department": "None" }, { "first_name": "Wolfgang", "middle_name": "A.", "last_name": "Wetsch", "name_suffix": "", "institution": "University of Cologne, Medical Faculty and University Hospital Cologne, Department of Anaesthesiology and Intensive Care Medicine, Cologne, Germany", "department": "None" } ], "date_submitted": "2021-05-04T15:20:16+01:00", "date_accepted": "2021-05-04T15:20:16+01:00", "date_published": "2022-03-01T00:48:33Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15350/galley/7771/download/" } ] }