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Background The use of out-of-hospital emergency medical services by old and very old individuals is increasing. These patients frequently require complex evaluation and decision-making processes to determine a strategy of care, therapeutic choices or withdrawal of care in life-threatening situations. During out-of-hospital missions, thorough decision-making is difficult because of the limited amount...
Dispatch-assisted cardiopulmonary resuscitation (DA-CPR) plays a key role in out-of-hospital cardiac arrests. We sought to measure dispatchers’ performances in a criteria-based system in recognizing cardiac arrest and delivering DA-CPR. Our secondary purpose was to identify the factors that hampered dispatchers’ identification of cardiac arrests, the factors that prevented them from proposing DA-CPR,...
Objectives: The aim of this study was to evaluate the rate and reason for refusal of telephone‐based cardiopulmonary resuscitation (CPR) instruction by bystanders after the implementation of the dispatch center’s systematic telephone CPR protocol.
Methods: Over a 15‐month period the authors prospectively collected all case records from the emergency medical services (EMS) dispatch center when CPR...
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