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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3433

Title: Quality of dispatch‐assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational simulation study.
Other Titles: 日本の標準プロトコールに従った口頭指導下での非医療事者の心肺停止蘇生法の質の評価 : シミュレーョン観察研究
Authors: Asai, Hideki
Fukushima, Hidetada
Bolstad, Francesco
Okuchi, Kazuo
Keywords: Cardiac arrest
cardiopulmonary resuscitation
emergency medical services
prehospital care/medical control
simulation
Issue Date: 11-Oct-2017
Publisher: John Wiley and Sons, Inc.
Citation: Acute medicine and surgery Vol.5 No.2 p.133-139 (2018 Apr)
Abstract: Methods: We recruited laypersons at a shopping mall and measured the quality of CPR carried out in our simulation. Dispatchers provided instruction in accordance with the standard DACPR protocol in Japan. Results: Twenty‐three laypersons (13 with CPR training experience within the past 2 years and 10 with no training experience) participated in this study. The median chest compression rate and depth were 106/min and 33 mm, respectively. The median time interval from placing the 119 call to the start of chest compressions was 119 s. No significant difference was found between the groups with and without training experience. However, subjects with training experience more frequently placed their hands correctly on the manikin (84.6% versus 40.0%; P = 0.026). Twelve participants (52.2%, seven in trained and five in untrained group) interrupted chest compressions for 3–18 s, because dispatchers asked if the patient started breathing or moving. Conclusion: This current simulation study showed that the quality of DACPR carried out by lay rescuers can be less than optimal in terms of depth, hand placement, and minimization of pauses. Further studies are required to explore better DACPR instruction methods to help lay rescuers perform CPR with optimal quality.
Description: 博士(医学)・乙第1417号・平成30年3月15日
© 2017 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.This is an open access article under the terms of the Creative Commons Attribution License(https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
URI: http://hdl.handle.net/10564/3433
ISSN: 20528817
Academic Degrees and number: 24601B1417
Degree-granting date: 2018-03-15
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2017年度

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