Effect of Bystander CPR Initiated by a Dispatch Center Following Out-of-Hospital Cardiac Arrest on 30-Day Survival

Effect of Bystander CPR Initiated by a Dispatch Center Following Out-of-Hospital Cardiac Arrest on 30-Day Survival

Adjusted results from the French National Cardiac Arrest Registry

Cardiac arrest (CA) was considered irreversible until 1960, when basic cardiopulmonary resuscitation (CPR) was defined. CPR guidelines include early recognition of CA, rapid and effective CPR, effective defibrillation strategies and organized post-resuscitation to ensure a strengthening of the survival chain. Bystanders are the key to extremely early management, which is associated with the early medical care provided by EMS.

In this study, the prognosis of a bystander’s cardiac cardiopulmonary resuscitation (CPR) when it is initiated by the Dispatch Center (DC) was determined. Researchers grouped 18,185 patients into three according to who initiated the CPR; of these, 12,743 (70.1%) are men and the average age is 70.1 years. A suitable option following out-of-hospital cardiac arrest is bystander CPR initiated by the dispatch center Thirty-day survival was 5.11% in the absence of CPR, 8.86% with bystander initiation and 7.35% with DC initiation. The three groups had survival at day 30 with favorable neurologic prognosis (CPC 1–2) of 76.30%, 83.69%, and 82.82%, respectively.

Researchers conclude that "Bystander CPR initiated by the dispatch center represents a suitable option following out-of-hospital cardiac arrest."

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