What are the AHA recommendations for cardiopulmonary resuscitation (CPR) for dispatchers?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

Recommendations specifically for dispatchers include the following [45] :

  • Emergency dispatchers should be educated to identify unresponsiveness with abnormal breathing and agonal gasps across a range of clinical presentations and descriptions (class I)

  • After acquiring the requisite information to determine the location of the event, dispatchers should determine whether a patient is unresponsive with abnormal breathing (class I); if the caller reports that the patient is unresponsive with abnormal or no breathing, it is reasonable to assume the patient is in cardiac arrest (class IIa)

  • To increase bystander performance of CPR, telephone instructions on compression-only CPR should be provided to callers reporting an unresponsive adult who is not breathing or not breathing normally (ie, only gasping) (class I)

  • Dispatchers should instruct responders to provide CPR if the victim is unresponsive with no normal breathing, even when the victim demonstrates occasional gasps (class I)

  • Review of the quality of dispatcher CPR instructions provided to specific callers is an important component of a high-quality lifesaving program (class IIb)


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