Alarm Operator Instructions on how to guide people to perform CPR. But it is not always the operators follow the instructions.

Misunderstanding of Cardiopulmonary Resuscitation

Published: 4 June 2014

It is not unusual that there will be misunderstandings when emergency operators by phone should instruct people who are trying to save the lives of cardiac arrest victims. It shows a master's thesis by Helena North Ljungqvist, lecturer at the Department of Health Sciences, Luleå University of Technology. The research results will be presented in the fall at an international congress on health emergencies in Dublin, Ireland.

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Helena North Ljungquists study of telephone guidance in cardiac arrest should be presented in a poster at the 1st Global Conference on Emergency Nursing & Trauma in Dublin.

– It feels good to share the results of study to others, says Helena North Ljungqvist.

The results are based on analysis of communication at 20 simulated cardiac arrest situations. Test subjects have received instruction on cardiopulmonary resuscitation measures (CPR) by emergency operators at SOS Alarm.

The airway difficult

The phone calls were recorded while subjects were filmed.

The single most difficult instructions to follow for both the emergency operator and layman were airway instruction.

Only 25 percent of alarm operators followed the instructions as a whole and ten percent of the subjects were able to create a clear airway.

The results showed that if the alarm operators fully follow their instructions for guidance in CPR so did the subjects entitled to 70 per cent.

Unexpected conclusion

A somewhat unexpected finding was that there seemed to be little difference in the quality of cardiopulmonary resuscitation measures, depending on whether the communication was good or poor.

– This may be the funderas over. One conclusion might be that it requires regular training to do CPR, another that it is difficult to take instructions on the phone, says Helena North Ljungqvist.

She stresses that the study is based on a relatively small surface and that it is not possible to draw far-reaching conclusions from it.

Master's dissertation on telefoninstruerad CPR has been made ​​under the supervision of Katarina Bohm, Karolinska Institutet, Department of Clinical Science and Education, South Hospital and Margaret Burn Energy, Department of Nursing, Umeå University.