évaluation de la conformité du conseil téléphonique au centre 15 en cas d’arrêt cardiaque

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• 作者：A. Sigaux (1)
  S. Jonquet (1)
  M. Puyraveau (2)
  L. Bretillot (1)
  J. -M. Labourey (1)
  G. Capellier (1)
  T. Desmettre (1)
  
• 关键词：Arrêt cardiaque ; Conseil téléphonique ; CRRA 15 ; Réanimation cardiopulmonaire ; Cardiac arrest ; Phone council ; Medical call center ; Cardiopulmonary resuscitation
• 刊名：Annales fran?aises de m篓娄decine d'urgence
• 出版年：2014
• 出版时间：January 2014
• 年：2014
• 卷：4
• 期：1
• 页码：11-17
• 全文大小：190 KB
• 作者单位：A. Sigaux (1)
  S. Jonquet (1)
  M. Puyraveau (2)
  L. Bretillot (1)
  J. -M. Labourey (1)
  G. Capellier (1)
  T. Desmettre (1)
  
  1. Samu 25-centre 15, université de Franche-Comté, CHRU de Besan?on, 1, boulevard Fleming, F-25030, Besan?on cedex, France
  2. Centre de méthodologie clinique, CHRU de Besan?on, 1, boulevard Fleming, F-25030, Besan?on cedex, France
  
• ISSN：2108-6591

文摘

Objective Assessment of compliance of phone advice delivered by a medical call center in case of cardiac arrest (CA) in regard to the last international recommendations. Methods A prospective, monocentric, and observational study was performed after approval by local ethic committee. Assessment of compliance was evaluated on the following criteria: installation of the victim on a hard surface, chest compressions at 100-120/min, and thoracic compression amplitude of 5 to 6cm. Data were collected from phone records and medical chart. Results From January 28 to April 4, 2013, 100 CA cases were studied. CA occurred in 88% of cases at home. A phone advice was delivered in 76% of cases, by an assistant of the call center in 54% of cases. The compliance of telephone advice delivered was 27%. The installation on a hard surface board was consistently delivered, while the frequency and depth of compression were wrong in 61% and 72% of cases, respectively. When CA occurred in a public place with automated external defibrillator (AED), it influenced significantly the quality of advice. AED presence and its use and age influenced significantly the survival. Conclusion Twenty-seven percent of telephone advices comply with the recommendations in case of CA. Integration of systematic procedures in the software is a track for improvement that should be tested within medical call center 15.