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    Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest

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    Author
    Nuño, Tomas
    Bobrow, Bentley J.
    Rogge-Miller, Karen A.
    Panczyk, Micah
    Mullins, Terry
    Tormala, Wayne
    Estrada, Antonio
    Keim, Samuel M.
    Spaite, Daniel W.
    Affiliation
    Univ Arizona, Coll Med, Arizona Emergency Med Res Ctr
    Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Div Publ Hlth Practice & Translat Res
    Univ Arizona, Coll Social & Behav Sci, Dept Mexican Amer Studies
    Issue Date
    2017-06
    Keywords
    Cardiac arrest
    Process outcomes
    Disparities
    Telephone cardiopulmonary resuscitation
    
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    Publisher
    ELSEVIER IRELAND LTD
    Citation
    Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest 2017, 115:11 Resuscitation
    Journal
    Resuscitation
    Rights
    © 2017 Elsevier B.V. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Aim: Spanish-only speaking residents in the United States face barriers to receiving potentially life-saving 911 interventions such as Telephone-cardiopulmonary resuscitation (TCPR) instructions. Since 2015, 911 dispatchers have placed an increased emphasis on rapid identification of potential cardiac arrest. The purpose of this study was to describe the utilization and timing of the 911 system during suspected out-of-hospital cardiac arrest (OHCA) by Spanish-speaking callers in Metropolitan Phoenix, Arizona. Methods: The dataset consisted of suspected OHCA from 911 centers from October 10, 2010 through December 31, 2013. Review of audio TCPR process data included whether the need for CPR was recognized by telecommunicators, whether CPR instructions were provided, and the time elements from call receipt to initiation of compressions. Results: A total of 3398 calls were made to 911 for suspected OHCA where CPR was indicated. A total of 39 (1.2%) were determined to have a Spanish language barrier. This averages to 18 calls per year with a Spanish language barrier during the study period, compared with 286 OHCAs expected per year among this population. The average time until telecommunicators recognized CPR need was 87.4 s for the no language barrier group compared to 160.6 s for the Spanish-language barrier group (p < 0.001). Time to CPR instructions started was significantly different between these groups (144.4 s vs 231.3 s, respectively) (p < 0.001), as was time to first compression, (174.4 s vs. 290.9 s, respectively) (p < 0.001). Conclusions: Our study suggests that Hispanic callers under-utilize the 911 system, and when they do call 911, there are significant delays in initiating CPR. (C) 2017 Elsevier B.V. All rights reserved.
    Note
    12 month embargo; Published online 23 March 2017.
    ISSN
    03009572
    PubMed ID
    28342956
    DOI
    10.1016/j.resuscitation.2017.03.028
    Version
    Final accepted manuscript
    Sponsors
    Arizona Department of Health Services Bureau of Tobacco and Chronic Disease; Medtronic Philanthropy Foundation through the HeartRescue Program; NIH/NHLBI [5R25HL126140]
    Additional Links
    http://linkinghub.elsevier.com/retrieve/pii/S0300957217301296
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.resuscitation.2017.03.028
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