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Title
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Time delays to reach dispatch centres in different regions in Europe. Are we losing the window of opportunity? - The EUROCALL study
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Author
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Institution/Organisation
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EUROCALL Invest
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Abstract
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| Aim: In out of hospital cardiac arrest (OHCA) the start of Cardiopulmonary Resuscitation (CPR) by a single rescuer may be delayed considerably if the total time (TT) to connect the telephone call to the Emergency Medical Communication Centre (EMCC) is prolonged. EUROCALL investigated the TT-EMCC and its components using different calling procedures. Methods: This prospective, multicentre, randomised study was performed in April 2013. Telephone calls were randomly allocated to time of call, and to those connecting directly to the EMCC (1-step procedure) and those diverted before connecting to the EMCC (2-step procedure). Results: Twenty-one EMCCs from 11 countries participated in the study. Time to first ringtone was similar between 1-step 3.7 s (IQR 1.0-5.2) and 2-step calls 4.0 s (IQR 2.4-5.2). For the 1878 1-step calls, the median TT-EMCC was 11.7 s (IQR 8.7-18.5). For the 1550 2-step calls, the median time from first ringtone to first call-taker was 7 s (IQR 4.6-11.9) and from first call-taker to EMCC was 18.7 s (IQR 13.4-29.9). Median TT-EMCC was 33.2 s (IQR 24.7-46.1) and was significantly longer than the TT-EMCC observed with the 1-step procedure (P < 0.0001). Significant differences existed among participating regions between and within different countries both for 1-step and 2-step procedures. Conclusion: TT-EMCC was significantly shorter in a 1-step procedure compared to a 2-step procedure. Regional differences existed between countries but also within countries. This may be relevant in cases of OHCA and other situations where patient outcome is critically time-dependent. (C) 2016 Elsevier Ireland Ltd. All rights reserved. |
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Language
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English
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Source (journal)
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Resuscitation. - Limerick, 1972, currens
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Publication
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Limerick
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2017
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ISSN
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0300-9572
[print]
1873-1570
[online]
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DOI
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10.1016/J.RESUSCITATION.2016.10.026
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Volume/pages
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111
(2017)
, p. 8-13
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ISI
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000397164200008
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Pubmed ID
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27856240
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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