Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study
Aim: To describe the barriers to cardiopulmonary resuscitation (CPR) initiation and continuation in emergency calls for out-of-hospital cardiac arrest (OHCA). Methods: We analysed 295 consecutive emergency calls relating to OHCA over a four-month period (1 January – 30 April 2021). Calls included...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
| Published: |
Elsevier
2023
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| Online Access: | http://purl.org/au-research/grants/nhmrc/2005422 http://hdl.handle.net/20.500.11937/94161 |
| _version_ | 1848765842663145472 |
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| author | Aldridge, Emogene Perera, Niru Ball, Stephen Birnie, Tanya Morgan, Alani Whiteside, Austin Bray, Janet Finn, Judith |
| author_facet | Aldridge, Emogene Perera, Niru Ball, Stephen Birnie, Tanya Morgan, Alani Whiteside, Austin Bray, Janet Finn, Judith |
| author_sort | Aldridge, Emogene |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Aim: To describe the barriers to cardiopulmonary resuscitation (CPR) initiation and continuation in emergency calls for out-of-hospital cardiac arrest
(OHCA).
Methods: We analysed 295 consecutive emergency calls relating to OHCA over a four-month period (1 January – 30 April 2021). Calls included
were paramedic-confirmed, non-traumatic, non-EMS-witnessed OHCA, where the caller was with the patient. Calls were listened to in full and coded
in terms of barriers to CPR initiation and continuation, and patient and caller characteristics.
Results: Overall, CPR was performed in 69% of calls and, in 85% of these, callers continued performing CPR until EMS arrival. Nearly all callers
(99%) experienced barriers to CPR initiation and/or continuation during the call. The barriers identified were classified into eight categories: reluc tance, appropriateness, emotion, bystander physical ability, patient access, leaving the scene, communication failure, caller actions and call-taker
instructions. Of these, bystander physical ability was the most prevalent barrier to both CPR initiation and continuation, occurring in 191 (65%) calls,
followed by communication failure which occurred in 160 (54%) calls. Callers stopping or interrupting CPR performance due to being fatigued was
lower than expected (n = 54, 26% of callers who performed CPR). Barriers to CPR initiation that related to bystander physical ability, caller actions,
communication failure, emotion, leaving the scene, patient access, procedural barriers, and reluctance were mostly overcome by the caller (i.e., CPR
was performed).
Conclusion: Barriers to CPR initiation and continuation were commonly experienced by callers, however they were frequently overcome. Future
research should investigate the strategies that were successful. |
| first_indexed | 2025-11-14T11:41:41Z |
| format | Journal Article |
| id | curtin-20.500.11937-94161 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T11:41:41Z |
| publishDate | 2023 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-941612024-02-01T01:03:31Z Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study Aldridge, Emogene Perera, Niru Ball, Stephen Birnie, Tanya Morgan, Alani Whiteside, Austin Bray, Janet Finn, Judith Aim: To describe the barriers to cardiopulmonary resuscitation (CPR) initiation and continuation in emergency calls for out-of-hospital cardiac arrest (OHCA). Methods: We analysed 295 consecutive emergency calls relating to OHCA over a four-month period (1 January – 30 April 2021). Calls included were paramedic-confirmed, non-traumatic, non-EMS-witnessed OHCA, where the caller was with the patient. Calls were listened to in full and coded in terms of barriers to CPR initiation and continuation, and patient and caller characteristics. Results: Overall, CPR was performed in 69% of calls and, in 85% of these, callers continued performing CPR until EMS arrival. Nearly all callers (99%) experienced barriers to CPR initiation and/or continuation during the call. The barriers identified were classified into eight categories: reluc tance, appropriateness, emotion, bystander physical ability, patient access, leaving the scene, communication failure, caller actions and call-taker instructions. Of these, bystander physical ability was the most prevalent barrier to both CPR initiation and continuation, occurring in 191 (65%) calls, followed by communication failure which occurred in 160 (54%) calls. Callers stopping or interrupting CPR performance due to being fatigued was lower than expected (n = 54, 26% of callers who performed CPR). Barriers to CPR initiation that related to bystander physical ability, caller actions, communication failure, emotion, leaving the scene, patient access, procedural barriers, and reluctance were mostly overcome by the caller (i.e., CPR was performed). Conclusion: Barriers to CPR initiation and continuation were commonly experienced by callers, however they were frequently overcome. Future research should investigate the strategies that were successful. 2023 Journal Article http://hdl.handle.net/20.500.11937/94161 10.1016/j.resuscitation.2023.110104 http://purl.org/au-research/grants/nhmrc/2005422 http://purl.org/au-research/grants/nhmrc/1174838 http://creativecommons.org/licenses/by/4.0/ Elsevier fulltext |
| spellingShingle | Aldridge, Emogene Perera, Niru Ball, Stephen Birnie, Tanya Morgan, Alani Whiteside, Austin Bray, Janet Finn, Judith Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study |
| title | Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study |
| title_full | Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study |
| title_fullStr | Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study |
| title_full_unstemmed | Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study |
| title_short | Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: A descriptive cohort study |
| title_sort | barriers to cpr initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: a descriptive cohort study |
| url | http://purl.org/au-research/grants/nhmrc/2005422 http://purl.org/au-research/grants/nhmrc/2005422 http://hdl.handle.net/20.500.11937/94161 |