A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia

Technology has enabled the utilization of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) through mobile video call for layman bystanders as opposed to the conventional audio call. This study aimed to examine the effects of medical guidance through a video call on cardiopulmonary resuscit...

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Main Authors: Zulkhifli, Mohamad Faizal, Ahmad, Rashidi, Nazri, Mohd Zahir Amin Mohd, Azhar, Abdul Muhaimin Noor
Format: Article
Published: Emergency Medicine Physicians Assoc Turkey 2021
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Online Access:http://eprints.um.edu.my/34814/
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spelling my.um.eprints.348142022-09-07T04:39:50Z http://eprints.um.edu.my/34814/ A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia Zulkhifli, Mohamad Faizal Ahmad, Rashidi Nazri, Mohd Zahir Amin Mohd Azhar, Abdul Muhaimin Noor R Medicine R Medicine (General) Medical technology Technology has enabled the utilization of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) through mobile video call for layman bystanders as opposed to the conventional audio call. This study aimed to examine the effects of medical guidance through a video call on cardiopulmonary resuscitation (CPR) quality during the management of cardiac arrest. Materials and Methods: A quasi-experimental study was conducted on 102 participants. These participants were divided into two groups: laymen who received CPR instructions through dispatcher-assisted video call (n=51) and healthcare personnel (n=51) who did not receive any assistance. The compression rate and depth, compression fraction, chest recoil, and hand positioning were compared between the groups. Results: Laymen who received video call DA-CPR performed better than the healthcare personnel in adhering to the recommended compression rate (109.7 min-1 vs 126.7 min(-1), p<0.05) and allowing chest recoil (94.8% vs 84.4%, p<0.05) but performed poorer in terms of compression depth (58.8% vs 98%, p<0.05) and chest compression fraction (49.2% vs 60.8%, p< 0.05). Hand positioning in the layman group was less accurate in comparison with that in the healthcare personnel group (90.2% vs 96.1%), but the result was not statistically significant (p=0.24). Conclusion: In this study, video call DA-CPR allows laymen to deliver CPR with better compression rate, chest recoil, and hand placement than did healthcare personnel. However, inadequate compression depth and low chest compression fraction in the video call DA-CPR group show that more study is needed to deliver effective instructions during the video call to improve these areas. Emergency Medicine Physicians Assoc Turkey 2021-09 Article PeerReviewed Zulkhifli, Mohamad Faizal and Ahmad, Rashidi and Nazri, Mohd Zahir Amin Mohd and Azhar, Abdul Muhaimin Noor (2021) A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia. Eurasian Journal Of Emergency Medicine, 20 (3). pp. 172-177. ISSN 2149-5807, DOI https://doi.org/10.4274/eajem.galenos.2021.81994 <https://doi.org/10.4274/eajem.galenos.2021.81994>. 10.4274/eajem.galenos.2021.81994
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
R Medicine (General)
Medical technology
spellingShingle R Medicine
R Medicine (General)
Medical technology
Zulkhifli, Mohamad Faizal
Ahmad, Rashidi
Nazri, Mohd Zahir Amin Mohd
Azhar, Abdul Muhaimin Noor
A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia
description Technology has enabled the utilization of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) through mobile video call for layman bystanders as opposed to the conventional audio call. This study aimed to examine the effects of medical guidance through a video call on cardiopulmonary resuscitation (CPR) quality during the management of cardiac arrest. Materials and Methods: A quasi-experimental study was conducted on 102 participants. These participants were divided into two groups: laymen who received CPR instructions through dispatcher-assisted video call (n=51) and healthcare personnel (n=51) who did not receive any assistance. The compression rate and depth, compression fraction, chest recoil, and hand positioning were compared between the groups. Results: Laymen who received video call DA-CPR performed better than the healthcare personnel in adhering to the recommended compression rate (109.7 min-1 vs 126.7 min(-1), p<0.05) and allowing chest recoil (94.8% vs 84.4%, p<0.05) but performed poorer in terms of compression depth (58.8% vs 98%, p<0.05) and chest compression fraction (49.2% vs 60.8%, p< 0.05). Hand positioning in the layman group was less accurate in comparison with that in the healthcare personnel group (90.2% vs 96.1%), but the result was not statistically significant (p=0.24). Conclusion: In this study, video call DA-CPR allows laymen to deliver CPR with better compression rate, chest recoil, and hand placement than did healthcare personnel. However, inadequate compression depth and low chest compression fraction in the video call DA-CPR group show that more study is needed to deliver effective instructions during the video call to improve these areas.
format Article
author Zulkhifli, Mohamad Faizal
Ahmad, Rashidi
Nazri, Mohd Zahir Amin Mohd
Azhar, Abdul Muhaimin Noor
author_facet Zulkhifli, Mohamad Faizal
Ahmad, Rashidi
Nazri, Mohd Zahir Amin Mohd
Azhar, Abdul Muhaimin Noor
author_sort Zulkhifli, Mohamad Faizal
title A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia
title_short A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia
title_full A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia
title_fullStr A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia
title_full_unstemmed A study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in Malaysia
title_sort study on the effectiveness of video call dispatcher-assisted cardiopulmonary resuscitation in enhancing the quality of cardiopulmonary resuscitation among laymen bystanders in malaysia
publisher Emergency Medicine Physicians Assoc Turkey
publishDate 2021
url http://eprints.um.edu.my/34814/
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score 13.211869