Barriers to telephone cardiopulmonary resuscitation in public and residential locations

Hidetada Fukushima, Micah Panczyk, Daniel W. Spaite, Vatsal Chikani, Christian Dameff, Chengcheng Hu, Tonje S. Birkenes, Helge Myklebust, John Sutter, Blake Langlais, Zhixin Wu, Bentley J. Bobrow

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Aim Emergency medical telecommunicators can play a key role in improving outcomes from out-of-hospital cardiac arrest (OHCA) by providing instructions for cardiopulmonary resuscitation (CPR) to callers. Telecommunicators, however, frequently encounter barriers that obstruct the Telephone CPR (TCPR) process. The nature and frequency of these barriers in public and residential locations have not been well investigated. The aim of this study is to identify the barriers to TCPR in public and residential locations. Methods We conducted a retrospective study of audio recordings of EMS-confirmed OHCAs from eight regional 9-1-1 dispatch centers between January 2012 and December 2013. Results We reviewed 1850 eligible cases (public location OHCAs: N = 223 and residential location OHCAs: N = 1627). Telecommunicators less frequently encountered barriers such as inability to calm callers in public than in residential locations (2.1% vs 8.5%, p = 0.002) or inability to place victims on a hard flat surface (13.9% vs 25.4%, p < 0.001). However, the barrier where callers were not with patients was more frequently observed in public than in residential locations (11.8% vs 2.7%, p < 0.001). Conclusions This study revealed that barriers to TCPR are distributed differently across public and residential locations. Understanding these differences can aid in the development of strategies to enhance bystander CPR and improve overall patient outcomes.

Original languageEnglish (US)
Pages (from-to)116-120
Number of pages5
StatePublished - Dec 1 2016


  • Basic life support
  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • Telephone CPR

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine


Dive into the research topics of 'Barriers to telephone cardiopulmonary resuscitation in public and residential locations'. Together they form a unique fingerprint.

Cite this