Posts Tagged ‘911’

AZ’s 911 Telephone-Assisted CPR Initiative Goes Global

April 12th, 2013

If you’re a regular reader, you know how much value I place on using data to decide if interventions are successful and then sharing successful interventions with others. The way we helped change to hands-only CPR is a great example. We used evidence to craft our intervention (modifying how CPR is done), measured its effectiveness, and published the results. Now, most of the country and some of the world is shifting to the new CPR. 

Dr. Ben Bobrow (our EMS Medical Director) bounded into my office about a year ago with a similar idea to train 911 dispatchers to coach callers through CPR instructions more effectively. We cobbled together the money from some voter initiative funds, and our ADHS Telephone-Assisted CPR program was born.  Of course, we built measurement into the front end, and the results showed that we’ve almost cut in half the time it takes for 911 callers to start CPR. That’s real important- because survival drops by 10% for every minute delay in starting CPR- and the typical wait time for an ambulance is 5-8 minutes. 

Now that successful program is going international. One of the Clinton Global Initiative meetings this week in St. Louis highlighted our dispatch training initiative as a scalable evidence-based best-practice with a high return on investment.  Basically, it’s quickly becoming a global model for saving lives. In fact, the Global Dispatch CPR Intervention is already underway in 10 countries in Asia (including Singapore this week)… and will last about 3 years, focusing on Asia, the Middle East and North America.

 

Dispatch Interventions

June 25th, 2012

About a year ago Ben Bobrow, MD (our EMS Medical Director) came into my office with a great idea to set up a program to train 911 dispatchers in better ways to coach callers through CPR instructions so callers can do a better job before the paramedics get there.  The problem was money.  So I sent him over to our chronic disease prevention team that controls a 2002 voter approved fund which places tobacco tax revenue into a prevention and early detection fund.  Ben got with Wayne Tormala and his team funded and put together the intervention.  

Our team put together and executed training for 911 dispatchers so they can guide the bystander in starting CPR quicker and better.  Led by Dr. Ben Bobrow & CPR Dispatch Program Manager Micah Panczyk, the ADHS Telephone-Assisted CPR program trains 911 dispatch staff on how to guide a caller on the delivery of chest-compression-only CPR. That’s real important- because survival drops by 10% for every minute delay in starting CPR- and the typical wait time for an ambulance is between 5 and 8 minutes.  

Our built in measurement tools suggest that (once implemented statewide) we can expect to save 660 lives every year in AZ with this intervention alone.  It just goes to show you that public health can save lives in unusual ways if you have creative and energetic folks that work together.  

By the way- the national survival rate for cardiac arrest is between 5 and 8%.  Not here.  Because of interventions like this one, Arizona’s (witnessed) cardiac arrest survival rate is 32%- 4 to 5 times better than the national average.  Some of our efforts got some great media coverage in the Arizona Republic and on KVOA in Tucson.