Skip to main content

Belgian dispatchers' telephone cardiopulmonary resuscitation protocol training: an evaluation study

Introduction

Early bystander cardiopulmonary resuscitation (CPR) is one of the most effective interventions in improving outcome from sudden out-of-hospital cardiac arrest. However, despite large-scale community training programs, citizen-CPR rates have been persistently low. Therefore, a recent report of the 2010 European Resuscitation Council guidelines has re-emphasized the need for dispatchers to be specifically trained in starting telephone CPR protocol for suspected cardiac arrest. In accordance, 112 Belgian dispatchers have been trained for resuscitation assistance by telephone, using a specific protocol named ALERT (Algorithme Liègeois d'Encadrement à la Réanimation Téléphonique). The present work evaluates the educational aspects of this recent implementation.

Methods

This was a prospective multicentric study including all French-speaking dispatchers in Belgium (n = 140). The aim was to assess the added value of the training, based on the model of Donald Kirkpatrick that allowed gathering information about perceptions of dispatchers, their satisfaction with the training and their actual ability to apply the protocol.

Results

Dispatchers had a good pre-existing overall knowledge of CPR (80%), which was nevertheless significantly increased by the training (97%). There was a significant improvement in perceptions of dispatchers regarding their assistance skills (+44%). The training provided a significant improvement in staff perceptions on applicability of the approach on the field, and impacts for the victims. Participants (96%) were generally satisfied with the training. Finally, participants' knowledge on public health issues (33%), basic life support (+17%) and dispatching protocol (+19%) was significantly improved.

Conclusions

French-language federal training in the 100/112 dispatching centers significantly improves dispatchers' perceptions and knowledge of assistance to resuscitation by the ALERT protocol. Such results reinforce the pivotal role of standardized protocols and training in art and science medical dispatching.

References

  1. 1.

    Ghuysen A, Collas D, Stipulante S, et al.: Dispatcher-assisted telephone cardiopulmonary resuscitation using a French-language compression-only protocol in volunteers with or without prior life support training: a randomized trial. Resuscitation 2011, 82: 57-63. 10.1016/j.resuscitation.2010.09.014

    Article  PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to A Ghuysen.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Cite this article

Ghuysen, A., El FAssi, M., Stipulante, S. et al. Belgian dispatchers' telephone cardiopulmonary resuscitation protocol training: an evaluation study. Crit Care 15, P289 (2011). https://doi.org/10.1186/cc9709

Download citation

Keywords

  • Cardiac Arrest
  • Dispatch
  • Cardiopulmonary Resuscitation
  • Basic Life Support
  • Staff Perception