Aim
To evaluate communication issues during dispatcher-assisted cardiopulmonary resuscitation (DACPR) for paediatric out-of-hospital cardiac arrest in a structured manner to facilitate recommendations for training improvement.
Methods
A retrospective observational study evaluated DACPR communication issues using the SACCIA ® Safe Communication typology (Sufficiency, Accuracy, Clarity, Contextualization, Interpersonal Adaptation). Telephone recordings of 31 cases were transcribed verbatim and analysed with respect to encoding, decoding and transactional communication issues.
Results
Sixty SACCIA communication issues were observed in the 31 cases, averaging 1.9 issues per case. A majority of the issues were related to sufficiency (35%) and accuracy (35%) of communication between dispatcher and caller. Situation specific guideline application was observed in CPR practice, (co)counting and methods of compressions.
Conclusion
This structured evaluation identified specific issues in paediatric DACPR communication. Our training recommendations focus on situation and language specific guideline application and moving beyond verbal communication by utilizing the smart phone’s functions. Prospective efforts are necessary to follow-up its translation into better paediatric DACPR outcomes.

Additional Metadata
Keywords Cardiac arrest, Cardiopulmonary resuscitation, SACCIA, Safety, Communication, Dispatcher-assisted, Paediatric
Persistent URL dx.doi.org/10.1016/j.resuscitation.2019.04.009, hdl.handle.net/1765/128742
Journal Resuscitation
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Citation
J.H. Pek (Jen Heng), de Korne, D.F, A.F. Hannawa (Annegret Friederieke), B.S.H. Leong (Benjamin Siew Hong), Y.Y. Ng (Yih Yng), S. Arulanandam (Shalini), … G.Y.K. Ong (Gene Yong-Kwang). (2020). Dispatcher-assisted cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest. Resuscitation, 139, 144–151. doi:10.1016/j.resuscitation.2019.04.009