Timely and adequate allocation of prehospital medical assistance to cardiac arrest patients -how to do it. Theresa M. Olasveengen MD, PhD Dept. of Anaesthesiology Oslo University Hospital 1 2 3 Help identify arrest Provide telephone Instructions for CPR Guide bystander To defibrillator

#1 Dispatch recognition matters #2 T-CPR matters Functional outcome 6.3% 8.5% 12.4% Adj. functional outcome Ref ORadj 1.56 (1.06, 2.31) ORadj 1.58 (1.05, 2.39) #3 Defibrillators can be dispatched

Take-home message High quality dispatch matters! Tips for optimizing dispatch Spesific > general training Measure quality! Monitoring/feedback is difficult! Remember: trust, respect, and maybe a little bit of coercion…