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Predictability of the Call Triage Protocol to Detect if Dispatchers Should Activate Community First Responders

Published online by Cambridge University Press:  16 September 2014

Kenji Narikawa ,
Tetsuya Sakamoto ,
Katsuaki Kubota ,
Masayuki Suzukawa ,
Chikara Yonekawa ,
Keisuke Yamashita ,
Yoshiki Toyokuni ,
Yasuharu Yasuda ,
Akihiro Kobayashi  and
Kazunori Iijima
Kenji Narikawa*
Affiliation:
Department of Sport and Medical Science Paramedic Course, Faculty of Medical Technology, Teikyo University, Itabashi, Tokyo, Japan
Tetsuya Sakamoto
Affiliation:
School of Medicine, Department of Emergency Medicine, Trauma and Resuscitation Center, Teikyo University, Itabashi, Tokyo, Japan
Katsuaki Kubota
Affiliation:
National Research Institute of Fire and Disaster of Japan, Tyofu, Tokyo, Japan
Masayuki Suzukawa
Affiliation:
Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan
Chikara Yonekawa
Affiliation:
Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan
Keisuke Yamashita
Affiliation:
Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan
Yoshiki Toyokuni
Affiliation:
Post-graduate School, Jichi Medical University, Shimotsuke, Tochigi, Japan
Yasuharu Yasuda
Affiliation:
Hiroshima International University, Department of Clinical Engineering, Higashi-Hiroshima, Hiroshima, Japan
Akihiro Kobayashi
Affiliation:
Administration Division, Haga Fire Department, Mooka, Tochigi, Japan
Kazunori Iijima
Affiliation:
Administration Division, Haga Fire Department, Mooka, Tochigi, Japan
*
Correspondence: Kenji Narikawa, BS, EMT-P Department of Sport and Medical Science Paramedic Course Faculty of Medical Technology Teikyo University 2-11-1 Kaga Itabashi-ku Tokyo, Japan 173-8605 E-mail narikawa@med.teikyo-u.ac.jp
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Abstract

Introduction

Shortening response time to an emergency call leads to the success of resuscitation by chest compression and defibrillation. However, response by ambulance or fire truck is not fast enough for resuscitation in Japan. In rural areas, response times can be more than 10 minutes. One possible way to shorten the response time is to establish a system of first responders (eg, police officers or firefighters) who are trained appropriately to perform resuscitation. Another possible way is to use a system of Community First Responders (CFRs) who are trained neighbors. At present, there are no call triage protocols to decide if dispatchers should activate CFRs.

Objective

The aim of this study was to determine the predictability to detect if dispatchers should activate CFRs.

Methods

Two CFR call triage protocols (CFR protocol Ver.0 and Ver.1) were established. The predictability of CFR protocols was examined by comparing the paramedic field reports. From the results of sensitivity of CFR protocol, the numbers of annual CFR activations were calculated. All data were collected, prospectively, for four months from October 1, 2012 through January 31, 2013.

Results

The ROC-AUC values appear slightly higher in CFR protocol Ver.1 (0.857; 95% CI, 79.8-91.7) than in CFR protocol Ver.0 (0.847; 95% CI, 79.0-90.3). The number of annual CFR activations is higher in CFR protocol Ver.0 (7.47) than in CFR protocol Ver.1 (5.45).

Conclusion

Two call triage protocols have almost the same predictability as the Medical Priority Dispatch System (MPDS). The study indicates that CFR protocol Ver.1 is better than CFR protocol Ver.0 because of the higher predictability and low number of activations. Also, it indicates that CFRs who are not medical professionals can respond to a patient with cardiac arrest.

NarikawaK, SakamotoT, KubotaK, SuzukawaM, YonekawaC, YamashitaK, ToyokuniY, YasudaY, KobayashiA, IijimaK. Predictability of the Call Triage Protocol to Detect if Dispatchers Should Activate Community First Responders. Prehosp Disaster Med. 2014;29(5):1-5.

Keywords

cardiac arrestemergency responderstriage
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 5 , October 2014 , pp. 484 - 488
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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