Outline and validation of a new dispatcher-assisted cardiopulmonary resuscitation educational bundle using the Delphi method

• DOI: 10.1016/j.resplu.2023.100542
• Publication Date: 2024-01-04T01:59:52Z
• Authors: Andreas Claesson; Håkan Hult; Gabriel Riva; Fredrik Byrsell; Thomas Hermansson; Leif Svensson; Therese Djärv; Mattias Ringh; Per Nordberg; Martin Jonsson; Sune Forsberg; Jacob Hollenberg; Anette Nord
• Keywords: Emergency medical dispatch centre (EMDC); Simulation and Education; 03 medical and health sciences; CPR training; 0302 clinical medicine; RC581-951; DA-CPR; Dispatcher; Specialties of internal medicine; Out-of-hospital cardiac arrest (OHCA); Cardiopulmonary resuscitation (CPR)

Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is time-dependent. To date, evidence-based training programmes for dispatchers are lacking. This study aimed to reach expert consensus on an educational bundle content for dispatchers to provide DA-CPR using the Delphi method.An educational bundle was created by the Swedish Resuscitation Council consisting of three parts: e-learning on DA-CPR, basic life support training and audit of emergency out-of-hospital cardiac arrest calls. Thereafter, a two-round modified Delphi study was conducted between November 2022 and March 2023; 37 experts with broad clinical and/or scientific knowledge of DA-CPR were invited. In the first round, the experts participated in the e-learning module and answered a questionnaire with 13 closed and open questions, whereafter the e-learning part of the bundle was revised. In the second round, the revised e-learning part was evaluated using Likert scores (20 items). The predefined consensus level was set at 80%.Delphi rounds one and two were assessed by 20 and 18 of the invited experts, respectively. In round one, 18 experts (18 of 20, 90%) stated that they did not miss any content in the programme. In round two, the scale-level content validity index based on the average method (S-CVI/AVE, 0.99) and scale-level content validity index based on universal agreement (S-CVI/UA, 0.85) exceeded the threshold level of 80%.Expert consensus on the educational bundle content was reached using the Delphi method. Further work is required to evaluate its effect in real-world out-of-hospital cardiac arrest calls.