Effects of Dispatcher‐Assisted Public‐Access Defibrillation Programs on the Outcomes of Out‐of‐Hospital Cardiac Arrest: A Before‐and‐After Study

摘要: Background Public access defibrillation (PAD) programs have been implemented globally over the past decade. Although PAD can substantially increase the survival of cardiac arrest, PAD use remains low. This study aimed to evaluate whether drawing upon the successful experiences of dispatcher‐assisted cardiopulmonary resuscitation programs would increase the use of PAD in dispatcher‐assisted PAD programs. Methods and Results This study using a before‐and‐after design was conducted in Taoyuan City using a local out‐of‐hospital cardiac arrest registry system and data of dispatcher performance derived from audio recordings. The primary outcomes were the rate of bystander PAD use, sustained return of spontaneous circulation, survival to discharge, and favorable neurological outcomes. The secondary outcomes were the performance of dispatchers in terms of PAD instruction and dispatcher …