nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2019-8-1-60-67nmp-588Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREДиспетчерское сопровождение при угрозе внегоспитальной остановки кровообращенияDispatcher Assistance in Out-of-hospital Cardiac Arrest: Approaches for Diagnosing Cardiac Arrest by Telephonehttps://orcid.org/0000-0002-2789-9760БиркунА. А.BirkunA. A.

Биркун Алексей Алексеевич – кандидат медицинских наук, ассистент кафедры анестезиологии-реаниматологии и скорой медицинской помощи 

Республика Крым, 295006 Симферополь, бульвар Ленина, д. 5/7

Aleksei A. Birkun – Cand. Med. Sci., Assistant Professor of the Department of Anaesthesiology, Resuscitation and Emergency Medicine

5/7 Lenin Blvd, Simferopol 295006

birkunalexei@gmail.comhttps://orcid.org/0000-0003-2932-1724ДежурныйЛ. И.DezhurnyL. I.

Дежурный Леонид Игоревич – доктор медицинских наук, главный научный сотрудник

127254 Москва, ул. Добролюбова, д. 11

Leonid I. Dezhurny  – Dr. Med. Sci., Chief Researcher

11 Dobrolubova St., Moscow 127254

Медицинская академия им. С.И. Георгиевского ФГАОУ ВО «Крымский федеральный университет им. В.И. Вернадского»РоссияMedical Academy named after S.I. georgievsky of V.I. Vernadsky Crimean Federal universityRussian FederationФГБУ «Центральный научно-исследовательский институт организации и информатизации здравоохранения» Министерства здравоохранения Российской ФедерацииРоссияCentral Research Institute for Health Organization and Information System Development of the Ministry of Health of the Russian FederationRussian Federation201923042019816067Copyright © Биркун А.А., Дежурный Л.И., 20192019Биркун А.А., Дежурный Л.И.Birkun A.A., Dezhurny L.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/588

Быстрое выявление остановки сердца на основании сообщаемых очевидцами данных и предоставление инструкций по сердечно-легочной реанимации по телефону диспетчером службы скорой медицинской помощи (СМП) способствует своевременному оказанию первой помощи непосредственными свидетелями происшествия, что может существенно влиять на исход при внегоспитальной остановке кровообращения (ВГОК). Цель данного обзора состоит в анализе современной научной литературы, посвященной вопросам распознавания ВГОК диспетчером СМП. В частности, рассмотрены общие принципы и опыт алгоритмизированной диагностики остановки сердца, трудности распознавания ВГОК по телефону, подходы к оценке и обеспечению качества диспетчерской диагностики. На основании результатов анализа сформулированы рекомендации по организации и повышению эффективности распознавания остановки сердца диспетчером СМП. Обзор ориентирован, прежде всего, на аудиторию специалистов СМП и организаторов здравоохранения.

Rapid recognition of cardiac arrest based on the data reported by a bystander, and delivering telephone cardiopulmonary resuscitation instructions by emergency medical services (EMS) dispatcher promote timely provision of frst aid by people who witness the emergency, and this may signifcantly influence the outcome of out-of-hospital cardiac arrest (OHCA). This review is aimed to analyze the up-to-date scientifc literature on EMS dispatcher recognition of OHCA. In particular, general concept and experience of algorithm-based diagnosis of cardiac arrest, diffculties of telephone OHCA recognition, approaches for dispatcher diagnosis quality evaluation and assurance are discussed herein. Based on the analysis results, recommendations on organizing and improving the effectiveness of EMS dispatcher recognition of cardiac arrest are formulated. The review is designed primarily for EMS and public health specialists.

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The authors declare that there are no conflicts of interest present.