‘She's sort of breathing’: What linguistic factors determine call-taker recognition of agonal breathing in emergency calls for cardiac arrest?
MetadataShow full item record
Background: In emergency ambulance calls, agonal breathing remains a barrier to the recognition of out-of-hospital cardiac arrest (OHCA), initiation of cardiopulmonary resuscitation, and rapid dispatch. We aimed to explore whether the language used by callers to describe breathing had an impact on call-taker recognition of agonal breathing and hence cardiac arrest. Methods: We analysed 176 calls of paramedic-confirmed OHCA, stratified by recognition of OHCA (89 cases recognised, 87 cases not recognised). We investigated the linguistic features of callers’ response to the question “is s/he breathing?” and examined the impact on subsequent coding by call-takers. Results: Among all cases (recognised and non-recognised), 64% (113/176) of callers said that the patients were breathing (yes-answers). We identified two categories of yes-answers: 56% (63/113) were plain answers, confirming that the patient was breathing (“he's breathing”); and 44% (50/113) were qualified answers, containing additional information (“yes but gasping”). Qualified yes-answers were suggestive of agonal breathing. Yet these answers were often not pursued and most (32/50) of these calls were not recognised as OHCA at dispatch. Conclusion: There is potential for improved recognition of agonal breathing if call-takers are trained to be alert to any qualification following a confirmation that the patient is breathing.
Showing items related by title, author, creator and subject.
The linguistic and interactional factors impacting recognition and dispatch in emergency calls for out-of-hospital cardiac arrest: a mixed-method linguistic analysis study protocolRiou, Marine; Ball, Stephen; Williams, Teresa; Whiteside, Austin; O’Halloran, Kay; Bray, Janet; Perkins, G.; Cameron, P.; Fatovich, D.; Inoue, Madoka; Bailey, Paul; Brink, Deon; Smith, K.; Della, Phillip; Finn, Judith (2017)Introduction Emergency telephone calls placed by bystanders are crucial to the recognition of out-of-hospital cardiac arrest (OHCA), fast ambulance dispatch and initiation of early basic life support. Clear and efficient ...
Hijacking the dispatch protocol: When callers pre-empt their reason-for-the-call in emergency calls about cardiac arrestRiou, Marine; Ball, Stephen; O'Halloran, Kay; Whiteside, A.; Williams, Teresa; Finn, Judith (2018)© The Author(s) 2018. This article examines emergency ambulance calls made by lay callers for patients found to be in cardiac arrest when the paramedics arrived. Using conversation analysis, we explored the trajectories ...
'Tell me exactly what's happened': when linguistic choices affect the efficiency of emergency calls for cardiac arrest.Riou, Marine; Ball, Stephen; Williams, Teresa; Whiteside, Austin; O'Halloran, Kay; Bray, Janet; Perkins, G.; Smith, K.; Cameron, P.; Fatovich, Daniel; Inoue, Madoka; Bailey, Paul; Brink, D.; Finn, Judith (2017)Background: Clear and efficient communication between emergency caller and call-taker is crucial to timely ambulance dispatch. We aimed to explore the impact of linguistic variation in the delivery of the prompt "okay, ...