ArticleResuscitation plus2026
Telecommunicator cardiopulmonary resuscitation performance metrics and barriers to implementation in Birmingham, Alabama.
Article in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
7 authors.
Funding
Abstract
Background: The bystander CPR (CPR) rate in Birmingham, Alabama is just 15.5%, contributing to one of the lowest out-of-hospital cardiac arrest (OHCA) survival rates in the United States. The utilization of telecommunicator CPR (T-CPR) in Birmingham is unknown. We aimed to evaluate existing T-CPR performance and compare local metrics to recently published American Heart Association (AHA) T-CPR guidelines. Methods: We retrospectively reviewed all 9-1-1 audio recordings for adult (≥18 years) non-traumatic Emergency Medical Services (EMS)-treated OHCA in Birmingham during 2023. EMS-witnessed events or those occurring within healthcare or correctional facilities were excluded. T-CPR metrics were manually extracted and compared to the AHA T-CPR benchmarks using descriptive statistics. Results: Among 236 included OHCA cases, 94 (39.8%) were correctly recognized by telecommunicators (AHA goal: >75%). Of cases recognizable by AHA definitions, 50.0% were identified correctly by telecommunicators (AHA goal: >95%), with a median recognition time of 60 s (AHA goal: <90 s). T-CPR instructions were provided to 72.7% of recognizable cases (AHA goal: >75%), with a median time to first chest compression of 172 s (AHA goal: <150 s). When T-CPR instructions were offered to callers who were willing and able to perform CPR, chest compressions were initiated in 97.9% of cases. Conclusion: Despite low rates of telecommunicator recognition of OHCA and T-CPR instruction in Birmingham, nearly all callers who received T-CPR instructions began chest compressions. Targeted improvements in T-CPR implementation represent a high-impact opportunity to increase CPR rates in Birmingham and other communities with low bystander engagement.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.