S70 Poster Presentations / Resuscitation 84S (2013) S8–S98

AP152

Non-professional First Responders:Organizational efficiency criteria in Ticino(Southern Switzerland)

Burkart Roman ∗, Benvenuti Claudio, MauriRomano

Ticino Cuore Foundation, Breganzona, Switzerland

Purpose: Assess the efficiency of the organizational modelwhich has been developed in Ticino as of 2006 and is character-ized by an alarm system and non-professional “First Responder”(FR) (police, fire brigade, border patrol, citizens, etc.) interven-tions which are complementary to professional emergency serviceswhose intervention time in average is of about 9 min. The serviceis managed and coordinated by “Ticino Soccor44”, counts approx.2500 members and is activated through short text messages (SMS)in case of a suspected heart attack. The FR’s response is thus basedon the principles of randomness and voluntariness.

Methodology: Measurements of the hereafter listed indi-cators through the analysis of 816 questionnaires filled inon-line by the FR following their interventions during the period1.1.2006–31.12.2012:

• Roll time (SMS alert – FR starts to move)• Response time (FR starts to move – arrival on scene)• Decreased therapeutic interval (at-patient time without EMS)

Results

Conclusions: The results show the roll and response time areoptimal, although the number of cases in which the FR can per-form cardiopulmonary resuscitation before the ambulance’s arrivalmight be improved. The effectiveness of the FR alarm system shouldbe assessed and measured in the future.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.178

AP153

Emergency telephonic medical triage andcounseling system: A new approach

Miguel Soares de Oliveira

Instituto Nacional de Emergência Médica, Lisbon,Portugal

Purpose: The adequacy of the telephonic triage of emergencycalls is of paramount importance in an Emergency Medical Systems.Unfortunate, there are not many emergency telephonic medicaltriage systems developed that would fit with the diversity of sys-tems that exist all over the world.

To describe an innovative telephonic triage and counselling sys-tem developed in our country that fits all our needs and could beentirely customized to fit others specific requests.

Materials/Methods: We describe our telephonic triage andcounselling system and its impact on our activity, namely time todispatch, number and type of reclamations and professional sat-isfaction. We also describe the development process followed andthe main difficulties and strengths of it.

Results: The telephonic triage and counselling system devel-oped by us fits our needs and improved our activity. The time fordispatch was reduced in 30% (to 1 min and 30 s). The triage timeis currently 30 s (median). There was no more reclamation on ade-quacy of type of unit dispatched. The implementation process hada learning curve of 30 days. The professionals said that the new sys-tem improved the security of procedures and facilitate the triagesequence.

Conclusions: This new telephonic triage and counselling systemimproved our delivery of care, is easily understood by all and may becustomize to different and specific system, local or regional needs.

http://dx.doi.org/10.1016/j.resuscitation.2013.08.179

AP154

Public CPR training event during ItalianResuscitation Council annual Congress:Warm-up for the “Viva!” week of cardiac arrestawareness in Italy

Federico Semeraro 1,∗, Corrado Casula 2, NiccolòGrieco 3, Tommaso Pellis 4, Franca Refatti 5,Giuseppe Ristagno 6, Andrea Scapigliati 7, LuigiZanin 8, Gaetano Tammaro 1, Erga L. Cerchiari 1

1 Maggiore Hospital, Bologna, Italy2 Emergency Department, Oristano, Italy3 Intensive Cardiac Care Unit & PrehospitalEmergency, Milan, Italy4 Intensive Care and Emergency Medical Service,Santa Maria degli Angeli Hospital, Pordenone, Italy5 Emergency Medicine and Casualty Department,Santa Chiara Hospital, Trento, Italy6 Istituto di ricerche farmacologiche “Mario Negri” –IRCCS, Milan, Italy7 Institute of Anaesthesia and Intensive Care,Department of Cardiovascular Sciences, CatholicUniversity of the Sacred Heart, Rome, Italy8 Anaesthesia and Intensive Care, Cittadella, Italy

Purpose of the study: The Italian Resuscitation Council (IRC)organized a CPR public training event during its National Congresson 7th June 2013 in Pieve di Cento. It was intended as a preparingevent of the “Viva!” week campaign for cardiac arrest aware-ness (www.viva2013.it). The quality of chest compression (CC) wastested trough a CPR competition. The aim was to assess if a publicand brief training is effective in teaching good quality CC.

Materials and methods: Three training stations with a ResusciAnne mannequin (Laerdal Medical, Norway) and two instructorwere available in the Town Hall square for about 3 h to trainbystanders in CC only CPR. The sequence was introduced by using aposter called “Life in your hands”, depicting in 8 simple steps howto recognize a cardiac arrest, alert 118 and perform CC and defi-brillation (http://www.viva2013.it/press-area/foto/). Afterwards,trained people were asked to participate in a competition called“The best 2 min CPR ever” to test their acquired skills. Dataregarding CC quality were collected by the Resusci Anne WirelessSkill Reporter over a 2 min CC only performance.

Results: A total of 53 people were trained (average training timeof 10 min per person). Out of them, 24 participants (46% male and54% female) agreed to undergo competition for CC data collection.Over the 2 min CC interval, the mean total compressions deliveredwere 226 ± 16, mean compression depth was 47 ± 7, mean com-pression rate was 113 ± 6, mean, % of adequate compression depthwas 50 ± 32%, adequate compression rate was 70 ± 20%, and com-