• Jen Heng Pek, Dirk Frans de Korne, Annegret Friederike Hannawa, Benjamin Siew Hong Leong, Yih Yng Ng, Shalini Arulanandam, Lai Peng Tham, Ong Marcus Eng Hock MEH Department of Emergency Medicine, Singapore General Hospital, 1 Hospital Drive, 169608 Singapore; Health Services & Systems Research, Duke-NUS Med, and Gene Yong-Kwang Ong.
• Acute Care Clinic, Department of Medicine, Sengkang Health, 110 Sengkang East Way, Singapore 544886, Singapore. Electronic address: pek.jen.heng@singhealth.com.sg.
• Resuscitation. 2019 Jun 1; 139: 144-151.

AimTo evaluate communication issues during dispatcher-assisted cardiopulmonary resuscitation (DACPR) for paediatric out-of-hospital cardiac arrest in a structured manner to facilitate recommendations for training improvement.MethodsA retrospective observational study evaluated DACPR communication issues using the SACCIA® Safe Communication typology (Sufficiency, Accuracy, Clarity, Contextualization, Interpersonal Adaptation). Telephone recordings of 31 cases were transcribed verbatim and analysed with respect to encoding, decoding and transactional communication issues.ResultsSixty SACCIA communication issues were observed in the 31 cases, averaging 1.9 issues per case. A majority of the issues were related to sufficiency (35%) and accuracy (35%) of communication between dispatcher and caller. Situation specific guideline application was observed in CPR practice, (co)counting and methods of compressions.ConclusionThis structured evaluation identified specific issues in paediatric DACPR communication. Our training recommendations focus on situation and language specific guideline application and moving beyond verbal communication by utilizing the smart phone's functions. Prospective efforts are necessary to follow-up its translation into better paediatric DACPR outcomes.Copyright © 2019 Elsevier B.V. All rights reserved.

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