• The dispatcher delays the start of chest compressions with numerous “non-urgent” questions.
• The dispatcher should ask, "Is the victim breathing normally?"
• Instead of "Do you want to start CPR?" an assertive phrase such as, "We need to start CPR; I will help you” is recommended.
Good Coaching Example
• Is assertive but calms the very excited caller.
• Coaches the caller to initiate and continue chest compressions and even makes sure the chest compression rate is at least 100 compressions per minute by having the caller count out loud.
• Repeatedly tells the caller, "faster, faster."
• Has the caller continue chest compressions until trained rescuers arrive.
Clear Cardiac Arrest Recognition
• The victim is not breathing normally, as evident by the agonal breathing heard on the recording.
• The dispatcher quickly recognizes a cardiac arrest and instructs the bystander on how to start chest compressions.
• As she does this, the bystander notes that the victim begins to breathe again. Then she stops, and the victim stops breathing completely. Cardiac
arrest victims commonly have some movements that can be mistaken for seizure activity.
• When receiving chest compressions, victims often gasp. When this occurs, unless the victim becomes responsive and has normal breathing,
CPR should be continued.