Journal of Immigrant and Minority Health

, Volume 17, Issue 4, pp 1049–1054

Delivering 9-1-1 CPR Instructions to Limited English Proficient Callers: A Simulation Experiment

  • Hendrika Meischke
  • Brooke Ike
  • Ian Painter
  • Devora Chavez
  • Mei Po Yip
  • Steven M. Bradley
  • Shin-Ping Tu
Original Paper

DOI: 10.1007/s10903-014-0017-8

Cite this article as:
Meischke, H., Ike, B., Painter, I. et al. J Immigrant Minority Health (2015) 17: 1049. doi:10.1007/s10903-014-0017-8
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Abstract

Having 911 telecommunicators deliver CPR instructions increases cardiac arrest survival, but limited English proficiency (LEP) decreases the likelihood callers will perform CPR and increases time to first compression. The objective of our study was to assess which 9-1-1 CPR delivery modes could decrease time to first compression and improve CPR quality for LEP callers. 139 LEP Spanish and Chinese speakers were randomized into three arms: receiving CPR instructions from a 9-1-1 telecommunicator (1) with telephone interpretation, (2) using alternative, simple ways to rephrase, or (3) who strictly adhered to protocol language. Time interval from call onset to first compression, and CPR quality were the main outcomes. The CPR quality was poor across study arms. Connecting to interpreter services added almost 2 min to the time. CPR training in LEP communities, and regular CPR training for phone interpreters may be necessary to improve LEP bystander CPR quality.

Keywords

CPRLimited English proficiency9-1-1Health communicationImmigrants

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Hendrika Meischke
    • 1
  • Brooke Ike
    • 1
  • Ian Painter
    • 1
  • Devora Chavez
    • 1
  • Mei Po Yip
    • 2
  • Steven M. Bradley
    • 3
  • Shin-Ping Tu
    • 2
  1. 1.Department of Health Services, Northwest Center for Public Health PracticeUniversity of WashingtonSeattleUSA
  2. 2.Division of General Internal Medicine, School of MedicineUniversity of WashingtonSeattleUSA
  3. 3.Department of MedicineUniversity of WashingtonSeattleUSA