Acute cardiac care & resuscitation

Impact of language barrier during emergency call on out of hospital cardiac arrest treatment and outcomes

ResuscitationPublished cohort investigation

Authors' conclusion

Language barrier challenged early CPR and defibrillation but was not associated with differential EMS or hospital care, highlighting the potential for systems to effectively care for OHCA regardless of 9-1-1 language barrier.

Study context

Population
Adult Out-of-hospital Cardiac Arrest (OHCA) in King County, Washington between 2014–2023eligible OHCA, 204 (3%) involved a language barrier
Participants
6,146 participants
Exposure
Links in the chain of survival and clinical outcomes according to language barrier
  • Language barriern = 204
Outcome
Chain of survival: OHCA recognition, assisted bystander CPR, bystander CPR, early AED application

Main finding

As reported in the abstract

Bystander CPR

Early AED application

min

OutcomeLanguage barrierNo language barrier
OHCA recognition2.01.0
Time to assisted bystander CPR2.21.1

Observational data: associations, not effects.

Further findings

EMS and hospital care

Field intubation

Epinephrine administration

post-OHCA coronary angiogram

Targeted temperature management

Hospital admission and survival to discharge

Hospital admission

Survival to discharge

  • EMS and hospital care: p > 0.19 for all
  • Hospital admission and survival to discharge: p > 0.1 for all

Original publication

Impact of language barrier during emergency call on out of hospital cardiac arrest treatment and outcomes. Resuscitation. Published 11 June 2025. doi:10.1016/j.resuscitation.2025.110677

Composed by AI from the published abstract and checked against it. How Briefs are made →

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