Understanding and Improving Collaboration in Emergency Simulations with a Local Chain of Survival

Out-of-hospital cardiac arrest (OHCA) and choking are two emergencies where the rapid action of a bystander can increase the victim's chances of survival. Few bystanders act because they are not aware of their role as the first link in the chain of survival. Working on collaboration among a local chain of survival and using applications to improve communication and provide tutorials of actions to perform can be used to overcome this issue. We investigate these elements in the context of the Geneva Chain of Survival using simulations. The results show that an optimal collaboration means a lead’s handover between the intervening parties. Collaboration can be degraded by problems of communication, panic¹, and confusion. Applications constitute a valuable addition to enhance the dispatcher's awareness and to help guide the CPR while not extending the intervention time. Finally, the debriefing that follows enables the acquisition of competencies through experiential learning that relies on emotions.