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When cardiac arrest occurs outside a hospital, how quickly a 911 dispatcher recognizes 
it, initiates CPR instructions, and keeps a bystander compressing without interruption 
can mean the difference between survival and tragedy. Nationally, OHCA survival 
rates vary significantly across communities, a gap that reflects, in large part, the 
quality of dispatcher training and local quality improvement systems targeting 
Telecommunicator CPR (T-CPR) and High-Performance CPR. CPR LifeLinks was 
developed to address this variability, grounded in the recommendations of the 2015 
Institute of Medicine report Strategies to Improve Cardiac Arrest Survival: A Time to Act.
Funded through the CDC CARES Expansion and Modernization Grant, CPR LifeLinks gives 911 agencies a 
free package of T-CPR training, quality improvement support, and continuing education organized around 
the Three Stages of T-CPR: swift cardiac arrest recognition, delivery of CPR instructions, and continuous 
coaching to the bystander performing compressions. The Resuscitation Academy Foundation runs 
implementation, targeting communities with the greatest need while keeping resources available to all 
agencies, including through regional collaborations that extend reach to dispatch centers that may not 
independently qualify under grant criteria.
Since the program was launched, dispatchers across multiple states have been trained. In year two alone, 
more than 180 received training. Working alongside CARES PRIME, CPR LifeLinks supported dispatch 
centers serving seven priority communities in California, encouraging uptake of the CARES Dispatcher 
Assisted CPR Module (DA-CPR) into local quality improvement workflows. At one participating agency, 
that support held through a full facility relocation; a training 
supervisor noted: “We appreciate all you do and know 
your work is important.” CPR LifeLinks also delivered T-CPR 
training directly to one of Maryland’s largest 911 centers. 
The American Red Cross relationship, built on shared 
training resources and T-CPR scenario materials, is now 
working on future collaboration opportunities.
Active outreach continues across eleven states: California, 
Colorado, Delaware, Florida, Indiana, Kentucky, Maryland, 
Michigan, Pennsylvania, Texas, and Washington. Ongoing 
conversations with state and regional partners reflect 
growing interest in both the DA-CPR module and the CPR 
LifeLinks framework. The Resuscitation Academy High-
Performance T-CPR Train-the-Trainer initiative, which lists 
CPR LifeLinks as a recommended program, continues 
as a forum for joint outreach. Midway through this five-
year federal investment, CPR LifeLinks, the Resuscitation 
Academy, and CARES PRIME are building the infrastructure 
to outlast the grant funding period. 
CPR LifeLinks

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