Can video mobile phones improve CPR quality when used for dispatcher assistance during simulated cardiac arrest?
| Autor: | Bolle, Stein Roald, Gilbert, Mads, Scholl, Jeremiah |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
VDP::Teknologi: 500::Informasjons- og kommunikasjonsteknologi: 550::Telekommunikasjon: 552
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Other clinical medical disciplines: 799 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Andre klinisk medisinske fag: 799 VDP::Technology: 500::Information and communication technology: 550::Telecommunication: 552 |
| Popis: | Denne artikkelen er en del av doktorgradsavhandlingen til Stein Roar Bolle. Avhandlingen finnes i Munin http://hdl.handle.net/10037/3597 Background: Because mobile telephones may support video calls, emergency medical dispatchers may now connect visually with bystanders during pre-hospital cardiopulmonary resuscitation (CPR). We studied the quality of simulated dispatcher-assisted CPR when guidance was delivered to rescuers by video calls or audio calls from mobile phones. Methods: One hundred and eighty high school students were randomly assigned in groups of three to communicate via video calls or audio calls with experienced nurse dispatchers at a Hospital Emergency Medical Dispatch Center. CPR was performed on a recording resuscitation manikin during simulated cardiac arrest. Quality of CPR and time factors were compared depending on the type of communication used. Results: The median CPR time without chest compression (‘hands-off time’) was shorter in the video-call group vs. the audio-call group (303 vs. 331 s; P50.048), but the median time to first compression was not shorter (104 vs. 102 s; P50.29). The median time to first ventilation was insignificantly shorter in the video-call group (176 vs. 205 s; P50.16). This group also had a slightly higher proportion of ventiliations without error (0.11 vs. 0.06; P50.30). Conclusion: Video communication is unlikely to improve telephone CPR (t-CPR) significantly without proper training of dispatchers and when using dispatch protocols written for audio-only calls. Improved dispatch procedures and training for handling video calls require further investigation. |
| Databáze: | OpenAIRE |
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