Google Glass for Residents Dealing With Pediatric Cardiopulmonary Arrest
| Autor: | Alexandre Duguet, Romain Guedj, Arnaud Petit, David Drummond, C. Arnaud, Nathalie de Suremain |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Paris medicine.medical_specialty Psychological intervention Intensivist 030204 cardiovascular system & hematology Manikins Critical Care and Intensive Care Medicine Pediatrics Tertiary care law.invention 03 medical and health sciences First responder 0302 clinical medicine Randomized controlled trial Computer Systems law medicine Humans 030212 general & internal medicine Simulation Training Simulation based Academic Medical Centers business.industry Outcome measures Infant Internship and Residency Hospitals Pediatric Cardiopulmonary Resuscitation Telemedicine Heart Arrest 3. Good health Pediatrics Perinatology and Child Health Emergency medicine Usual care Videoconferencing Female Clinical Competence business |
| Zdroj: | Pediatric Critical Care Medicine. 18:120-127 |
| ISSN: | 1529-7535 |
| DOI: | 10.1097/pcc.0000000000000977 |
| Popis: | OBJECTIVES To determine whether real-time video communication between the first responder and a remote intensivist via Google Glass improves the management of a simulated in-hospital pediatric cardiopulmonary arrest before the arrival of the ICU team. DESIGN Randomized controlled study. SETTING Children's hospital at a tertiary care academic medical center. SUBJECTS Forty-two first-year pediatric residents. INTERVENTIONS Pediatric residents were evaluated during two consecutive simulated pediatric cardiopulmonary arrests with a high-fidelity manikin. During the second evaluation, the residents in the Google Glass group were allowed to seek help from a remote intensivist at any time by activating real-time video communication. The residents in the control group were asked to provide usual care. MEASUREMENTS AND MAIN RESULTS The main outcome measures were the proportion of time for which the manikin received no ventilation (no-blow fraction) or no compression (no-flow fraction). In the first evaluation, overall no-blow and no-flow fractions were 74% and 95%, respectively. During the second evaluation, no-blow and no-flow fractions were similar between the two groups. Insufflations were more effective (p = 0.04), and the technique (p = 0.02) and rate (p < 0.001) of chest compression were more appropriate in the Google Glass group than in the control group. CONCLUSIONS Real-time video communication between the first responder and a remote intensivist through Google Glass did not decrease no-blow and no-flow fractions during the first 5 minutes of a simulated pediatric cardiopulmonary arrest but improved the quality of the insufflations and chest compressions provided. |
| Databáze: | OpenAIRE |
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