Emergencies Clinical Trial
Official title:
Video Streaming in Norwegian Emergency Medical Call Centers as a Supplement to Telephone-instructed Bystander First Aid for Injured Patients
NCT number | NCT05121649 |
Other study ID # | 247264 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | November 8, 2021 |
Est. completion date | June 30, 2023 |
Verified date | October 2023 |
Source | Oslo Metropolitan University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Video streaming as an additional tool to telephone was introduced in some Norwegian emergency medical call centers during the spring of 2020. This allows the dispatchers to communicate with the caller through video streaming during emergency calls. Some studies are conducted on this use of video streaming, but further research is needed. In this study, the investigators have chosen to focus on potential effect from video streaming on bystander first aid for injured patients. The investigators have knowledge from preliminary results that dispatchers often find video streaming useful in emergency calls regarding injuries. This study will investigate whether the use of video streaming might have an effect on the recognition rate by dispatchers on the need for bystander first aid for injured patients. In addition, the investigators will investigate whether video-instructions from dispatcher can improve bystander first aid quality. The investigators will be using data collected by ambulance personnel including patients with injuries, as well as data from EMCC journals and audio logs.
Status | Completed |
Enrollment | 174 |
Est. completion date | June 30, 2023 |
Est. primary completion date | February 28, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Patient with an injury, - One or more bystanders at scene, - One or more of the following first aid measures have been attempted or should have been attempted: Open airway, bleeding control, recovery position, hypothermia prevention. Exclusion Criteria: - The caller is at a different location than the patient - Patients who are alone on scene and contacted the EMCC themselves |
Country | Name | City | State |
---|---|---|---|
Norway | University of OsloMet | Oslo |
Lead Sponsor | Collaborator |
---|---|
Oslo Metropolitan University | Helse Stavanger HF, Laerdal Foundation, Oslo University Hospital, Ostfold Hospital Trust, University Hospital of North Norway, Vestre Viken Hospital Trust |
Norway,
Bakke HK, Steinvik T, Eidissen SI, Gilbert M, Wisborg T. Bystander first aid in trauma - prevalence and quality: a prospective observational study. Acta Anaesthesiol Scand. 2015 Oct;59(9):1187-93. doi: 10.1111/aas.12561. Epub 2015 Jun 19. — View Citation
Bakke HK, Steinvik T, Ruud H, Wisborg T. Effect and accuracy of emergency dispatch telephone guidance to bystanders in trauma: post-hoc analysis of a prospective observational study. Scand J Trauma Resusc Emerg Med. 2017 Mar 7;25(1):27. doi: 10.1186/s13049-016-0343-z. — View Citation
Bolle SR, Hasvold P, Henriksen E. Video calls from lay bystanders to dispatch centers - risk assessment of information security. BMC Health Serv Res. 2011 Sep 30;11:244. doi: 10.1186/1472-6963-11-244. — View Citation
Ecker H, Lindacher F, Adams N, Hamacher S, Wingen S, Schier R, Bottiger BW, Wetsch WA. Video-assisted cardiopulmonary resuscitation via smartphone improves quality of resuscitation: A randomised controlled simulation trial. Eur J Anaesthesiol. 2020 Apr;37(4):294-302. doi: 10.1097/EJA.0000000000001177. — View Citation
Ecker H, Wingen S, Hamacher S, Lindacher F, Bottiger BW, Wetsch WA. Evaluation Of CPR Quality Via Smartphone With A Video Livestream - A Study In A Metropolitan Area. Prehosp Emerg Care. 2021 Jan-Feb;25(1):76-81. doi: 10.1080/10903127.2020.1734122. Epub 2020 Mar 20. — View Citation
Lee JS, Jeon WC, Ahn JH, Cho YJ, Jung YS, Kim GW. The effect of a cellular-phone video demonstration to improve the quality of dispatcher-assisted chest compression-only cardiopulmonary resuscitation as compared with audio coaching. Resuscitation. 2011 Jan;82(1):64-8. doi: 10.1016/j.resuscitation.2010.09.467. Epub 2010 Oct 30. — View Citation
Lin YY, Chiang WC, Hsieh MJ, Sun JT, Chang YC, Ma MH. Quality of audio-assisted versus video-assisted dispatcher-instructed bystander cardiopulmonary resuscitation: A systematic review and meta-analysis. Resuscitation. 2018 Feb;123:77-85. doi: 10.1016/j.resuscitation.2017.12.010. Epub 2017 Dec 12. — View Citation
Linderoth G, Lippert F, Ostergaard D, Ersboll AK, Meyhoff CS, Folke F, Christensen HC. Live video from bystanders' smartphones to medical dispatchers in real emergencies. BMC Emerg Med. 2021 Sep 6;21(1):101. doi: 10.1186/s12873-021-00493-5. — View Citation
Melbye S, Hotvedt M, Bolle SR. Mobile videoconferencing for enhanced emergency medical communication - a shot in the dark or a walk in the park? -- A simulation study. Scand J Trauma Resusc Emerg Med. 2014 Jun 2;22:35. doi: 10.1186/1757-7241-22-35. — View Citation
Yang CW, Wang HC, Chiang WC, Hsu CW, Chang WT, Yen ZS, Ko PC, Ma MH, Chen SC, Chang SC. Interactive video instruction improves the quality of dispatcher-assisted chest compression-only cardiopulmonary resuscitation in simulated cardiac arrests. Crit Care Med. 2009 Feb;37(2):490-5. doi: 10.1097/CCM.0b013e31819573a5. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Time delay until activation of first ambulance | No increase in time from the emergency call is received until activation of first ambulance unit | Through study completion, an average of 1,5 years | |
Other | Time delay until need for first aid is recognized by dispatcher | No increase in time from the emergency call is received until need for first aid is recognized by the dispatcher | Through study completion, an average of 1,5 years | |
Other | 30-days mortality for patients included | No increase in 30-days mortality for patients where video streaming was used | Through study completion, an average of 1,5 years | |
Primary | Dispatchers' recognition of relevant first aid measures | Number of patients where dispatchers in the EMCCs recognizes relevant first aid measures | Through study completion, an average of 1,5 years | |
Secondary | First aid measures performed by bystander | Number of patients with first aid measures performed by bystander before the arrival of the first ambulance unit | Through study completion, an average of 1,5 years | |
Secondary | Bystander first aid quality | Number of patients with first aid measures of high quality performed by bystander | Through study completion, an average of 1,5 years |
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