Video-instructed First Aid in Emergency Medical Call Centers

NCT05121649 | Completed

• 1 other identifier: 247264
• Study Type: observational
• Target: 174
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Injuries; Emergencies

Keywords

emergency call center; dispatcher; video; first aid; emergency call

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (2)

• First aid measures performed by bystander

  Through study completion, an average of 1,5 years

• Bystander first aid quality

  Through study completion, an average of 1,5 years

Other Outcomes (3)

• Time delay until activation of first ambulance

  Through study completion, an average of 1,5 years

• Time delay until need for first aid is recognized by dispatcher

  Through study completion, an average of 1,5 years

• 30-days mortality for patients included

  Through study completion, an average of 1,5 years

Study Arms (2)

Before

Injured patients included in the study from health trusts where video streaming not yet has been implemented in the EMCC

After

Injured patients included in the study from health trusts where video streaming has been implemented in the EMCC

Other: Video streaming

Interventions

Video streaming OTHER

Video streaming as a supplement to telephone during emergency calls for dispatchers at EMCCs

After

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients with injuries who meet the inclusion criteria in the health trusts cooperating as study areas.

You may qualify if:

• 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.

You may not qualify if:

• The caller is at a different location than the patient
• Patients who are alone on scene and contacted the EMCC themselves

Sponsors & Collaborators

• Oslo Metropolitan University: lead
• Vestre Viken Hospital Trust: collaborator
• Laerdal Foundation: collaborator
• Ostfold Hospital Trust: collaborator
• Oslo University Hospital: collaborator
• University Hospital of North Norway: collaborator
• Helse Stavanger HF: collaborator

Study Sites (1)

University of OsloMet

Oslo, 0166, Norway

Location

Related Publications (10)

• 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.

  PMID: 28270170 BACKGROUND

• 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.

  PMID: 32073408 BACKGROUND

• 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.

  PMID: 21036457 BACKGROUND

• 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.

  PMID: 32091293 BACKGROUND

• 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.

  PMID: 29242057 BACKGROUND

• 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.

  PMID: 34488626 BACKGROUND

• 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.

  PMID: 26088860 BACKGROUND

• 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.

  PMID: 24887256 BACKGROUND

• 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.

  PMID: 19114904 BACKGROUND

• 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.

  PMID: 21958387 BACKGROUND

MeSH Terms

Conditions

Wounds and Injuries; Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Magnus Hjortdahl, PhD

  OsloMet

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor, MD

Study Record Dates

• First Submitted: October 25, 2021
• First Posted: November 16, 2021
• Study Start: November 8, 2021
• Primary Completion: February 28, 2023
• Study Completion: June 30, 2023
• Last Updated: November 1, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)