Crowdsourcing to save lives: A scoping review of bystander alert technologies for out-of-hospital cardiac arrest

Valeriano, A.; Heer, Shyan Van; Champlain, François de; Brooks, Steven C.

doi:10.1016/j.resuscitation.2020.10.035

Cited by 62 publications

(65 citation statements)

References 54 publications

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“…A widespread of technologies and programmes exist; some are based on text messages others use smartphone applications, some dispatch citizen responders to private homes others only to public areas. The number of citizen responders alerted and the response radius also varies between programmes [ 4 , 21 ]. The citizen responder programme in Denmark resembles the citizen responder programmes in several other European countries in many ways by using an app incorporated with a map using live AED locations to activate both laypersons and healthcare professionals [ 1 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The number of citizen responders alerted and the response radius also varies between programmes [ 4 , 21 ]. The citizen responder programme in Denmark resembles the citizen responder programmes in several other European countries in many ways by using an app incorporated with a map using live AED locations to activate both laypersons and healthcare professionals [ 1 , 4 ]. Many of the European citizen responder programmes dispatch citizen responders to private homes in contrast to the PulsePoint citizen responder programme in the USA where citizen responders are alerted to OHCAs in public locations [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Collaboration between emergency physicians and citizen responders in out-of-hospital cardiac arrest resuscitation

Jellestad

Folke

Molin

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background Citizen responder programmes dispatch volunteer citizens to initiate resuscitation in nearby out-of-hospital cardiac arrests (OHCA) before the Emergency Medical Services (EMS) arrival. Little is known about the interaction between citizen responders and EMS personnel during the resuscitation attempt. In the Capital Region of Denmark, emergency physicians are dispatched to all suspected OHCAs. The aim of this study was to evaluate how emergency physicians perceived the collaboration with citizen responders during resuscitation attempts. Method This cross-sectional study was conducted through an online questionnaire. It included all 65 emergency physicians at Copenhagen EMS between June 9 and December 13, 2019 (catchment area 1.8 million). The questionnaire examined how emergency physicians perceived the interaction with citizen responders at the scene of OHCA (use of citizen responders before and after EMS arrival, citizen responders’ skills in cardiopulmonary resuscitation (CPR), and challenges in this setting). Results The response rate was 87.7% (57/65). Nearly all emergency physicians (93.0%) had interacted with a citizen responder at least once. Of those 92.5%(n = 49) considered it relevant to activate citizen responders to OHCA resuscitation, and 67.9%(n = 36) reported the collaboration as helpful. When citizen responders arrived before EMS, 75.5%(n = 40) of the physicians continued to use citizen responders to assist with CPR or to carry equipment. Most (84.9%, n = 45) stated that citizen responders had the necessary skills to perform CPR. Challenges in the collaboration were described by 20.7%(n = 11) of the emergency physicians and included citizen responders being mistaken for relatives, time-consuming communication, or crowding problems during resuscitation. Conclusion Emergency physicians perceived the collaboration with citizen responders as valuable, not only for delivery of CPR, but were also considered an extra helpful resource providing non-CPR related tasks such as directing the EMS to the arrest location, carrying equipment and taking care of relatives.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Collaboration between emergency physicians and citizen responders in out-of-hospital cardiac arrest resuscitation

Jellestad

Folke

Molin

et al. 2021

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

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“…Moreover, cardiac arrests occurred more frequently at home, where access to defibrillators were limited. The recent development of smartphone applications for locating defibrillators in public places and requesting citizen responders to provide CPR assistance on the scene may be one of the explanations for our observations [28]. For these inaccessibility events, it would be interesting to consider other strategies such as drone delivery [29,30].…”

Section: Bls By Bystandersmentioning

confidence: 92%

Assessment of changes in cardiopulmonary resuscitation practices and outcomes on 1005 victims of out-of-hospital cardiac arrest during the COVID-19 outbreak: registry-based study

Baert

Jaeger

Hubert

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background The COVID-19 outbreak requires a permanent adaptation of practices. Cardiopulmonary resuscitation (CPR) is also involved and we evaluated these changes in the management of out-of-hospital cardiac arrest (OHCA). Methods OHCA of medical origins identified from the French National Cardiac Arrest Registry between March 1st and April 31st 2020 (COVID-19 period), were analysed. Different resuscitation characteristics were compared with the same period from the previous year (non-COVID-19 period). Results Overall, 1005 OHCA during the COVID-19 period and 1620 during the non-COVID-19 period were compared. During the COVID-19 period, bystanders and first aid providers initiated CPR less frequently (49.8% versus 54.9%; difference, − 5.1 percentage points [95% CI, − 9.1 to − 1.2]; and 84.3% vs. 88.7%; difference, − 4.4 percentage points [95% CI, − 7.1 to − 1.6]; respectively) as did mobile medical teams (67.3% vs. 75.0%; difference, − 7.7 percentage points [95% CI, − 11.3 to − 4.1]). First aid providers used defibrillators less often (66.0% vs. 74.1%; difference, − 8.2 percentage points [95% CI, − 11.8 to − 4.6]). Return of spontaneous circulation (ROSC) and D30 survival were lower during the COVID-19 period (19.5% vs. 25.3%; difference, − 5.8 percentage points [95% CI, − 9.0 to − 2.5]; and 2.8% vs. 6.4%; difference, − 3.6 percentage points [95% CI, − 5.2 to − 1.9]; respectively). Conclusions During the COVID-19 period, we observed a decrease in CPR initiation regardless of whether patients were suspected of SARS-CoV-2 infection or not. In the current atmosphere, it is important to communicate good resuscitation practices to avoid drastic and lasting reductions in survival rates after an OHCA.

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“…However, a recently published review of bystander alert technologies demonstrated improved response times, increased rates of bystander cardiopulmonary resuscitation, and improved survival outcomes with the implementation of this technology. 20 AED registries provide an important framework that can be integrated with AED mobile applications to ensure that effective and accurate bystander alert modalities are integrated within the chain of survival. Other technological advances resulting in optimal AED surveillance and rapid retrieval when needed have also been explored.…”

Section: Future Directionsmentioning

confidence: 99%

Assessment of Canadian Public Automated External Defibrillator Registries

et al. 2021

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Background: Public automated external defibrillator (AED) registries aim to increase layperson defibrillation for victims of out-of-hospital cardiac arrest. This study aims to characterize Canadian AED registries and the process by which these databases are updated and used. Methods: A survey was administered to representatives from each eligible AED registry. Collected data included information on registry management, AED validation process, linkage to emergency medical dispatch (EMD), and number of AEDs per registry. Three unregistered AEDs in each region were then located and registered into their R ESUM E

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Crowdsourcing to save lives: A scoping review of bystander alert technologies for out-of-hospital cardiac arrest

Cited by 62 publications

References 54 publications

Collaboration between emergency physicians and citizen responders in out-of-hospital cardiac arrest resuscitation

Collaboration between emergency physicians and citizen responders in out-of-hospital cardiac arrest resuscitation

Assessment of changes in cardiopulmonary resuscitation practices and outcomes on 1005 victims of out-of-hospital cardiac arrest during the COVID-19 outbreak: registry-based study

Assessment of Canadian Public Automated External Defibrillator Registries

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