Luftrettung

Schellhaaß, A.; Popp, Erik

doi:10.1007/s00101-014-2356-1

Cited by 9 publications

(2 citation statements)

References 32 publications

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“…3 However, lay public 999 callers can sometimes provide inaccurate information due to language barriers, subjectivity, the emotional impact of being at the scene and limited medical training or knowledge. 3 4 Dispatch response is often recognised as a weak link in the EMS chain, 5 often involving either under-resourcing or overresourcing. [6][7][8][9] Previous studies have shown that up to 50% of HEMS (air ambulance) dispatch and 25% of road ambulance dispatch for suspected trauma patients are not appropriate.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

The SEE-IT Trial: emergency medical servicesStreamingEnabledEvaluationInTrauma: study protocol for an interventional feasibility randomised controlled trial

et al. 2023

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IntroductionAccurate and timely dispatch of emergency medical services (EMS) is vital due to limited resources and patients’ risk of mortality and morbidity increasing with time. Currently, most UK emergency operations centres (EOCs) rely on audio calls and accurate descriptions of the incident and patients’ injuries from lay 999 callers. If dispatchers in the EOCs could see the scene via live video streaming from the caller’s smartphone, this may enhance their decision making and enable quicker and more accurate dispatch of EMS. The main aim of this feasibility randomised controlled trial (RCT) is to assess the feasibility of conducting a definitive RCT to assess the clinical and cost effectiveness of using live streaming to improve targeting of EMS.Methods and analysisThe SEE-IT Trial is a feasibility RCT with a nested process evaluation. The study also has two observational substudies: (1) in an EOC that routinely uses live streaming to assess the acceptability and feasibility of live streaming in a diverse inner-city population and (2) in an EOC that does not currently use live streaming to act as a comparator site regarding the psychological well-being of EOC staff using versus not using live streaming.Ethics and disseminationThe study was approved by the Health Research Authority on 23 March 2022 (ref: 21/LO/0912), which included NHS Confidentiality Advisory Group approval received on 22 March 2022 (ref: 22/CAG/0003). This manuscript refers to V.0.8 of the protocol (7 November 2022). The trial is registered with the ISRCTN (ISRCTN11449333). The first participant was recruited on 18 June 2022.The main output of this feasibility trial will be the knowledge gained to help inform the development of a large multicentre RCT to evaluate the clinical and cost effectiveness of the use of live streaming to aid EMS dispatch for trauma incidents.Trial registration numberISRCTN11449333.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

The SEE-IT Trial: emergency medical servicesStreamingEnabledEvaluationInTrauma: study protocol for an interventional feasibility randomised controlled trial

et al. 2023

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“…In the emergency medical dispatch context, timely and effective dispatch of appropriate emergency medical services (EMS) resources is critical, in order to save lives [ 2 ]. However, emergency medical dispatch response has been described as the weakest link in the EMS response chain [ 3 ]. There are several different dispatch systems around the world, commonly categorised into two different systems; the criteria-based dispatch (CBD) system, and the Medical Priority Dispatch system (MPDS) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Video livestreaming from medical emergency callers’ smartphones to emergency medical dispatch centres: a scoping review of current uses, opportunities, and challenges

Magnusson,

Ollis,

Munro

et al. 2024

BMC Emerg Med

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Background Timely dispatch of appropriate emergency medical services (EMS) resources to the scene of medical incidents, and/or provision of treatment at the scene by bystanders and medical emergency lay callers (referred to as ‘callers’ in this review) can improve patient outcomes. Currently, in dispatch systems worldwide, prioritisation of dispatch relies mostly on verbal telephone information from callers, but advances in mobile phone technology provide means for sharing video footage. This scoping review aimed to map and identify current uses, opportunities, and challenges for using video livestreaming from callers’ smartphones to emergency medical dispatch centres. Methods A scoping review of relevant published literature between 2007 and 2023 in the English language, searched within MEDLINE; CINAHL and PsycINFO, was descriptively synthesised, adhering to the PRISMA extension for scoping reviews. Results Twenty-four articles remained from the initial search of 1,565 articles. Most studies were simulation-based and focused on emergency medical dispatchers’ (referred to as ‘dispatcher/s’ in this review) assisted video cardiopulmonary resuscitation (CPR), predominantly concerned with measuring how video impacts CPR performance. Nine studies were based on real-life practice. Few studies specifically explored experiences of dispatchers or callers. Only three articles explored the impact that using video had on the dispatch of resources. Opportunities offered by video livestreaming included it being: perceived to be useful; easy to use; reassuring for both dispatchers and callers; and informing dispatcher decision-making. Challenges included the potential emotional impact for dispatchers and callers. There were also concerns about potential misuse of video, although there was no evidence that this was occurring. Evidence suggests a need for appropriate training of dispatchers and video-specific dispatch protocols. Conclusion Research is sparse in the context of video livestreaming. Few studies have focussed on the use of video livestreaming outside CPR provision, such as for trauma incidents, which are by their nature time-critical where visual information may offer significant benefit. Further investigation into acceptability and experience of the use of video livestreaming is warranted, to understand the potential psychological impact on dispatchers and callers.

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