Mobile Smartphone Technology Is Associated With Out‐of‐hospital Cardiac Arrest Survival Improvement: The First Year “Greater Paris Fire Brigade” Experience

Derkenne, Clément; Jost, Daniel; Roquet, Florian; Dardel, Paul; Kedzierewicz, Romain; Mignon, Alexandre; Travers, Stéphane; Frattini, Benoît; Prieux, Laurent; Rozenberg, Emmanuel; Demaison, X.; Gaudet, J.; Charry, F. de; Stibbe, Olivier; Briche, Frédérique; Lemoine, Fabrice; Lesaffre, Xavier; Maurin, Olga; Gauyat, Eric; Faraon, Eric; Lemoine, Sabine; Prunet, Bertrand

doi:10.1111/acem.13987

Cited by 18 publications

(16 citation statements)

References 28 publications

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“…A citizen responder programme in France, StayingAlive, was evaluated by Derkenne et al and found an association between activation of CPR trained volunteers and increased OHCA survival [25]. Originally, the programme included trained volunteers, but in 2019 the programme expanded to accept non-trained volunteers [25,26]. Volunteers not trained in CPR can be used as a resource for non-CPR tasks, for example bringing the nearest AED to the cardiac arrest location.…”

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

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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%

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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“…Dispatching first responders to OHCA strengthens the chain of survival and increases the likelihood of good neurological outcome [ 18 , 19 , 36 ]. This study illustrates the impact of the pandemic on FR schemes and gives an overview over the corresponding measures taken to mitigate the risks for responders and patients.…”

Section: Discussionmentioning

confidence: 99%

First responder systems can stay operational under pandemic conditions: results of a European survey during the COVID-19 pandemic

Metelmann

Müller

et al. 2022

Scand J Trauma Resusc Emerg Med

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Background Dispatching first responders (FR) to out-of-hospital cardiac arrest in addition to the emergency medical service has shown to increase survival. The promising development of FR systems over the past years has been challenged by the outbreak of COVID-19. Whilst increased numbers and worse outcomes of cardiac arrests during the pandemic suggest a need for expansion of FR schemes, appropriate risk management is required to protect first responders and patients from contracting COVID-19. This study investigated how European FR schemes were affected by the pandemic and what measures were taken to protect patients and responders from COVID-19. Methods To identify FR schemes in Europe we conducted a literature search and a web search. The schemes were contacted and invited to answer an online questionnaire during the second wave of the pandemic (December 2020/ January 2021) in Europe. Results We have identified 135 FR schemes in 28 countries and included responses from 47 FR schemes in 16 countries. 25 schemes reported deactivation due to COVID-19 at some point, whilst 22 schemes continued to operate throughout the pandemic. 39 schemes communicated a pandemic-specific algorithm to their first responders. Before the COVID-19 outbreak 20 FR systems did not provide any personal protective equipment (PPE). After the outbreak 19 schemes still did not provide any PPE. The majority of schemes experienced falling numbers of accepted call outs and decreasing registrations of new volunteers. Six schemes reported of FR having contracted COVID-19 on a mission. Conclusions European FR schemes were considerably affected by the pandemic and exhibited a range of responses to protect patients and responders. Overall, FR schemes saw a decrease in activity, which was in stark contrast to the high demand caused by the increased incidence and mortality of OHCA during the pandemic. Given the important role FR play in the chain of survival, a balanced approach upholding the safety of patients and responders should be sought to keep FR schemes operational.

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“…However, these pilot programs have to be carefully evaluated because relevant factors for designing farreaching community CPR training programs are not well defined. In this context, smartphone applications might also be helpful in future CPR trainings [25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Basic life support knowledge in Germany and the influences of demographic factors

Schiefer

Fuchs

et al. 2020

PLoS ONE

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Background In the developed world, cardiovascular diseases still contribute to mortality and morbidity, leading to significantly increased deaths in recent years. Thus, it is necessary for a layperson to provide the best possible basic life support (BLS) until professional help is available. Since information on current BLS knowledge in Germany is not available, but necessary to be able to make targeted improvements in BLS education, we conducted this study. Methods A cohort survey using convenience sampling (non-probability) method was conducted with questions found in emergency medicine education. People coming to the emergency room of two big university hospitals located in the South (Munich) and western part (Cologne) of Germany were asked to participate in the survey between 2016 and 2017. Primary outcome measures were the proportion of correct answers for each emergency scenario in relationship to age, region, profession and first-aid training. Results Altogether 1003 people (504 from Cologne; 499 from Munich) took part in the questionnaire. 54.7% were female and 45.3% were male aging from 19 to 52 with a mean of 37.2 years. Although over 90% had taken part in first aid training, many people were lacking first aid knowledge, with less than 10% choosing the correct frequency for chest compression. Hereby demographic factors had a significant influence (p<0.05) in the given answers (Friedmann-and-Wilcoxon Test). Conclusion Overall, results of our survey indicate a clear lack of BLS knowledge. With this information, targeted measures for improving BLS knowledge should be conducted. Additionally, further studies on the feasibility and efficiency of teaching methods are needed

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Mobile Smartphone Technology Is Associated With Out‐of‐hospital Cardiac Arrest Survival Improvement: The First Year “Greater Paris Fire Brigade” Experience

Cited by 18 publications

References 28 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

First responder systems can stay operational under pandemic conditions: results of a European survey during the COVID-19 pandemic

Basic life support knowledge in Germany and the influences of demographic factors

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