myResponder Smartphone Application to Crowdsource Basic Life Support for Out-of-Hospital Cardiac Arrest: The Singapore Experience

Ng, William; Souza, Carl Ross De; Pek, Pin Pin; Shahidah, Nur; Ng, Yih Yng; Arulanandam, Shalini; White, Alexander E.; Leong, Benjamin Sieu-Hon; Ong, Marcus Eng Hock

doi:10.1080/10903127.2020.1777233

Cited by 21 publications

(29 citation statements)

References 20 publications

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“…This cannot be achieved by the Emergency Medical Service (EMS) alone; even if they arrive on scene within 5 min, immediate bystander CPR still leads to a twoto threefold increase in survival [2,3]. To bridge the time until EMS arrival, various systems worldwide introduced deployment of Community First Responders (CFR) to outof-hospital cardiac arrests (OHCA) [4][5][6][7][8][9][10][11][12][13]. This led to an increased rate of CPR performed before arrival of the EMS [14,15].…”

Section: Introductionmentioning

confidence: 99%

Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference

Metelmann

Kohnen

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This paper reviews the current state in five European countries, reveals similarities and controversies, and presents consensus statements generated in an international conference with the intention to support public decision making on future strategies for SBA of CFR. Methods In a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA Appropriateness method to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic. Results While 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies. Conclusions Members of the consensus conference acknowledged that smartphone-based activation of CFR to OHCA saves lives. The statements generated by the consensus conference may assist the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.

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Section: Introductionmentioning

confidence: 99%

Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference

Metelmann

Kohnen

et al. 2021

Scand J Trauma Resusc Emerg Med

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show abstract

“…CFR. Yet, systems successfully implemented in Singapore and Italy are open for laypersons without any training in CPR (37,13). In the Italian system CFR get instructions on chest compressions by the dispatch centre whilst attending an OHCA(37).…”

Section: Discussionmentioning

confidence: 99%

“…A collaboration with well-established non-governmental rst aid organisations may be bene cial to promote CFR systems. To recruit new CFR, participation has to be actively promoted and advertised; rst responders frequently discover CFR programmes via promotion material or by talking to CFR (31,10,13).…”

Section: Discussionmentioning

confidence: 99%

“…This cannot be achieved by the Emergency Medical Service (EMS) alone; even if they arrive on scene within 5 minutes, immediate bystander CPR still leads to a two-to threefold increase in survival (2,3). To bridge the time until EMS arrival, various systems worldwide introduced deployment of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) (4)(5)(6)(7)(8)(9)(10)(11)(12)(13). This led to an increased rate of CPR performed before arrival of the EMS (14,15).…”

Section: Introductionmentioning

confidence: 99%

“…This led to an increased rate of CPR performed before arrival of the EMS (14,15). The spectrum of volunteers deployed is ranging from lay persons without medical background to highly trained medical professionals (4,6,7,11,16,17,12,13,18). CFR dispatch systems initially worked with text messaging, but switched to smartphone-based activation (SBA) via speci c smartphone applications (apps) (19,20).…”

Section: Introductionmentioning

confidence: 99%

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Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference

Metelmann

Kohnen³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This paper reviews the current state in five European countries, reveals similarities and controversies, and presents consensus statements generated in an international conference with the intention to support public decision making on future strategies for SBA of CFR.Methods: In a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA Appropriateness method to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic.Results: While 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies. Conclusions: Members of the consensus conference acknowledged that smartphone-based activation of CFR to OHCA saves lives. The statements generated by the consensus conference may assist the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.

show abstract

Technology activated community first responders in Singapore: Real-world care delivery & outcome trends

Siddiqui,

Fook-Chong,

Shahidah

et al. 2023

Resuscitation Plus

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myResponder Smartphone Application to Crowdsource Basic Life Support for Out-of-Hospital Cardiac Arrest: The Singapore Experience

Cited by 21 publications

References 20 publications

Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference

Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference

Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference

Technology activated community first responders in Singapore: Real-world care delivery & outcome trends

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