Standardization of seizure response times and data collection in an epilepsy monitoring unit

Pellinen, Jacob; Sillau, Stefan; Buchhalter, Jeffrey

doi:10.1016/j.eplepsyres.2022.106869

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…Supervising paramedics via telemedicine could therefore be a technology that supports paramedics in the eld, while allowing patients to safely receive lifesaving procedures as well as medication and reducing time delays in treatment. Especially when rapid interventions are need like in the management of seizures improving response times and increasing diagnostic accuracy could prevent and reduce the risk of Sudden Unexplained Death in Epilepsy Patients (SUDEP) [46][47][48].…”

Section: Discussionmentioning

confidence: 99%

Comparing the effects and application of telemedicine in emergency medicine for different medical specialties using the Emergency Talk Application in the U-Sim ETA Trial

O'Sullivan

Schneider

2023

Preprint

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Introduction: Telemedicine as a technology can support processes in the field of emergency medicine (EM) including therapies and diagnostics, but technically is often based on hardware solutions for local EM structures, especially when involving the field of pre-hospital EM. By developing an open-source, data protection compliant solution (EU GDPR and HIPAA) as well as using standardized web and open-source based technology the Emergency Talk Application (ETA) can be used as a technology that can connect emergency medical providers and include already available regional structures. By actively involving patients and connecting these with emergency or urgent care physicians ETA can be used not only as a teleconsultation system for paramedics and physicians, but in a wider network. Methods: Randomised simulation trial, comparing EM scenarios from the field of internal medicine, trauma and neurology. Participants were qualified as certified paramedics or emergency physicians (EP). Paramedics performed as ambulances crews and involved an EP if needed via ETA as Tele-Emergency Physicians (TEP). EP participated from a device of their choice, while being able to stay within their clinical workspace. Results: From 141 scenarios 129 used ETA. Significant differences were found for the length of scenarios, duration of time the TEP was on scene, TEP arrival after scenario start, duration until TEP was called and the duration until a diagnosis was made. Also a strong positive and significant correlation between duration of the scenario and the time a Tele-Emergency Physician (TEP) was bound could be described. Discussion: Telemedicine is a technology that is increasingly used in the field of EM. Improving the use of telemedicine by using up-to date technology while allowing an integration of available technical and human resources is a challenge in the field of emergency medicine especially with its regional but also broad medical variety. When using one technical solution, understanding that different cases need a different medical and also telemedical approach can help in the understanding and improving therapies, diagnostics but also the involved processes and solutions. Such results are not only relevant for healthcare providers but especially by law and decision makers as to which type of solution could be introduced in each regional setting.

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Section: Discussionmentioning

confidence: 99%

Comparing the effects and application of telemedicine in emergency medicine for different medical specialties using the Emergency Talk Application in the U-Sim ETA Trial

O'Sullivan

Schneider

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Supervising paramedics via telemedicine could therefore be a technology that supports these in the field, while allowing patients to safely receive lifesaving procedures as well as medication and reducing time delays in treatment 52 . Especially when rapid interventions are need like in the management of seizures improving response times and increasing diagnostic accuracy could prevent and reduce the risk of Sudden Unexplained Death in Epilepsy Patients (SUDEP) [53][54][55] .…”

Section: Discussionmentioning

confidence: 99%

Comparing effects and application of telemedicine for different specialties in emergency medicine using the Emergency Talk Application (U-Sim ETA Trial)

O’Sullivan

Schneider

2023

Sci Rep

View full text Add to dashboard Cite

Telemedicine as a technology can support processes in the field of emergency medicine (EM) including therapies and diagnostics, but technically is often based on hardware solutions for local EM structures, especially when involving the field of pre-hospital EM. By developing an open-source, data protection compliant solution (EU GDPR and HIPAA) as well as using standardized web and open-source based technology the Emergency Talk Application (ETA) can be used as a technology that can connect emergency medical providers and include already available regional structures. By actively involving patients and connecting these with emergency or urgent care physicians ETA can be used not only as a teleconsultation system for paramedics and physicians, but in a wider network. Randomised simulation trial, comparing EM scenarios from the field of internal medicine, trauma and neurology. Participants were qualified as certified paramedics or emergency physicians (EP). Paramedics performed as ambulances crews and involved an EP if needed via ETA as Tele-Emergency Physicians (TEP). EP participated from a device of their choice, while being able to stay within their clinical workspace. From 141 scenarios 129 used ETA. Significant differences were found for the length of scenarios, duration of time the TEP was on scene, TEP arrival after scenario start, duration until TEP was called and the duration until a diagnosis was made. Also a strong positive and significant correlation between duration of the scenario and the time a TEP was bound could be described. Telemedicine is a technology that is increasingly used in the field of EM. Improving the use of telemedicine by using up-to date technology while allowing an integration of available technical and human resources is a challenge in the field of emergency medicine especially with its regional but also broad medical variety. When using one technical solution, understanding that different cases need a different medical and also telemedical approach can help in the understanding and improving therapies, diagnostics but also the involved processes and solutions. Such results are not only relevant for healthcare providers but especially by law and decision makers as to which type of solution could be introduced in each regional setting.

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“…19 Beyond this, and as mentioned in the free-text comments, reliability of data collection could be further improved by the automatic export of data (eg, vital parameters) from medical devices (eg, monitor) to the EMR, video recording of the procedure, or a dedicated person present on scene and looking for specific data points. 26 Moreover, most of the datapoints have been shown to be reliably collectable in specific projects in the past. 2 27 However, the collection of the data must remain feasible in the long term and within the given resource and time constraints.…”

Section: Reliability Of Data Collectionmentioning

confidence: 99%

Feasibility of quality indicators on prehospital advanced airway management in a physician-staffed emergency medical service: survey-based assessment of the provider point of view

Kottmann,

Pasquier,

Carron

et al. 2024

BMJ Open

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ObjectiveWe aimed to determine the feasibility of quality indicators (QIs) for prehospital advanced airway management (PAAM) from a provider point of view.DesignThe study is a survey based feasibility assessment following field testing of QIs for PAAM.SettingThe study was performed in two physician staffed emergency medical services in Switzerland.Participants42 of the 44 emergency physicians who completed at least one case report form (CRF) dedicated to the collection of the QIs on PAAM between 1 January 2019 and 31 December 2021 participated in the study.InterventionThe data required to calculate the 17 QIs was systematically collected through a dedicated electronic CRF.Primary and secondary outcome measuresPrimary outcomes were provider-related feasibility criteria: relevance and acceptance of the QIs, as well as reliability of the data collection. Secondary outcomes were effort to collect specific data and to complete the CRF.ResultsOver the study period, 470 CRFs were completed, with a median of 11 per physician (IQR 4–17; range 1–48). The median time to complete the CRF was 7 min (IQR 3–16) and was considered reasonable by 95% of the physicians. Overall, 75% of the physicians assessed the set of QIs to be relevant, and 74% accepted that the set of QIs assessed the quality of PAAM. The reliability of data collection was rated as good or excellent for each of the 17 QIs, with the lowest rated for the following 3 QIs: duration of preoxygenation, duration of laryngoscopy and occurrence of desaturation during laryngoscopy.ConclusionsCollection of QIs on PAAM appears feasible. Electronic medical records and technological solutions facilitating automatic collection of vital parameters and timing during the procedure could improve the reliability of data collection for some QIs. Studies in other services are needed to determine the external validity of our results.

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Standardization of seizure response times and data collection in an epilepsy monitoring unit

Cited by 5 publications

References 17 publications

Comparing the effects and application of telemedicine in emergency medicine for different medical specialties using the Emergency Talk Application in the U-Sim ETA Trial

Comparing the effects and application of telemedicine in emergency medicine for different medical specialties using the Emergency Talk Application in the U-Sim ETA Trial

Comparing effects and application of telemedicine for different specialties in emergency medicine using the Emergency Talk Application (U-Sim ETA Trial)

Feasibility of quality indicators on prehospital advanced airway management in a physician-staffed emergency medical service: survey-based assessment of the provider point of view

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