Universität zu Köln

Ecker, Hannes, Wingen, Sabine, Hamacher, Stefanie ORCID: 0000-0003-2158-9101, Lindacher, Falko, Boettiger, Bernd W. and Wetsch, Wolfgang A. (2021). Evaluation Of CPR Quality Via Smartphone With A Video Livestream - A Study In A Metropolitan Area. Prehosp. Emerg. Care, 25 (1). S. 76 - 82. PHILADELPHIA: TAYLOR & FRANCIS INC. ISSN 1545-0066

Full text not available from this repository.

Abstract

Background: Telephone-assisted cardiopulmonary resuscitation (CPR) is an effective and proven tool to improve patient survival and outcome after cardiac arrest, and is therefore recommended in international resuscitation guidelines. A new technology that provides the emergency medical services (EMS) dispatcher with a video livestream from a smartphone during telephone-assisted CPR was investigated to assess whether a correct judgment of CPR quality is feasible. Material and Methods: After Ethics Committee approval, we conducted this study from August to September 2018 in the University Hospital of Cologne and its metropolitan area. Our study team set up a full-scale resuscitation mannequin on 54 study sites. Video telephony between caller and EMS dispatcher was established, and CPR was initiated with randomized common quality issues concerning compression frequency, compression depth, and compression point. It was evaluated whether the dispatcher recognized correct and incorrect resuscitation performance. Results: Forty-six video calls were established successfully. EMS dispatching staff identified correct compression frequency (100-120/min) in 87.5% of the cases, too low frequency (<80/min) was correctly identified in 92%, and too high frequency (>140/min) in 58.5%, respectively. Correct compression depth (5-6 cm) was identified in 70.6%, shallow compressions (<3cm) in 92.9% and a continuous decrease of depth in 100% of all cases. Correct compression point was identified in 87.5%, incorrect epigastric compression in 92.3%, incomplete release in 58.8%. Conclusion: A video livestream from a smartphone can support an EMS dispatcher's assistance in resuscitation. Typical resuscitation mistakes, like incorrect compression frequency or depth, and incorrect compression points could be recognized and corrected efficiently via video livestream.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ecker, Hannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Wingen, Sabine UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamacher, Stefanie UNSPECIFIED orcid.org/0000-0003-2158-9101 UNSPECIFIED Lindacher, Falko UNSPECIFIED UNSPECIFIED UNSPECIFIED Boettiger, Bernd W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wetsch, Wolfgang A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-340558
DOI:	10.1080/10903127.2020.1734122
Journal or Publication Title:	Prehosp. Emerg. Care
Volume:	25
Number:	1
Page Range:	S. 76 - 82
Date:	2021
Publisher:	TAYLOR & FRANCIS INC
Place of Publication:	PHILADELPHIA
ISSN:	1545-0066
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOSPITAL CARDIAC-ARREST; BYSTANDER CARDIOPULMONARY-RESUSCITATION; COUNCIL GUIDELINES; SURVIVAL; CALLS Multiple languages Emergency Medicine; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34055