Are smart glasses feasible for dispatch prehospital assistance during on-boat cardiac arrest? A pilot simulation study with fishermen.

Barcala-Furelos, Roberto; Aranda-García, Silvia; Otero-Agra, Martín; Fernández-Méndez, Felipe; Alonso-Calvete, Alejandra; Martínez-Isasi, Santiago; Greif, Robert; Rodríguez-Núñez, Antonio (2023). Are smart glasses feasible for dispatch prehospital assistance during on-boat cardiac arrest? A pilot simulation study with fishermen. Internal and emergency medicine, 18(5), pp. 1551-1559. Springer 10.1007/s11739-023-03251-6

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The aim of the study was to explore feasibility of basic life support (BLS) guided through smart glasses (SGs) when assisting fishermen bystanders. Twelve participants assisted a simulated out-of-hospital cardiac arrest on a fishing boat assisted by the dispatcher through the SGs. The SGs were connected to make video calls. Feasibility was assessed whether or not they needed help from the dispatcher. BLS-AED steps, time to first shock/compression, and CPR's quality (hands-only) during 2 consecutive minutes (1st minute without dispatcher feedback, 2nd with dispatcher feedback) were analyzed. Reliability was analyzed by comparing the assessment of variables performed by the dispatcher through SGs with those registered by an on-scene instructor. Assistance through SGs was needed in 72% of the BLS steps, which enabled all participants to perform the ABC approach and use AED correctly. Feasibility was proven that dispatcher's feedback through SGs helped to improve bystanders' performance, as after dispatcher gave feedback via SGs, only 3% of skills were incorrect. Comparison of on-scene instructor vs. SGs assessment by dispatcher differ in 8% of the analyzed skills: greatest difference in the "incorrect hand position during CPR" (on-scene: 33% vs. dispatcher: 0%). When comparing the 1st minute with 2nd minute, there were only significant differences in the percentage of compressions with correct depth (1st:48 ± 42%, 2nd:70 ± 31, p = 0.02). Using SGs in aquatic settings is feasible and improves BLS. CPR quality markers were similar with and without SG. These devices have great potential for communication between dispatchers and laypersons but need more development to be used in real emergencies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Greif, Robert

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1970-9366

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

05 Apr 2023 09:48

Last Modified:

10 Aug 2023 00:13

Publisher DOI:

10.1007/s11739-023-03251-6

PubMed ID:

37014496

Uncontrolled Keywords:

Bystander Cardiopulmonary resuscitation Out-of-hospital cardiac arrest Smart glasses Video dispatch

BORIS DOI:

10.48350/181516

URI:

https://boris.unibe.ch/id/eprint/181516

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