West J Emerg Med
University of Cologne, Medical Faculty and University Hospital Cologne, Department of Anaesthesiology and Intensive Care Medicine, Cologne, Germany.
Published: February 2022
Introduction: Video-assisted cardiopulmonary resuscitation (V-CPR) describes an advanced telephone-assisted CPR (T-CPR), in which emergency medical service (EMS) dispatchers view a live video steam of the resuscitation. Dispatchers ' general attitudes toward and self-assessment in V-CPR have not been previously investigated.
Material And Methods: We conducted this quantitative analysis along with a pilot study on V-CPR. After conducting V-CPR with laypersons in a simulation, EMS dispatchers were given questionnaires with 21 items concerning their personal attitude toward V-CPR and their self-assessment in providing instructions. The actual CPR performance achieved was recorded and compared to the dispatchers' self-assessments.
Results: Dispatchers completed 49 questionnaires, and the data is presented descriptively. Over 80% strongly agreed that V-CPR was helpful in guiding and that their feedback improved CPR quality. Fifty-one percent agreed that video images supported them in making a diagnosis, while 44.9% disagreed. A vast majority (80-90% each) strongly agreed that V-CPR helped them recognize CPR issues such as compression point, compression rate, and deterioration. In contrast, data for improved compression depth and release were weaker. Thirty percent found V-CPR to be more stressful or exhausting than T-CPR. A majority stated they would prefer V-CPR as an addition to T-CPR in the future. There was a huge gap between dispatchers' own view of CPR effort and measured CPR quality.
Conclusion: Dispatchers generally embrace V-CPR and praise the abilities it provides. Our results indicate that the use of V-CPR did not automatically result in an overall improvement in guideline-compliant CPR quality.
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http://dx.doi.org/10.5811/westjem.2021.12.53027 | DOI Listing |
Resusc Plus
January 2025
Department of Emergency Medicine and Pre-hospital services, St. Olav s University Hospital, NO-7006, Trondheim, Norway.
Resusc Plus
December 2024
University of Cologne, Faculty of Medicine, Cologne, Germany.
Background: Video assisted cardiopulmonary resuscitation (V-CPR) has demonstrated to be efficient in improving CPR quality and patient outcomes, as Emergency Medical Service (EMS) dispatchers can use the video stream of a caller for diagnostic purposes and give instructions in a CPR scenario. However, the new challenges faced by EMS dispatchers during video-guided CPR (V-CPR)-such as analyzing the video stream, providing feedback to the caller, and managing stress-demand innovative solutions. This study explores the feasibility of incorporating an open-source "machine-learning" tool (artificial intelligence - AI), to evaluate the feasibility and accuracy in correctly detecting the actual compression frequency and compression depth in video footage of a simulated CPR.
View Article and Find Full Text PDFSci Rep
September 2023
Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, University of Pécs Faculty of Health Sciences, Vörösmarty Street 4, 7621, Pécs, Hungary.
Our randomized controlled simulation study aimed to compare the CPR quality, time-related factors, attitude and self-assessment of non-healthcare university students (aged 18-25) compared video-assisted (V-CPR, n = 50) with telephone-assisted (T-CPR, n = 49) and unassisted (U-CPR, n = 48) CPR in a simulation setting. Regarding to chest compression depth, no difference was found between the three groups (p = 0.065): 41.
View Article and Find Full Text PDFInt J Med Sci
January 2023
Graduate Institute of Sports Science, National Taiwan Sport University, Taoyuan, Taiwan.
Chest compressions are the basis of cardiopulmonary resuscitation (CPR), and high-quality chest compressions can improve survival rate in patients with out-of-hospital cardiac arrest. Although many efforts have been made to improve the quality of CPR in inexperienced adults, the results are still not high, especially during emergencies. The primary purpose of this study is to investigate whether a brief instructional chest compression-only CPR video could improve chest compression quality in inexperienced adults.
View Article and Find Full Text PDFOrv Hetil
January 2023
1 Pécsi Tudományegyetem, Egészségtudományi Kar, Sürgősségi, Egészségpedagógiai és Ápolástudományi Intézet Pécs, Vörösmarty u. 4., 7621 Magyarország.
Quick and high-quality cardiopulmonary resuscitation has an important role in the survival of out-of-hospital cardiac arrest. In the majority of the cases, the victim is detected by a layperson. Usually, the ratio of giving help is lower than expected.
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