ArticleEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine2020
A multidisciplinary approach for improving the outcome of out-of-hospital cardiac arrest in South Korea.
Article in European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- The SEE-IT Trial: emergency medical servicesBMJ open · 2023Article
- Analyzing willingness for extracorporeal cardiopulmonary resuscitation in refractory ventricular fibrillation.PloS one · 2023Article
- Impact of different medical direction policies on prehospital advanced airway management for out-of hospital cardiac arrest patients: A retrospective cohort study.Resuscitation plus · 2022Article
- Effect of Prehospital Epinephrine on Out-of-Hospital Cardiac Arrest Outcomes: A Propensity Score-Matched Analysis.Yonsei medical journal · 2022Observational
- Association between Paramedic Workforce and Survival Rate in Prehospital Advanced Life Support in Out-of-Hospital Cardiac Arrest Patients.Emergency medicine international · 2022Article
- Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander.Emergency medicine international · 2020Article
- A simple method for removing initial irregularity of an electrocardiogram during a transient state of a power supply in a defibrillator.Technology and health care : official journal of the European Society for Engineering and Medicine · 2020Article
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Authors and funding
8 authors.
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Abstract
aimDirect medical control using video conferencing capabilities of smartphones has never been conducted in out-of-hospital cardiac arrest patients. This study was conducted to investigate the feasibility and treatment effectiveness of real-time smartphone video conferencing calls for the management of out-of-hospital cardiac arrest.
methodsThis study was a pre-post-intervention prospective cohort study conducted from January 2013 to July 2015. The intervention was pre-hospital advanced life support under a physician's direction using a smartphone video call.
resultsIn total, 942 cardiac arrests occurred over the 2-year period; 308 patients were excluded, and 314 (49.5%) and 320 (50.5%) cardiac arrest patients were enrolled during the pre- and post-intervention study periods, respectively. There were 248/320 (77.5%) cases of smartphone video-assisted advanced life support during the post-intervention period. For patients in the pre- and post-intervention groups, the pre-hospital return of spontaneous circulation was 6.7 and 20%, respectively (adjusted odds ratio 3.3, 95% confidence interval 1.6-6.8, P < 0.01), and favourable neurological outcomes were ascertained in 1.9 and 6.9%, respectively (adjusted odds ratio 23.6, 95% confidence interval 3.4-164.0, P < 0.01). The smartphone voice and video quality were rated 8.5 and 8.2 out of 10, respectively, in physician evaluation, while the overall utility was rated 9.1.
conclusionWe concluded that a multidisciplinary approach including the re-education of basic life support, simulation training for advanced life support, real-time medical direction via video call, and dispatching two teams rather than one team improved the outcome of out-of-hospital cardiac arrest.
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