Evidence map›Paper›PMID 33526058›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021

Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference.

Camilla Metelmann, Bibiana Metelmann, Dorothea Kohnen, Peter Brinkrolf, Linn Andelius, Bernd W Böttiger, Roman Burkart, Klaus Hahnenkamp, Mario Krammel, Tore Marks and 5 more

Abstract readConsensus Statement
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Barriers and enablers to public access defibrillation - an international RAND-UCLA consensus study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
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  20. The Recent Advances of Mobile Healthcare in Cardiology Practice.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Camilla Metelmann *Department of Anaesthesiology, University Medicine Greifswald, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany. camilla.metelmann@uni-greifswald.de.ORCID http://orcid.org/0000-0002-6145-9021
Bibiana Metelmann *Department of Anaesthesiology, University Medicine Greifswald, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.
Dorothea Kohnenzeb.business school, Steinbeis University Berlin, Münster, Germany.
Peter BrinkrolfDepartment of Anaesthesiology, University Medicine Greifswald, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.
Linn AndeliusCopenhagen Emergency Medical Services, University of Copenhagen, Copenhagen, Denmark.
Bernd W BöttigerDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany.
Roman BurkartTicino Cuore Foundation, Breganzona, Switzerland.
Klaus HahnenkampDepartment of Anaesthesiology, University Medicine Greifswald, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.
Mario KrammelEmergency Medical Service Vienna, Vienna, Austria.
Tore MarksDepartment of Anaesthesiology, University Medicine Greifswald, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.
Michael P MüllerDepartment of Anaesthesiology, Intensive Care and Emergency Medicine, St. Josefskrankenhaus, Freiburg im Breisgau, Germany.
Stefan PrasseMobile Retter e.V, Köln, Germany.
Remy StieglisDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Bernd StrickmannEmergency Medical Service, City and District of Gütersloh, Gütersloh, Germany.
Karl Christian ThiesDepartment of Anaesthesiology, University Medicine Greifswald, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.

Funding

Innovationsfonds 01NVF16004
6 · The paper itself

Abstract

backgroundOver the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This paper reviews the current state in five European countries, reveals similarities and controversies, and presents consensus statements generated in an international conference with the intention to support public decision making on future strategies for SBA of CFR.

methodsIn a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA Appropriateness method to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic.

resultsWhile 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies.

conclusionsMembers of the consensus conference acknowledged that smartphone-based activation of CFR to OHCA saves lives. The statements generated by the consensus conference may assist the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesEmergency RespondersMobile ApplicationsSmartphoneEuropeHumansOut-of-Hospital Cardiac ArrestCitizen responderConsensusFirst respondersmHealthOut-of-hospital cardiac arrestResuscitationSmartphone

Identifiers

PMID33526058
PMCPMC7852085

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.