ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
Smartphone apps to support laypersons in bystander CPR are of ambivalent benefit: a controlled trial using medical simulation.
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 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How to evaluate first aid skills after training: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Pooled it
- Effect of an app-guided advanced cardiac life support algorithm on teamwork, non-technical skills, and workload in simulated in-hospital cardiac arrest: a randomized controlled feasibility trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Trial
- Article
- Development of an AI-powered AR glasses system for real-time first aid guidance in emergency situations.BioData mining · 2025Article
- Integrating Telemedical Supervision, Responder Apps, and Data-Driven Triage: The RuralRescue Model of Personalized Emergency Care.Journal of personalized medicine · 2025Article
- Getting ON-TRAC, a team-centred design study of a reflexivity aid to support resuscitation teams' information sharing.Advances in simulation (London, England) · 2025Article
- Enhancing the Chain of Survival: The Role of Smartphone Applications in Cardiopulmonary Resuscitation.Cureus · 2024Review
- Do laypersons need App-linked real-time feedback devices for effective resuscitation? - Results of a prospective, randomised simulation trial.Resuscitation plus · 2024Article
- Methods to teach schoolchildren how to perform and retain cardiopulmonary resuscitation (CPR) skills: A systematic review and meta-analysis.Resuscitation plus · 2023Review
- The Role of a First Aid Training Program for Young Children: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- CPR Quality Assessment in Schoolchildren Training.Journal of cardiovascular development and disease · 2022Article
- Excessive smartphone use and its correlations with social anxiety and quality of life among medical students in a public university in Malaysia: A cross-sectional study.Frontiers in psychiatry · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBystander-initiated resuscitation is essential for surviving out-of-hospital cardiac arrest. Smartphone apps can provide real-time guidance for medical laypersons in these situations. Are these apps a beneficial addition to traditional resuscitation training?
methodsIn this controlled trial, we assessed the impact of app use on the quality of resuscitation (hands-off time, assessment of the patient's condition, quality of chest compression, body and arm positioning). Pupils who have previously undergone a standardised resuscitation training, encountered a simulated cardiac arrest either (i) without an app (control group); (ii) with facultative app usage; or (iii) with mandatory app usage. Measurements were compared using generalised linear regression.
results200 pupils attended this study with 74 pupils in control group, 65 in facultative group and 61 in mandatory group. Participants who had to use the app significantly delayed the check for breathing, call for help, and first compression, leading to longer total hands-off time. Hands-off time during chest compression did not differ significantly. The percentage of correct compression rate and correct compression depth was significantly higher when app use was mandatory. Assessment of the patient's condition, and body and arm positioning did not differ.
conclusionsSmartphone apps offering real-time guidance in resuscitation can improve the quality of chest compression but may also delay the start of resuscitation. Provided that the app gives easy-to-implement, guideline-compliant instructions and that the user is familiar with its operation, we recommend smartphone-guidance as an additional tool to hands-on CPR-training to increase the prevalence and quality of bystander-initiated CPR.
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