Evidence map›Paper›PMID 37899141›Full record

Observational studyBMJ open2023

Can video communication in the emergency medical communication centre improve dispatch precision? A before-after study in Norwegian helicopter emergency medical services.

Ole Erik Ulvin, Eivinn Årdal Skjærseth, Andreas J Krüger, Kjetil Thorsen, Trond Nordseth, Helge Haugland

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  4. The competency requirements for emergency medical services call takers and dispatchers - a scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  5. LiVE-STROKE: live video from bystander to the medical dispatcher in potential stroke cases.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  6. Review
  7. Article
  8. Observational
  9. The impact of concurrency conflicts on optimal location of air ambulance bases in Norway.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ole Erik UlvinDepartment of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway ole.ulvin@norskluftambulanse.no.ORCID 0000-0002-8721-4217
Eivinn Årdal SkjærsethDepartment of Emergency Medicine and Pre-hospital Services, St Olav's University Hospital, Trondheim, Norway.
Andreas J KrügerDepartment of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway.
Kjetil ThorsenDepartment of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway.
Trond NordsethFaculty of Medicine and Health Sciences, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
Helge HauglandDepartment of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway.ORCID 0000-0002-5869-6675

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDispatching helicopter emergency medical services (HEMS) to the patients with the greatest medical or logistical benefit remains challenging. The introduction of video calls (VC) in the emergency medical communication centres (EMCC) could provide additional information for EMCC operators and HEMS physicians when assessing the need for HEMS dispatch. The aim of this study was to evaluate the impact from VC in the EMCC on HEMS dispatch precision.

designAn observational before-after study.

settingThe regional EMCC and one HEMS base in Mid-Norway.

participantsEMCC operators and HEMS physicians at the EMCC and HEMS base in Trondheim, Norway.

interventionIn January 2022, VC became available in emergency calls in Trondheim EMCC. Data were collected from 2020 2021 (pre-intervention) and 2022 (post-intervention). PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the proportion of seriously ill or injured HEMS patients, defined as a National Advisory Committee for Aeronautics (NACA) score between 4 and 7. The secondary outcome was the proportion of inappropriate dispatches, defined as missions with neither provision of additional competence nor any logistical contribution based on quality indicators for physician-staffed emergency medical services.

results811 and 402 HEMS missions with patient contact were included in the pre- and post-intervention group, respectively. The proportion of missions with NACA 4-7 was not significantly changed after the intervention (OR 1.21, 95% CI 0.92 to 1.61, p=0.17). There was no significant change in HEMS alarm times between the pre- and post-intervention groups (7.6 min vs 6.4 min, p=0.15). The proportion of missions with neither medical nor logistical benefit was significantly lower in the post-intervention group (28.4% vs 40.3%, p=0.007).

conclusionThe results from this study indicate that VC is a promising, feasible and safe tool for EMCC operators in the complex HEMS dispatch process.

Indexed as

Air AmbulancesEmergency Medical ServicesAircraftCommunicationControlled Before-After StudiesHumansNorwayRetrospective Studiesaccident & emergency medicineadult intensive & critical carehealth services accessibilitytelemedicine

Identifiers

PMID37899141
PMCPMC10618992

What OpenQuestion holds

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LicenceCC BY-NC
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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.