Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference
Abstract Background Over 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 diff...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13049-021-00841-1 |
| _version_ | 1819060119312269312 |
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| author | Camilla Metelmann Bibiana Metelmann Dorothea Kohnen Peter Brinkrolf Linn Andelius Bernd W. Böttiger Roman Burkart Klaus Hahnenkamp Mario Krammel Tore Marks Michael P. Müller Stefan Prasse Remy Stieglis Bernd Strickmann Karl Christian Thies |
| author_facet | Camilla Metelmann Bibiana Metelmann Dorothea Kohnen Peter Brinkrolf Linn Andelius Bernd W. Böttiger Roman Burkart Klaus Hahnenkamp Mario Krammel Tore Marks Michael P. Müller Stefan Prasse Remy Stieglis Bernd Strickmann Karl Christian Thies |
| author_sort | Camilla Metelmann |
| collection | DOAJ |
| description | Abstract Background Over 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. Methods In 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. Results While 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. Conclusions Members 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. |
| first_indexed | 2024-12-21T14:21:55Z |
| format | Article |
| id | doaj.art-457767ac529842e8bd0fc7ecdc34f067 |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-12-21T14:21:55Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-457767ac529842e8bd0fc7ecdc34f0672022-12-21T19:00:45ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412021-02-012911910.1186/s13049-021-00841-1Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conferenceCamilla Metelmann0Bibiana Metelmann1Dorothea Kohnen2Peter Brinkrolf3Linn Andelius4Bernd W. Böttiger5Roman Burkart6Klaus Hahnenkamp7Mario Krammel8Tore Marks9Michael P. Müller10Stefan Prasse11Remy Stieglis12Bernd Strickmann13Karl Christian Thies14Department of Anaesthesiology, University Medicine GreifswaldDepartment of Anaesthesiology, University Medicine Greifswaldzeb.business school, Steinbeis University BerlinDepartment of Anaesthesiology, University Medicine GreifswaldCopenhagen Emergency Medical Services, University of CopenhagenDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital of CologneTicino Cuore FoundationDepartment of Anaesthesiology, University Medicine GreifswaldEmergency Medical Service ViennaDepartment of Anaesthesiology, University Medicine GreifswaldDepartment of Anaesthesiology, Intensive Care and Emergency MedicineMobile Retter e.VDepartment of Cardiology, Amsterdam UMC, University of AmsterdamEmergency Medical Service, City and District of GüterslohDepartment of Anaesthesiology, University Medicine GreifswaldAbstract Background Over 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. Methods In 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. Results While 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. Conclusions Members 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.https://doi.org/10.1186/s13049-021-00841-1ResuscitationOut-of-hospital cardiac arrestFirst respondersCitizen responderConsensusmHealth |
| spellingShingle | Camilla Metelmann Bibiana Metelmann Dorothea Kohnen Peter Brinkrolf Linn Andelius Bernd W. Böttiger Roman Burkart Klaus Hahnenkamp Mario Krammel Tore Marks Michael P. Müller Stefan Prasse Remy Stieglis Bernd Strickmann Karl Christian Thies Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Resuscitation Out-of-hospital cardiac arrest First responders Citizen responder Consensus mHealth |
| title | Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference |
| title_full | Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference |
| title_fullStr | Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference |
| title_full_unstemmed | Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference |
| title_short | Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference |
| title_sort | smartphone based dispatch of community first responders to out of hospital cardiac arrest statements from an international consensus conference |
| topic | Resuscitation Out-of-hospital cardiac arrest First responders Citizen responder Consensus mHealth |
| url | https://doi.org/10.1186/s13049-021-00841-1 |
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