Effectiveness of a network of automatically activated trained volunteers on the reduction of cardiopulmonary resuscitation manoueuvers initiation time: study protocol.
Adult
Cardiopulmonary Resuscitation
/ education
Defibrillators
Emergency Medical Services
/ methods
Emergency Responders
/ education
Female
Humans
Male
Middle Aged
Out-of-Hospital Cardiac Arrest
/ mortality
Program Evaluation
Smartphone
Survival Rate
Time Factors
Time-to-Treatment
/ statistics & numerical data
Volunteers
/ education
Young Adult
Automated external defibrillators
Cardiopulmonary resuscitation
Emergency medical system services
Mobile phone
Out-of-hospital cardiac arrest
Primary healthcare
Technology
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
14 May 2019
14 May 2019
Historique:
received:
22
02
2019
accepted:
25
04
2019
entrez:
16
5
2019
pubmed:
16
5
2019
medline:
31
7
2019
Statut:
epublish
Résumé
Cardiorespiratory arrest (CRA) is a health emergency with high mortality. Mortality depends on time of initiation and quality of cardiopulmonary resuscitation (CPR) manoeuvres and the use of the automated external defibrillator (AED). The aim of the study is to determine the effectiveness of an automatically activated network of volunteers using smartwatch and smartphone applications on the reduction of time of initiation of cardiopulmonary resuscitation manoeuvres. The protocol will be developed in four phases: 1) validation of an application (App) for smartwatch that automatically generates a health alert in case of out-of-hospital cardiorespiratory arrest (OHCA); 2) training course for laypersons on CPR manoeuvres and AED use; 3) creation of a network of volunteers trained in CPR and AED use that covers our city; and 4) simulation in which the network of volunteers is automatically activated via smartphone to attend simulated OHCAs. A total of 134 health alerts will be generated; on 67 occasions the alert will be directed to the emergency health services and to the network of trained volunteers (Intervention Group) and on 67 occasions the alert will be solely directed to the emergency health services (Control Group). The arrival time of the first rescuer, category of first rescuer (emergency services versus network of volunteers), initiation time of manoeuvres and competence will be recorded. CPR training for laypersons is advised, especially for relatives and people close to patients with heart disease, to reduce time of initiation of CPR and to improve OHCA survival rates. This study aims to verify that the initiation time of CPR manoeuvres and AED use is shorter in the intervention than in the control group. Clinicaltrials.gov ID NCT03828305 . Trial registered on February 1, 2019 (retrospective register).
Sections du résumé
BACKGROUND
BACKGROUND
Cardiorespiratory arrest (CRA) is a health emergency with high mortality. Mortality depends on time of initiation and quality of cardiopulmonary resuscitation (CPR) manoeuvres and the use of the automated external defibrillator (AED).
METHODS
METHODS
The aim of the study is to determine the effectiveness of an automatically activated network of volunteers using smartwatch and smartphone applications on the reduction of time of initiation of cardiopulmonary resuscitation manoeuvres. The protocol will be developed in four phases: 1) validation of an application (App) for smartwatch that automatically generates a health alert in case of out-of-hospital cardiorespiratory arrest (OHCA); 2) training course for laypersons on CPR manoeuvres and AED use; 3) creation of a network of volunteers trained in CPR and AED use that covers our city; and 4) simulation in which the network of volunteers is automatically activated via smartphone to attend simulated OHCAs. A total of 134 health alerts will be generated; on 67 occasions the alert will be directed to the emergency health services and to the network of trained volunteers (Intervention Group) and on 67 occasions the alert will be solely directed to the emergency health services (Control Group). The arrival time of the first rescuer, category of first rescuer (emergency services versus network of volunteers), initiation time of manoeuvres and competence will be recorded.
DISCUSSION
CONCLUSIONS
CPR training for laypersons is advised, especially for relatives and people close to patients with heart disease, to reduce time of initiation of CPR and to improve OHCA survival rates. This study aims to verify that the initiation time of CPR manoeuvres and AED use is shorter in the intervention than in the control group.
TRIAL REGISTRATION
BACKGROUND
Clinicaltrials.gov ID NCT03828305 . Trial registered on February 1, 2019 (retrospective register).
Identifiants
pubmed: 31088520
doi: 10.1186/s12889-019-6896-9
pii: 10.1186/s12889-019-6896-9
pmc: PMC6518759
doi:
Banques de données
ClinicalTrials.gov
['NCT03828305']
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Pagination
572Subventions
Organisme : Strategic Plan of Research and Innovation in Health (PERIS) 2016-2020 for Primary Care Research Projects
ID : SLT002/16/0162
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