A binational survey of smartphone activated volunteer responders for out-of-hospital cardiac arrest: Availability, interventions, and post-traumatic stress

Haskins, Brian; Nehme, Ziad; Dicker, Bridget; Wilson, Mark; Ray, Michael; Bernard, Stephen; Cameron, Peter; Smith, Karen

doi:10.1016/j.resuscitation.2021.10.030

Cited by 15 publications

(14 citation statements)

References 28 publications

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“…Understandable, most citizen-based first responder systems required CPR-trained volunteers [36] as the quality and promptness of BLS manoeuvre are supposed to be higher than that in untrained laypeople receiving dispatcher-assisted telephone CPR. Interestingly, alerted citizens who had performed CPR before were more than twice as likely to provide help to victims than responders who had not [37].…”

Section: Discussionmentioning

confidence: 99%

Dispatching citizens as first responders to out-of-hospital cardiac arrests: a systematic review and meta-analysis

Scquizzato

Belloni

Semeraro

et al. 2022

European Journal of Emergency Medicine

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Mobile phone technologies to alert citizen first responders to out-of-hospital cardiac arrests (OHCAs) were implemented in numerous countries. This systematic review and meta-analysis aim to investigate whether activating citizen first responders increases bystanders' interventions and improves outcomes. We searched PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials from inception to 24 November 2021, for studies comparing citizen first responders' activation versus standard emergency response in the case of OHCA. The primary outcome was survival at hospital discharge or 30 days. Secondary outcomes were discharge with favourable neurological outcome, bystander-initiated cardiopulmonary resuscitation (CPR), and the use of automated external defibrillators (AEDs) before ambulance arrival. Evidence certainty was evaluated with GRADE. Our search strategy yielded 1215 articles. After screening, we included 10 studies for a total of 23 351 patients. OHCAs for which citizen first responders were activated had higher rates of survival at hospital discharge or 30 days compared with standard emergency response [nine studies; 903/9978 (9.1%) vs. 1104/13 247 (8.3%); odds ratio (OR), 1.45; 95% confidence interval (CI), 1.21-1.74; P < 0.001], return of spontaneous circulation [nine studies; 2575/9169 (28%) vs. 3445/12 607 (27%); OR, 1.40; 95% CI, 1.07-1.81; P = 0.01], bystander-initiated CPR [eight studies; 5876/9074 (65%) vs. 6384/11 970 (53%); OR, 1.75; 95% CI, 1.43-2.15; P < 0.001], and AED use [eight studies; 654/9132 (7.2%) vs. 624/14 848 (4.2%); OR, 1.82; 95% CI, 1.31-2.53; P < 0.001], but similar rates of neurological intact discharge [three studies; 316/2685 (12%) vs. 276/2972 (9.3%); OR, 1.37; 95% CI, 0.81-2.33; P = 0.24]. Alerting citizen first responders to OHCA patients is associated with higher rates of bystander-initiated CPR, use of AED before ambulance arrival, and survival at hospital discharge or 30 days.

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Section: Discussionmentioning

confidence: 99%

Dispatching citizens as first responders to out-of-hospital cardiac arrests: a systematic review and meta-analysis

Scquizzato

Belloni

Semeraro

et al. 2022

European Journal of Emergency Medicine

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“…, 32. , 33. In line with the results of Kragh et al, 32 the lay responders in our study seemed more affected than healthcare worker responders.…”

Section: Discussionmentioning

confidence: 99%

Smartphone activated community first responders’ experiences of out-of-hospital cardiac arrests alerts, a qualitative study

2022

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“…Previous research on CFR schemes suggests that there can be notable discrepancy between the number of emergency alerts received and the number of emergencies attended. 32 This can be due to volunteers being unavailable (e.g. work, childcare, illness) or missing the alert (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…It can also be due to volunteers receiving subsequent cancellation or ‘stand-down’ notices. 32 A qualitative study from the UK found that, for some volunteers, being ‘stood-down’ can lead to frustration and can even undermine their relationship with the ambulance service. 31 Despite the potential importance of this issue, the difference between the number of alerts and the number of attends was not prioritised in the current study.…”

Section: Discussionmentioning

confidence: 99%

Community first response and out-of-hospital cardiac arrest: Identifying priorities for data collection, analysis, and use via the nominal group technique

et al. 2022

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Aim Community First Response (CFR) is an important component of Out-of-hospital Cardiac Arrest management in many countries, including Ireland. Reliable, strategic data collection and analysis are required to support the development of CFR. However, data on CFR are currently limited in Ireland and internationally. This research aimed to identify the most important CFR data to record, the most important uses of CFR data, and barriers and facilitators to CFR data collection and use. Methods The Nominal Group Technique structured consensus process was used. An expert panel comprising key stakeholders, including volunteers, clinicians, researchers, policy-makers, and a patient, completed a survey to generate lists of the most important CFR data to record and the most important uses of CFR data. Subsequently, they participated in a consensus meeting to agree the top ten priorities from each list. They also identified barriers and facilitators to CFR data collection and use. Results The top ten CFR data items to record included volunteer response time, interventions/activities completed by volunteers, and the mental/physical impact on volunteers. The top ten most important uses of CFR data included providing feedback to volunteers, improving volunteer training, and measuring CFR effectiveness. Barriers included time constraints and limited training. Facilitators included having appropriate software/equipment and collecting minimal data. Conclusion The results can guide CFR research and inform the development of CFR data collection and analysis policy and practice in Ireland and internationally. Ultimately, improving CFR data collection and use will help to optimise this important intervention and enhance its evidence base.

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A binational survey of smartphone activated volunteer responders for out-of-hospital cardiac arrest: Availability, interventions, and post-traumatic stress

Cited by 15 publications

References 28 publications

Dispatching citizens as first responders to out-of-hospital cardiac arrests: a systematic review and meta-analysis

Dispatching citizens as first responders to out-of-hospital cardiac arrests: a systematic review and meta-analysis

Smartphone activated community first responders’ experiences of out-of-hospital cardiac arrests alerts, a qualitative study

Community first response and out-of-hospital cardiac arrest: Identifying priorities for data collection, analysis, and use via the nominal group technique

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