A smartphone application for dispatch of lay responders to out-of-hospital cardiac arrests

Berglund, Ellinor; Claesson, Andreas; Nordberg, Per; Djärv, Therese; Lundgren, Peter; Folke, Fredrik; Forsberg, Sune; Riva, Gabriel; Ringh, Mattias

doi:10.1016/j.resuscitation.2018.01.039

Cited by 118 publications

(111 citation statements)

References 18 publications

Supporting

Mentioning

106

Contrasting

Unclassified

Order By: Relevance

“…Studies in Sweden have reported that a smartphone-based application activated by emergency dispatch centers can be used to locate and then alert laypersons to nearby suspected OHCAs. 27 In addition, a study in Canada suggested that an optimized drone network designed with the aid of a novel mathematical model could substantially reduce the AED delivery time directly to an OHCA event. 28 However, many regulatory and technical challenges must be addressed before drone-delivered AED systems can be utilized in real-world scenarios.…”

Section: Discussionmentioning

confidence: 99%

Public-Access Defibrillation and Survival of Out-of-Hospital Cardiac Arrest in Public vs. Residential Locations in Japan

Kiyohara

Kitamura

Nishiyama

et al. 2019

Circ J

View full text Add to dashboard Cite

Background: This study assessed whether the dissemination of public-access defibrillation (PAD) at the population level is associated with an increase in neurologically favorable outcomes among patients experiencing ventricular fibrillation (VF) in public vs. residential locations in Japan. Methods and Results: We enrolled adult patients with bystander-witnessed VF between 2013 and 2015. The primary outcome measure was 1-month neurologically favorable outcome defined by cerebral performance category 1 or 2. The number of survivors with neurologically favorable outcome attributed to PAD after VF arrest was estimated by location of arrest. A total of 16,252 adult patients with bystander-witnessed VF arrest were analyzed. In public locations, 29.3% (2,334/7,973) of out-of-hospital cardiac arrest (OHCA) patients received PAD, whereas 1.1% (89/8,279) of OHCA patients received PAD in residential locations. OHCA patients with PAD had significantly better neurological outcomes compared with those without PAD in public locations (51.8% vs. 25.5%, P<0.001), whereas there were no significant differences in neurologically favorable outcome between patients with or without PAD in residential locations (22.5% vs. 18.6%, P=0.357). The total number of patients with neurologically favorable outcomes attributed to PAD was estimated at 615 in public locations, but only 3 in residential locations. Conclusions: In Japan, when compared with residential locations, PAD works more successfully in public locations for adults with bystander-witnessed VF arrest.

show abstract

Section: Discussionmentioning

confidence: 99%

Public-Access Defibrillation and Survival of Out-of-Hospital Cardiac Arrest in Public vs. Residential Locations in Japan

Kiyohara

Kitamura

Nishiyama

et al. 2019

Circ J

View full text Add to dashboard Cite

show abstract

“…(198 / 685) where the system was activated was EMS treated OHCA. 97 There was a relatively large proportion of cross over, most prominent from S-CPR to CO-CPR and this may be a major limitation in interpreting the results in the future main study. The reason for this cross over is not entirely clear.…”

Section: What Are the Main Findings From The Pilot Tango2 Trial?mentioning

confidence: 91%

“…96 Another concept based on AED registers, is to use a smartphone application to dispatch lay volunteers to retrieve an AED to nearby OHCA. 97 Finally, in rural areas the concept of drone delivered AED has been proposed. 98 In summary, time to defibrillation is the most crucial factor for surviving a VT/VF arrest and new strategies to decrease time to defibrillation are under investigation.…”

Section: Early Defibrillationmentioning

confidence: 99%

Survival in Out-of-Hospital Cardiac Arrest After Standard Cardiopulmonary Resuscitation or Chest Compressions Only Before Arrival of Emergency Medical Services

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Out‐of‐hospital notification has a clearly defined role in several time‐sensitive emergency conditions, including stroke, ST‐segment–elevation myocardial infarction, sepsis, cardiac arrest, and trauma. App‐based out‐of‐hospital notification systems are not new, and implementations have demonstrated reductions in door‐to‐needle in stroke, door‐to‐balloon times in ST‐segment–elevation myocardial infarction, and time to defibrillation in out‐of‐hospital cardiac arrest 14‐16 . The novelty and utility of using the Citizen app for critical trauma care derives from several features.…”

Section: Discussionmentioning

confidence: 99%

Improving out‐of‐hospital notification in traumatic cardiac arrests with novel usage of smartphone application

Kelly

Clare

2020

JACEP Open

View full text Add to dashboard Cite

Introduction Timely out‐of‐hospital notifications in patients with traumatic cardiac arrest are associated improvements in mortality. Details surrounding these events are often limited, and decisions to perform advanced resuscitative procedures must be made based on limited data. This study evaluated the ability of a mobile application (app) called Citizen (sp0n Inc., New York, NY) to address these issues by providing a novel, secondary source of out‐of‐hospital information in traumatic cardiac arrest. Citizen sends notifications to mobile devices in response to nearby detected public safety events, and we sought to evaluate its utility in prenotification for traumatic cardiac arrest. Methods This was a retrospective observational study. Patients ≥ 15 years of age with traumatic cardiac arrest attributed to penetrating trauma were included. The 2 coprimary outcomes observed were the time difference between the app notification and emergency medical services notification, and the app's success rate in generating a notification for each patient in traumatic cardiac arrest. Results From February 2, 2019 to October 10, 2019, there were 43 patients who met the criteria for this study. On average, the Citizen app notification arrived 12.9 minutes before emergency medical services radio notification (95% confidence interval, 9.2–16.6; P < 0.001). Citizen generated a notification for 36 of 43 patients (84%). Conclusion The Citizen app generates earlier notifications in traumatic cardiac arrest compared with standard radio communications. It also provides a previously unavailable secondary source of information for making rapid resuscitative decisions upon the arrival of the arresting patient to the emergency department. Further research is needed to determine how to optimally integrate the app into existing trauma systems.

show abstract

A smartphone application for dispatch of lay responders to out-of-hospital cardiac arrests

Cited by 118 publications

References 18 publications

Public-Access Defibrillation and Survival of Out-of-Hospital Cardiac Arrest in Public vs. Residential Locations in Japan

Public-Access Defibrillation and Survival of Out-of-Hospital Cardiac Arrest in Public vs. Residential Locations in Japan

Survival in Out-of-Hospital Cardiac Arrest After Standard Cardiopulmonary Resuscitation or Chest Compressions Only Before Arrival of Emergency Medical Services

Improving out‐of‐hospital notification in traumatic cardiac arrests with novel usage of smartphone application

Contact Info

Product

Resources

About