Google Glass for Residents Dealing With Pediatric Cardiopulmonary Arrest: A Randomized, Controlled, Simulation-Based Study

Drummond, David; Arnaud, C.; Guedj, Romain; Duguet, Alexandre; Suremain, N. de; Petit, Arnaud

doi:10.1097/pcc.0000000000000977

Cited by 26 publications

(40 citation statements)

References 24 publications

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“…In one case series of patients presenting to remote sites with respiratory or cardiac arrest, the remote providers felt that the assistance they received via telehealth aided assessment, assisted communication and improved the quality of patient care [49]. In another study in which the remote pediatric intensivist communicated with pediatric residents, there was an improved quality of respiratory insufflations and chest compressions during a simulated patient emergency [50]. Telemedicine assistance provided during neonatal resuscitation and stabilization was shown to improve provider perception of teamwork as well as patient safety and quality of care [48].…”

Section: Neonatal Resuscitationmentioning

confidence: 99%

Use of Telemedicine to Improve Neonatal Resuscitation

2019

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Most newborn infants do well at birth; however, some require immediate attention by a team with advanced resuscitation skills. Providers at rural or community hospitals do not have as much opportunity for practice of their resuscitation skills as providers at larger centers and are, therefore, often unable to provide the high level of care needed in an emergency. Education through telemedicine can bring additional training opportunities to these rural sites in a low-resource model in order to better prepare them for advanced neonatal resuscitation. Telemedicine also offers the opportunity to immediately bring a more experienced team to newborns to provide support or even lead the resuscitation. Telemedicine can also be used to train and assist in the performance of emergent procedures occasionally required during a neonatal resuscitation including airway management, needle thoracentesis, and umbilical line placement. Telemedicine can provide unique opportunities to significantly increase the quality of neonatal resuscitation and stabilization in rural or community hospitals.

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Section: Neonatal Resuscitationmentioning

confidence: 99%

Use of Telemedicine to Improve Neonatal Resuscitation

2019

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“…GG's ability to conduct VTC has been demonstrated for surgery, 31,[36][37][38][39][40][41][42][43][44][45][46] dermatology, 42,47 neurology, 48 pediatrics, 49 cardiology, 50 and toxicology. 51,52 With VTC, GG also doubles as a telementoring device, allowing trainees to broadcast their point of view to supervising physicians 43,44,50,51,53 and vice versa.…”

Section: Clinical Uses Of Gg In Gmementioning

confidence: 99%

A Systematic Review of the Use of Google Glass in Graduate Medical Education

Carrera

Wang

Clark

et al. 2019

Journal of Graduate Medical Education

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Background Graduate medical education (GME) has emphasized the assessment of trainee competencies and milestones; however, sufficient in-person assessment is often constrained. Using mobile hands-free devices, such as Google Glass (GG) for telemedicine, allows for remote supervision, education, and assessment of residents. Objective We reviewed available literature on the use of GG in GME in the clinical learning environment, its use for resident supervision and education, and its clinical utility and technical limitations. Methods We conducted a systematic review in accordance with 2009 PRISMA guidelines. Applicable studies were identified through a review of PubMed, MEDLINE, and Web of Science databases for articles published from January 2013 to August 2018. Two reviewers independently screened titles, abstracts, and full-text articles that reported using GG in GME and assessed the quality of the studies. A systematic review of these studies appraised the literature for descriptions of its utility in GME. Results Following our search and review process, 37 studies were included. The majority evaluated GG in surgical specialties (n = 23) for the purpose of surgical/procedural skills training or supervision. GG was predominantly used for video teleconferencing, and photo and video capture. Highlighted positive aspects of GG use included point-of-view broadcasting and capacity for 2-way communication. Most studies cited drawbacks that included suboptimal battery life and HIPAA concerns. Conclusions GG shows some promise as a device capable of enhancing GME. Studies evaluating GG in GME are limited by small sample sizes and few quantitative data. Overall experience with use of GG in GME is generally positive.

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“…Several tools have been conceived to guide bystanders’ management of out-of-hospital CA (OHCA) through audio/video support by means of mobile phones [ 26 ]. Augmented reality glasses have also been studied to communicate with a remote intensivist to support the management of in-hospital PCA [ 27 ] or to display Pediatric Advanced Life Support (PALS) guidelines to the team leader during a PCA scenario [ 28 ] with partial benefit in improving resuscitation performance. In addition, numerous apps have been created to support the management of CA, mainly for OHCA.…”

Section: Introductionmentioning

confidence: 99%

Development and Usability of a Novel Interactive Tablet App (PediAppRREST) to Support the Management of Pediatric Cardiac Arrest: Pilot High-Fidelity Simulation-Based Study

Corazza¹,

Snijders²,

Arpone³

et al. 2020

JMIR Mhealth Uhealth

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Background Pediatric cardiac arrest (PCA), although rare, is associated with high mortality. Deviations from international management guidelines are frequent and associated with poorer outcomes. Different strategies/devices have been developed to improve the management of cardiac arrest, including cognitive aids. However, there is very limited experience on the usefulness of interactive cognitive aids in the format of an app in PCA. No app has so far been tested for its usability and effectiveness in guiding the management of PCA. Objective To develop a new audiovisual interactive app for tablets, named PediAppRREST, to support the management of PCA and to test its usability in a high-fidelity simulation-based setting. Methods A research team at the University of Padova (Italy) and human–machine interface designers, as well as app developers, from an Italian company (RE:Lab S.r.l.) developed the app between March and October 2019, by applying an iterative design approach (ie, design–prototyping–evaluation iterative loops). In October–November 2019, a single-center nonrandomized controlled simulation–based pilot study was conducted including 48 pediatric residents divided into teams of 3. The same nonshockable PCA scenario was managed by 11 teams with and 5 without the app. The app user’s experience and interaction patterns were documented through video recording of scenarios, debriefing sessions, and questionnaires. App usability was evaluated with the User Experience Questionnaire (UEQ) (scores range from –3 to +3 for each scale) and open-ended questions, whereas participants’ workload was measured using the NASA Raw-Task Load Index (NASA RTLX). Results Users’ difficulties in interacting with the app during the simulations were identified using a structured framework. The app usability, in terms of mean UEQ scores, was as follows: attractiveness 1.71 (SD 1.43), perspicuity 1.75 (SD 0.88), efficiency 1.93 (SD 0.93), dependability 1.57 (SD 1.10), stimulation 1.60 (SD 1.33), and novelty 2.21 (SD 0.74). Team leaders’ perceived workload was comparable (P=.57) between the 2 groups; median NASA RTLX score was 67.5 (interquartile range [IQR] 65.0-81.7) for the control group and 66.7 (IQR 54.2-76.7) for the intervention group. A preliminary evaluation of the effectiveness of the app in reducing deviations from guidelines showed that median time to epinephrine administration was significantly longer in the group that used the app compared with the control group (254 seconds versus 165 seconds; P=.015). Conclusions The PediAppRREST app received a good usability evaluation and did not appear to increase team leaders’ workload. Based on the feedback collected from the participants and the preliminary results of the evaluation of its effects on the management of the simulated scenario, the app has been further refined. The effectiveness of the new version of the app in reducing deviations from guidelines recommendations in the management of PCA and its impact on time to critical actions will be evaluated in an upcoming multicenter simulation-based randomized controlled trial.

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Google Glass for Residents Dealing With Pediatric Cardiopulmonary Arrest: A Randomized, Controlled, Simulation-Based Study

Cited by 26 publications

References 24 publications

Use of Telemedicine to Improve Neonatal Resuscitation

Use of Telemedicine to Improve Neonatal Resuscitation

A Systematic Review of the Use of Google Glass in Graduate Medical Education

Development and Usability of a Novel Interactive Tablet App (PediAppRREST) to Support the Management of Pediatric Cardiac Arrest: Pilot High-Fidelity Simulation-Based Study

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