Predictability of the Call Triage Protocol to Detect if Dispatchers Should Activate Community First Responders

Narikawa, Kenji; Sakamoto, Tetsuya; Kubota, Katsuaki; Suzukawa, Masayuki; Yonekawa, Chikara; Yamashita, Keisuke; Toyokuni, Yoshiki; Yasuda, Yasuharu; Kobayashi, Akihiro; Iijima, Kazunori

doi:10.1017/s1049023x14000995

Cited by 8 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, appropriate initiatives should be adopted to reduce EMS response time 31, 32, 33. Such initiatives may include the reconfiguration of emergency call systems to enable rapid arrival of lay‐trained volunteers before the arrival of EMS personnel at the scene, or the implementation of educational programs to improve performance of high‐quality bystander CPR with defibrillation 7, 30, 34, 35, 36, 37, 38, 39, 40, 41, 42…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Emergency Medical Services Response Time and Bystander Intervention in Patients With Out‐of‐Hospital Cardiac Arrest

Goto

Funada

Goto

2018

JAHA

View full text Add to dashboard Cite

BackgroundThe response time of emergency medical services (EMS) is an important determinant of survival after out‐of‐hospital cardiac arrest. We sought to identify upper limits of EMS response times and bystander interventions associated with neurologically intact survival.Methods and ResultsWe analyzed the records of 553 426 patients with out‐of‐hospital cardiac arrest in a Japanese registry between 2010 and 2014. The primary study end point was 1‐month neurologically intact survival (Cerebral Performance Category scale 1 or 2). Increased EMS response time was associated with significantly decreased adjusted odds of 1‐month neurologically intact survival (adjusted odds ratio [aOR] for each 1‐minute increase, 0.89; 95% confidence interval [CI], 0.89–0.90), although this relationship was modified by bystander interventions. The bystander interventions and the ranges of EMS response times that were associated with increased adjusted 1‐month neurologically intact survival were as follows: bystander defibrillation, from ≤2 minutes (aOR, 3.10 [95% CI, 1.25–7.31]) to 13 minutes (aOR, 5.55 [95% CI, 2.66–11.2]); bystander conventional cardiopulmonary resuscitation, from 3 minutes (aOR 1.48 [95% CI, 1.02–2.12]) to 11 minutes (aOR 2.41 [95% CI, 1.61–3.56]); and bystander chest‐compression‐only cardiopulmonary resuscitation, from ≤2 minutes (aOR 1.57 [95% CI, 1.01–2.25]) to 11 minutes (aOR 1.92 [95% CI, 1.45–2.56]). However, the increase in neurologically intact survival of those receiving bystander interventions became statistically insignificant compared with no bystander interventions when the EMS response time was outside these ranges.ConclusionsThe upper limits of the EMS response times associated with improved 1‐month neurologically intact survival were 13 minutes when bystanders provided defibrillation (typically with cardiopulmonary resuscitation) and 11 minutes when bystanders provided cardiopulmonary resuscitation without defibrillation.

show abstract

Section: Discussionmentioning

confidence: 99%

Relationship Between Emergency Medical Services Response Time and Bystander Intervention in Patients With Out‐of‐Hospital Cardiac Arrest

Goto

Funada

Goto

2018

JAHA

View full text Add to dashboard Cite

show abstract

“…We examined data from studies that evaluated surgical skills (17 studies) [29][30][31][32][33][34][35][36][37][38][39][40][41][42], generated sexual health messages (seven studies) [13,[43][44][45][46][47][48], developed systems for out-of-hospital cardiopulmonary resuscitation (six studies) [2][3][4][5][6][7], quantified malaria parasitemia (two studies) [15,49], and generated messages for smoking cessation (three studies) [50][51][52].…”

Section: Synthesizing Evidencementioning

confidence: 99%

“…For example, the initiation of out-of-hospital cardiopulmonary resuscitation (CPR) is often delayed, leading to considerable morbidity and mortality. To address this problem, several teams organized a crowdsourced solution - [2][3][4][5][6][7] training lay people to administer out-of-hospital CPR. When emergency medical services received a call, they sent a text message to proximate laypeople who then provided CPR.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Crowdsourcing in health and medical research: a systematic review

et al. 2020

View full text Add to dashboard Cite

Background: Crowdsourcing is used increasingly in health and medical research. Crowdsourcing is the process of aggregating crowd wisdom to solve a problem. The purpose of this systematic review is to summarize quantitative evidence on crowdsourcing to improve health. Methods: We followed Cochrane systematic review guidance and systematically searched seven databases up to September 4th 2019. Studies were included if they reported on crowdsourcing and related to health or medicine. Studies were excluded if recruitment was the only use of crowdsourcing. We determined the level of evidence associated with review findings using the GRADE approach. Results: We screened 3508 citations, accessed 362 articles, and included 188 studies. Ninety-six studies examined effectiveness, 127 examined feasibility, and 37 examined cost. The most common purposes were to evaluate surgical skills (17 studies), to create sexual health messages (seven studies), and to provide layperson cardiopulmonary resuscitation (CPR) out-of-hospital (six studies). Seventeen observational studies used crowdsourcing to evaluate surgical skills, finding that crowdsourcing evaluation was as effective as expert evaluation (low quality). Four studies used a challenge contest to solicit human immunodeficiency virus (HIV) testing promotion materials and increase HIV testing rates (moderate quality), and two of the four studies found this approach saved money. Three studies suggested that an interactive technology system increased rates of layperson initiated CPR out-ofhospital (moderate quality). However, studies analyzing crowdsourcing to evaluate surgical skills and laypersoninitiated CPR were only from high-income countries. Five studies examined crowdsourcing to inform artificial intelligence projects, most often related to annotation of medical data. Crowdsourcing was evaluated using different outcomes, limiting the extent to which studies could be pooled. Conclusions: Crowdsourcing has been used to improve health in many settings. Although crowdsourcing is effective at improving behavioral outcomes, more research is needed to understand effects on clinical outcomes and costs. More research is needed on crowdsourcing as a tool to develop artificial intelligence systems in medicine.

show abstract

“…Others are developing similar systems with enhanced features in other countries such as Japan and Sweden. [161][162][163] Future initiatives could also allow responders (or even patients) to alert others in their geographic proximity of a need for help. 164,165 With the advent of sensors and wearable devices that track biometric data, early warning symptoms could also trigger nearby networks for early response.…”

Section: Crowdsourcing For Cardiac Arrest Carementioning

confidence: 99%

Use of Mobile Devices, Social Media, and Crowdsourcing as Digital Strategies to Improve Emergency Cardiovascular Care

Rumsfeld¹,

Brooks²,

Aufderheide³

et al. 2016

Circulation

View full text Add to dashboard Cite

Predictability of the Call Triage Protocol to Detect if Dispatchers Should Activate Community First Responders

Cited by 8 publications

References 12 publications

Relationship Between Emergency Medical Services Response Time and Bystander Intervention in Patients With Out‐of‐Hospital Cardiac Arrest

Relationship Between Emergency Medical Services Response Time and Bystander Intervention in Patients With Out‐of‐Hospital Cardiac Arrest

Crowdsourcing in health and medical research: a systematic review

Use of Mobile Devices, Social Media, and Crowdsourcing as Digital Strategies to Improve Emergency Cardiovascular Care

Contact Info

Product

Resources

About