Video Emergency Calls in Medical Dispatching: A Scoping Review

Sýkora, Roman; Peřan, David; Renza, Metoděj; Bradna, Jan; Smetana, J; Duška, František

doi:10.1017/s1049023x22001297

Cited by 11 publications

(15 citation statements)

References 42 publications

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“…As in the Danish study, the causes of failure or difficulties were mainly related to the users’ handling of the smartphones or non-receipt/difficulty in accessing the SMS URL link. As with all published studies on the subject [ 17 , 27 , 28 , 30 ], acceptance of the video was excellent by both callers and physicians and was also considered easy to use.…”

Section: Discussionmentioning

confidence: 57%

See 1 more Smart Citation

Contribution of Live Video to Physicians’ Remote Assessment of Suspected COVID-19 Patients in an Emergency Medical Communication Centre: A Retrospective Study and Web-Based Survey

Larribau

Healey

Chappuis

et al. 2023

IJERPH

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The COVID-19 pandemic had a major impact on emergency medical communication centres (EMCC). A live video facility was made available to second-line physicians in an EMCC with a first-line paramedic to receive emergency calls. The objective of this study was to measure the contribution of live video to remote medical triage. The single-centre retrospective study included all telephone assessments of patients with suspected COVID-19 symptoms from 01.04.2020 to 30.04.2021 in Geneva, Switzerland. The organisation of the EMCC and the characteristics of patients who called the two emergency lines (official emergency number and COVID-19 number) with suspected COVID-19 symptoms were described. A prospective web-based survey of physicians was conducted during the same period to measure the indications, limitations and impact of live video on their decisions. A total of 8957 patients were included, and 2157 (48.0%) of the 4493 patients assessed on the official emergency number had dyspnoea, 4045 (90.6%) of 4464 patients assessed on the COVID-19 number had flu-like symptoms and 1798 (20.1%) patients were reassessed remotely by a physician, including 405 (22.5%) with live video, successfully in 315 (77.8%) attempts. The web-based survey (107 forms) showed that physicians used live video to assess mainly the breathing (81.3%) and general condition (78.5%) of patients. They felt that their decision was modified in 75.7% (n = 81) of cases and caught 7 (7.7%) patients in a life-threatening emergency. Medical triage decisions for suspected COVID-19 patients are strongly influenced by the use of live video.

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Section: Discussionmentioning

confidence: 57%

“…The skills available and the assessment tools used in EMCCs should be adapted to the condition of the patients assessed. Medical skills and tools for live video are needed for patients requiring an ambulance, but also for low acuity situations [ 16 , 17 , 27 , 30 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Contribution of Live Video to Physicians’ Remote Assessment of Suspected COVID-19 Patients in an Emergency Medical Communication Centre: A Retrospective Study and Web-Based Survey

Larribau

Healey

Chappuis

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Several challenges regarding videocalls have been identified. 11 In the data material, operators attempted to use video without success in only five cases. This is lower than Bell et al 7 who found that video was not feasible in 40% of cases.…”

Section: Discussionmentioning

confidence: 99%

When do medical operators choose to use, or not use, video in emergency calls? A case study

Harring,

Idland,

Dugstad

2024

BMJ Open Qual

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BackgroundAn evaluation report for a pilot project on the use of video in medical emergency calls between the caller and medical operator indicates that video is only used in 4% of phone calls to the emergency medical communication centre (EMCC). Furthermore, the report found that in half of these cases, the use of video did not alter the assessment made by the medical operator at the EMCC.We aimed to describe the reasons for when and why medical operators choose to use or not use video in emergency calls.MethodThe study was conducted in a Norwegian EMCC, employing a thematic analysis of notes from medical operators responding to emergency calls regarding the use of video.ResultInformants reported 19 cases where video was used and 46 cases where it was not used. When video was used, three main themes appeared: ‘unclear situation or patient condition’, ‘visible problem’ and ‘children’. When video was not used the following themes emerged: ‘cannot be executed/technical problems’, ‘does not follow instructions’, ‘perceived as unnecessary’. Video was mostly used in cases where the medical operators were uncertain about the situation or the patients’ conditions.ConclusionThe results indicate that medical operators were selective in choosing when to use video. In cases where operators employed video, it provided a better understanding of the situation, potentially enhancing the basis for decision-making.

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Section: Discussionmentioning

confidence: 99%

Contribution of Live Video to Physicians’ Remote Assessment of Suspected COVID19 Patients in an Emergency Medical Communication Centre: A Retrospective Study and Web-Based Survey

Larribau¹,

Healey²,

Chappuis³

et al. 2023

Preprint

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The COVID19 pandemic had a major impact on emergency medical communication centres (EMCC). A live video facility was made available to second-line physicians in an EMCC with a first-line paramedic to receive emergency calls. The objective of this study was to measure the contribution of live video to remote medical triage. The single-centre retrospective study included all telephone assessments of patients with suspected COVID19 symptoms from 01.04.2020 to 30.04.2021 in Geneva, Switzerland. The organisation of the EMCC and the characteristics of patients who called the two emergency lines (official emergency number and COVID19 number) with suspected COVID19 symptoms were described. A prospective web-based survey of physicians was conducted during the same period to measure the indications, limitations and impact of live video on their decisions. 8,957 patients were included. 2,157 (48.0%) of the 4,493 patients assessed on the official emergency number had dyspnoea. 4,045 (90.6%) of 4,464 patients assessed on the COVID19 number had flu-like symptoms. 1,798 (20.1%) patients were reassessed remotely by a physician, including 405 (22.5%) with live video, successfully in 315 (77.8%) attempts. The web-based survey (107 forms) showed that physicians used live video to assess mainly the breathing (81.3%) and general condition (78.5%) of patients. They felt that their decision was modified in 75.7% (n=81) of cases, and caught 7 (7.7%) patients in life-threatening emergency. Medical triage decisions for suspected COVID19 patients are strongly influenced by the use of live video.

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Video Emergency Calls in Medical Dispatching: A Scoping Review

Cited by 11 publications

References 42 publications

Contribution of Live Video to Physicians’ Remote Assessment of Suspected COVID-19 Patients in an Emergency Medical Communication Centre: A Retrospective Study and Web-Based Survey

Contribution of Live Video to Physicians’ Remote Assessment of Suspected COVID-19 Patients in an Emergency Medical Communication Centre: A Retrospective Study and Web-Based Survey

When do medical operators choose to use, or not use, video in emergency calls? A case study

Contribution of Live Video to Physicians’ Remote Assessment of Suspected COVID19 Patients in an Emergency Medical Communication Centre: A Retrospective Study and Web-Based Survey

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