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Automated External Defibrillator Geolocalization with a Mobile Application, Verbal Assistance or No Assistance: A Pilot Randomized Simulation (AED G-MAP)
- Source :
- Prehospital Emergency Care. 23:420-429
- Publication Year :
- 2018
- Publisher :
- Informa UK Limited, 2018.
-
Abstract
- Background: Shockable rythms are common among victims of witnessed public out-of-hospital cardiac arrest (OHCA), but bystander defibrillation with a public automated external defibrillator (PAED) is rare. Instructions from the emergency medical dispatcher and mobile applications were developed to expedite the localization of PAEDs, but their effectiveness has not been compared. Methods: Participants were enrolled in a three-armed randomized simulation where they witnessed a simulated OHCA on a university campus, were instructed to locate a PAED and provide defibrillation. Participants were stratified and randomized to: (1) no assistance in finding the PAED, (2) assistance from a geolocalization mobile application (AED-Quebec), or (3) verbal assistance. Data collectors tracked each participant’s time elapsed and distance traveled to shock. Results: Of the 52 volunteers participating in the study (46% male, mean age 37), 17 were randomized to the no assistance group, 18 to the mobile application group and 17 to the verbal group. Median (IQR) time to shock was respectively 10:00 min (7:49-10:00), 9:44 (6:30-10:00), and 5:23 (4:11-9:08), with statistically significant differences between the verbal group and the other groups (p≤0.01). The success rate for defibrillation in
- Subjects :
- Adult
Male
Volunteers
Automated external defibrillator
Defibrillation
Emergency medical dispatcher
medicine.medical_treatment
Mobile app
Pilot Projects
030204 cardiovascular system & hematology
Emergency Nursing
Young Adult
03 medical and health sciences
0302 clinical medicine
medicine
Emergency medical services
Humans
business.industry
Quebec
Mobile apps
030208 emergency & critical care medicine
Cardiac arrest
medicine.disease
Mobile Applications
Cardiopulmonary Resuscitation
Emergency Medicine
Female
Medical emergency
business
Out-of-Hospital Cardiac Arrest
Defibrillators
Subjects
Details
- ISSN :
- 15450066 and 10903127
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Prehospital Emergency Care
- Accession number :
- edsair.doi.dedup.....10a7f9dc9f143864da58eb1932b01be7