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Sudden cardiac arrest is a major public health problem worldwide and it is one of the leading causes of death in industrialized countries. Emergency Medical Services (EMS) dispatchers play an important role to recognize cardiac arrest and give help to the lay first responder via telephone CPR (T-CPR) which improves survival rates. The current technology allows the live video connection between the scene and the dispatcher which provides the opportunity for video-assisted CPR (V-CPR) via the bystander smartphone.
Effectiveness of V-CPR has only been investigated to a limited extent. Comparing effectiveness of V-CPR (effectiveness of chest compression, time parameters eg. time to first chest compression) to T-CPR and non-instructed CPR can be useful to implement V-CPR technology.
Sudden cardiac arrest is a major public health problem worldwide and it is one of the leading causes of death in industrialized countries. EMS dispatchers play an important role to recognize cardiac arrest and give help to the lay first responder via telephone CPR (T-CPR) which improves survival rates. The current technology allows the live video connection between the scene and the dispatcher which provides the opportunity for video-assisted CPR (V-CPR) via the bystander smartphone.
Effectiveness of V-CPR has only been investigated to a limited extent. Comparing effectiveness of V-CPR (quality of chest compressions: depth, rate, hand position), time parameters: time to recognize cardiac arrest, time of check breathing, total no-flow time, to first chest compression) to T-CPR and non-instructed CPR can be useful to implement V-CPR technology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| T-CPR | Active Comparator | Participants perform telephone-assisted CPR based on the European Resuscitation Council (ERC) 2021 guidelines. |
|
| V-CPR | Experimental | Participants perform video-assisted CPR based on the European Resuscitation Council (ERC) 2021 guidelines. |
|
| Unassisted CPR | No Intervention | CPR without dispatcher instructions. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video-assisted CPR | Other | Participants in V-CPR group get video-based (vocal and visual) instructions from the dispatcher. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quality of chest compressions (depth of chest compressions). | Chest compression depth will be evaluated by a manikin connected to a CPR software. | During procedure |
| Quality of chest compressions (rate of chest compressions). | Chest compression rate will be evaluated by a manikin connected to a CPR software. | During procedure |
| Quality of chest compressions (hand position of chest compressions). | Hand position during chest compression will be evaluated by observation. | During procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Time factors of CPR | Measuring the time of check breathing, time to recognize cardiac arrest, time to first chest compression, and cumulative time of no-flow time by the CPR software and observation. | During procedure |
| Attitude of bystanders. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bálint Bánfai, PhD | University of Pecs | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pécs | Pécs | 7621 | Hungary |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37696968 | Derived | Szollosi V, Horvath B, Nemeth D, Banfai-Csonka H, Betlehem J, Banfai B. A randomized controlled simulation trial comparing video-assisted with telephone-assisted and unassisted cardiopulmonary resuscitation performed by non-healthcare university students. Sci Rep. 2023 Sep 11;13(1):14925. doi: 10.1038/s41598-023-42131-z. |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Telephone-assisted CPR | Other | Participants in T-CPR group get voice-based (vocal) instructions from the dispatcher. |
|
Subjective feelings after performing CPR based on a short survey using Likert-scale based queries (lower numbers indicate worse, higher score indicates better opinion).
| Immediately after the CPR procedure (within 15 minutes) |