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Stark PW, van Waes OJF, Soria van Hoeve JS, Borger van der Burg BLS, Hoencamp R. Telemedicine for Potential Application in Austere Military Environments: Neurosurgical Support for a Decompressive Craniectomy. Mil Med 2024; 189:e1989-e1996. [PMID: 38547413 PMCID: PMC11363160 DOI: 10.1093/milmed/usae094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 12/28/2023] [Accepted: 02/26/2024] [Indexed: 08/31/2024] Open
Abstract
INTRODUCTION The main goal of this study was to assess the feasibility of a head-mounted display (HMD) providing telemedicine neurosurgical support during a decompressive craniectomy by a military surgeon who is isolated from readily available neurosurgical care. The secondary aim was to assess the usability perceived by the military surgeon and to evaluate technical aspects of the head-mounted display. MATERIALS AND METHODS After a standard concise lecture, 10 military surgeons performed a decompressive craniectomy on a AnubiFiX-embalmed post-mortem human head. Seven military surgeons used a HMD to receive telemedicine neurosurgical support. In the control group, three military surgeons performed a decompressive craniectomy without guidance. The performance of the decompressive craniectomy was evaluated qualitatively by the supervising neurosurgeon and quantified with the surgeons' operative performance tool. The military surgeons rated the usability of the HMD with the telehealth usability questionnaire. RESULTS All military surgeons performed a decompressive craniectomy adequately directly after a standard concise lecture. The HMD was used to discuss potential errors and reconfirmed essential steps. The military surgeons were very satisfied with the HMD providing telemedicine neurosurgical support. Military surgeons in the control group were faster. The HMD showed no hard technical errors. CONCLUSIONS It is feasible to provide telemedicine neurosurgical support with a HMD during a decompressive craniectomy performed by a non-neurosurgically trained military surgeon. All military surgeons showed competence in performing a decompressive craniectomy after receiving a standardized concise lecture. The use of a HMD clearly demonstrated the potential to improve the quality of these neurosurgical procedures performed by military surgeons.
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Affiliation(s)
- Pieter W Stark
- Trauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands
- Department of Surgery, Alrijne Hospital, Leiderdorp, South-Holland 2353 GA, the Netherlands
| | - O J F van Waes
- Trauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands
- Defense Healthcare Organization, Ministry of Defense, Den Haag, South-Holland 2511 CB, the Netherlands
| | - John S Soria van Hoeve
- Department of Neurosurgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands
| | | | - Rigo Hoencamp
- Trauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands
- Department of Surgery, Alrijne Hospital, Leiderdorp, South-Holland 2353 GA, the Netherlands
- Defense Healthcare Organization, Ministry of Defense, Den Haag, South-Holland 2511 CB, the Netherlands
- Department of Surgery, Leiden University MC, Leiden, South-Holland 2333 ZA, the Netherlands
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Schnaubelt S, Veigl C, Snijders E, Abelairas Gómez C, Neymayer M, Anderson N, Nabecker S, Greif R. Tailored Basic Life Support Training for Specific Layperson Populations-A Scoping Review. J Clin Med 2024; 13:4032. [PMID: 39064072 PMCID: PMC11277549 DOI: 10.3390/jcm13144032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2024] [Revised: 07/05/2024] [Accepted: 07/07/2024] [Indexed: 07/28/2024] Open
Abstract
Background: Basic life support (BLS) is a life-saving link in the out-of-hospital cardiac arrest chain of survival. Most members of the public are capable of providing BLS but are more likely to do so confidently and effectively if they undertake BLS training. Lay members of the public comprise diverse and specific populations and may benefit from tailored BLS training. Data on this topic are scarce, and it is completely unknown if there are any benefits arising from tailored courses or for whom course adaptations should be developed. Methods: The primary objective of this scoping review was to identify and describe differences in patient, clinical, and educational outcomes when comparing tailored versus standard BLS courses for specific layperson populations. This review was undertaken as part of the continuous evidence evaluation process of the International Liaison Committee on Resuscitation. Results: A primary search identified 1307 studies and after title, abstract, and full-text screening, we included eight publications reporting on tailored courses for specific populations. There were no studies reporting direct comparisons between tailored and standardized training. Seven (88%) studies investigated courses tailored for individuals with a disability, and only one study covered another specific population group (refugees). Overall, the quality of evidence was low as the studies did not compare tailored vs. non-tailored approaches or consisted of observational or pre-post-designed investigations. Conclusions: Tailored BLS education for specific populations is likely feasible and can include such groups into the pool of potential bystander resuscitation providers. Research into comparing tailored vs. standard courses, their cost-to-benefit ratio, how to best adapt courses, and how to involve members of the respective communities should be conducted. Additionally, tailored courses for first responders with and without a duty to respond could be explored.
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Affiliation(s)
- Sebastian Schnaubelt
- Department of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria
- PULS—Austrian Cardiac Arrest Awareness Association, 1090 Vienna, Austria
- Department of Emergency Medicine, Antwerp University Hospital, 2650 Edegem, Belgium
- Emergency Medical Service Vienna, 1030 Vienna, Austria
| | - Christoph Veigl
- Department of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria
- PULS—Austrian Cardiac Arrest Awareness Association, 1090 Vienna, Austria
| | - Erwin Snijders
- Department of Emergency Medicine, Antwerp University Hospital, 2650 Edegem, Belgium
| | - Cristian Abelairas Gómez
- Faculty of Education Sciences and CLINURSID Research Group, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela—CHUS, 15706 Santiago de Compostela, Spain
| | - Marco Neymayer
- Department of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria
- PULS—Austrian Cardiac Arrest Awareness Association, 1090 Vienna, Austria
| | - Natalie Anderson
- Faculty of Medical and Health Sciences, University of Auckland, Auckland 1023, New Zealand
| | - Sabine Nabecker
- Department of Anesthesiology and Pain Management, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada
| | - Robert Greif
- Faculty of Medicine, University of Bern, 3012 Bern, Switzerland
- School of Medicine, Sigmund Freud University Vienna, 1020 Vienna, Austria
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Aranda-García S, Martínez-Isasi S, Barcala-Furelos R, Darné M, Rodríguez-Núñez A. Augmented reality smart glasses: a new resuscitation training tool or a worthless gadget? Intern Emerg Med 2024; 19:873-874. [PMID: 38051373 DOI: 10.1007/s11739-023-03476-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 10/30/2023] [Indexed: 12/07/2023]
Affiliation(s)
- Silvia Aranda-García
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain.
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona, Barcelona, Spain.
| | - Santiago Martínez-Isasi
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain
| | - Roberto Barcala-Furelos
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain
- REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
| | - Marc Darné
- Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona, Barcelona, Spain
| | - Antonio Rodríguez-Núñez
- SICRUS Research Group (Institute of Research of Santiago-IDIS) and CLINURSID Research Group (University of Santiago de Compostela), Santiago de Compostela, Spain
- Pediatric Critical, Intermediate and Palliative Care Section, Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
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Aranda-García S, Otero-Agra M, Berlanga-Macías C, Rodríguez-Núñez A, Barcala-Furelos R, Domingo J, Seijas-Vijande A, Fernández-Méndez F. New communication tool for basic life support training: smart glasses. A quasi-experimental study. Med Intensiva 2024; 48:77-84. [PMID: 37923607 DOI: 10.1016/j.medine.2023.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 09/07/2023] [Accepted: 09/09/2023] [Indexed: 11/07/2023]
Abstract
AIM To analyze the effectiveness of a teaching-learning methodology for teletraining in basic life support (BLS) based on communication through smart glasses. DESIGN Pilot quasi-experimental non-inferiority study. PARTICIPANTS Sixty college students. INTERVENTIONS Randomization of the participants in: tele-training through smart glasses (SG) and traditional training (C) groups. Both training sessions were very brief (less than 8 min) and included the same BLS content. In SG, the instructor trained through a video call with smart glasses. MAIN VARIABLES OF INTEREST The BLS protocol, the use of AED, the quality of resuscitation and the response times were evaluated. RESULTS In most of the BLS protocol variables, the resuscitation quality and performance times, there were no statistically significant differences between groups. There were significant differences (in favor of the SG) in the assessment of breathing (SG: 100%, C: 81%; p = 0.013), the not-to-touch warning before applying the shock (SG: 79%, C: 52%; p = 0.025) and compressions with correct recoil (SG: 85%, C: 32%; p = 0.008). CONCLUSIONS Laypeople BLS-AED brief tele-training through smart glasses could potentially be, at least, as effective as traditional training methods. In addition, smart glasses could be more advantageous than traditional teaching for certain points of the BLS protocol and chest compressions quality, probably due to the capability of real-time visualization of images which supports the BLS sequence. Augmented reality supported teaching should be considered for BLS training, although caution is required in extrapolating findings, and further in-depth studies are needed to confirm its potential role depending on concrete target populations and environments.
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Affiliation(s)
- Silvia Aranda-García
- Grupo de Investigación GRAFAIS, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain; Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - Martín Otero-Agra
- Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain; Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain
| | - Carlos Berlanga-Macías
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, Cuenca, Spain; Facultad de Enfermería, Universidad de Castilla-La Mancha, Albacete, Spain.
| | - Antonio Rodríguez-Núñez
- Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain; Grupo de Investigación en Simulación, Soporte Vital y Cuidados Intensivos (SICRUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, Spain; Sección de Pediatría Crítica, Cuidados Intermedios y Paliativos Pediátricos. Hospital Clínico Universitario de Santiago, Santiago de Compostela España, Spain; RICORS de Intervenciones en Atención Primaria para prevenir las enfermedades maternas e infantiles crónicas de origen perinatal y del desarrollo, RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
| | - Roberto Barcala-Furelos
- Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain
| | - Júlia Domingo
- Grupo de Investigación GRAFAIS, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | | | - Felipe Fernández-Méndez
- Grupo de Investigación CLINURSID, Facultad de Enfermería, Universidad de Santiago de Compostela, Santiago de Compostela, Spain; Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Pontevedra, Spain; Escuela de Enfermería de Pontevedra, Universidade de Vigo, Pontevedra, Spain; Grupo de Investigación en Simulación, Soporte Vital y Cuidados Intensivos (SICRUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, Spain
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Aranda-García S, Barrio-Cortes J, Fernández-Méndez F, Otero-Agra M, Darné M, Herrera-Pedroviejo E, Barcala-Furelos R, Rodríguez-Núñez A. Dispatcher-assisted BLS for lay bystanders: A pilot study comparing video streaming via smart glasses and telephone instructions. Am J Emerg Med 2023; 71:163-168. [PMID: 37418840 DOI: 10.1016/j.ajem.2023.06.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 06/16/2023] [Accepted: 06/17/2023] [Indexed: 07/09/2023] Open
Abstract
OBJECTIVE To determine whether dispatcher assistance via smart glasses improves bystander basic life support (BLS) performance compared with standard telephone assistance in a simulated out-of-hospital cardiac arrest (OHCA) scenario. METHODS Pilot study in which 28 lay people randomly assigned to a smart glasses-video assistance (SG-VA) intervention group or a smartphone-audio assistance (SP-AA) control group received dispatcher guidance from a dispatcher to provide BLS in an OHCA simulation. SG-VA rescuers received assistance via a video call with smart glasses (Vuzix, Blade) connected to a wireless network, while SP-AA rescuers received instructions over a smartphone with the speaker function activated. BLS protocol steps, quality of chest compressions, and performance times were compared. RESULTS Nine of the 14 SG-VA rescuers correctly completed the BLS protocol compared with none of the SP-AA rescuers (p = 0.01). A significantly higher number of SG-VA rescuers successfully opened the airway (13 vs. 5, p = 0.002), checked breathing (13 vs. 8, p = 0.03), correctly positioned the automatic external defibrillator pads (14 vs.6, p = 0.001), and warned bystanders to stay clear before delivering the shock (12 vs. 0, p < 0.001). No significant differences were observed for performance times or chest compression quality. The mean compression rate was 104 compressions per minute in the SG-VA group and 98 compressions per minute in the SP-AA group (p = 0.46); mean depth of compression was 4.5 cm and 4.4 cm (p = 0.49), respectively. CONCLUSIONS Smart glasses could significantly improve dispatcher-assisted bystander performance in an OHCA event. Their potential in real-life situations should be evaluated.
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Affiliation(s)
- Silvia Aranda-García
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain; CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Health, University Camilo José Cela, Madrid, Spain
| | - Jaime Barrio-Cortes
- Faculty of Health, University Camilo José Cela, Madrid, Spain; Foundation for Biosanitary Research and Innovation in Primary Care, Madrid, Spain
| | - Felipe Fernández-Méndez
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain; Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain
| | - Martín Otero-Agra
- REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain; School of Nursing from Pontevedra, Universidade de Vigo, Pontevedra, Spain.
| | - Marc Darné
- GRAFAIS Research Group, Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
| | | | - Roberto Barcala-Furelos
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
| | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Life Support and Medical Simulation Research Group (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain; Paediatric Critical, Intermediate and Palliative Care Section, Santiago de Compostela's University Hospital, Santiago de Compostela, Spain; Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin (RICORS), RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain
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