Can video streaming improve first aid for injured patients? A prospective observational study from Norway

Siri Idland ^1,2, Jo Kramer-Johansen ^3,4, Håkon Kvåle Bakke ^5,6

¹Faculty of Health Sciences, Department of Nursing and Health Promotion, Faculty of Health Science, Oslo Metropolitan University, Oslo, Norway. siriid@oslomet.no.
²Division of Prehospital Services, Oslo University Hospital, Oslo, Norway. siriid@oslomet.no.
³Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.
⁴Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
⁵Department of Anaesthesia and Critical Care, University Hospital of North Norway, Tromsø, Norway.
⁶Department of Health and Care Sciences, Faculty of Health Science, UiT, The Arctic University of Norway, Tromsø, Norway.
⁷Faculty of Health Sciences, Department of Nursing and Health Promotion, Faculty of Health Science, Oslo Metropolitan University, Oslo, Norway.
⁸Air Ambulance Department, Stavanger University Hospital, Pre-hospital Division, Stavanger, Norway.
⁹The Norwegian Air Ambulance Foundation, Oslo, Norway.
¹⁰Department of Health Studies, University of Stavanger, Stavanger, Norway.
¹¹Division of prehospital services, Vestre Viken Health Trust, Drammen, Norway.

⁰Faculty of Health Sciences, Department of Nursing and Health Promotion, Faculty of Health Science, Oslo Metropolitan University, Oslo, Norway. siriid@oslomet.no.

Bmc Emergency Medicine +

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May 28, 2024

View abstract on PubMed

Summary

Video streaming in emergency medical calls significantly improves dispatcher recognition of first aid needs for injured patients. However, its impact on the overall quality of bystander first aid requires further investigation.

Area Of Science

Emergency Medicine
Medical Communications
Public Health

Background

Video streaming is a recent addition to emergency medical communication centers (EMCC).
Trauma-related deaths and injuries frequently necessitate EMCC contact.
The study investigates video streaming's role in recognizing first aid needs and improving bystander care for injured patients.

Purpose Of The Study

To determine if video streaming enhances dispatcher recognition of first aid requirements during calls for injured patients.
To assess the impact of video streaming on the quality of bystander first aid provided to injured individuals.

Main Methods

A prospective observational study in Norway (Nov 2021-Feb 2023) comparing video streaming use versus standard calls.
Inclusion criteria: injured patients, presence of bystanders, and assessment of specific first aid measures (airway, bleeding, positioning, hypothermia).
Data collected via EMCC audio logs, patient charts, and ambulance personnel assessments; logistic regression analysis performed.

Main Results

Video streaming was used in 10% of 113 cases.
Dispatchers were over five times more likely to recognize the need for first aid when video streaming was used (OR 5.30).
No statistically significant difference in first aid quality was observed between video-assisted and audio-only calls (OR 1.82).

Conclusions

Video streaming is underutilized by dispatchers for injury calls but improves recognition of first aid needs.
Current data does not support a significant improvement in bystander first aid quality with video streaming.
Further research may be needed to optimize video streaming integration in EMCCs for trauma care.

Keywords:

EMCC First aid Injury Video streaming

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