Emergency Medical Services Streaming Enabled Evaluation In Trauma: The SEE-IT Feasibility RCT
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View abstract on PubMed
Summary
This summary is machine-generated.Bystander video livestreaming in emergency medical services is feasible and acceptable, but low patient and bystander recruitment limits assessing its full impact on dispatch decisions and potential harm.
Area Of Science
- Emergency medical services research
- Health technology assessment
- Trauma care innovation
Background
- Bystander video livestreaming is increasingly used in emergency medical services (EMS) to aid resource allocation.
- Evidence for clinical and financial benefits is limited.
- A feasibility study was needed to assess a definitive randomized controlled trial (RCT) for major trauma incidents.
Purpose Of The Study
- To gather data for designing a future RCT.
- To test trial procedures and embed a process evaluation.
- To assess the feasibility of video livestreaming in major trauma incidents.
Main Methods
- A feasibility RCT randomized 62 shifts (1:1) to video livestreaming (using GoodSAM) or standard care.
- Included observational substudies on acceptability and staff well-being.
- Qualitative data from observations and interviews were collected.
Main Results
- Video livestreaming was successful in 53/108 intervention incidents.
- Two progression criteria met: 86% bystander agreement, 85% footage viewed.
- Patient (22%) and bystander (2%) recruitment were low, limiting harm assessment.
- Dispatch staff noted language and age as potential barriers.
Conclusions
- Video livestreaming is feasible and acceptable to bystanders and dispatchers.
- It may assist EMS dispatch decision-making.
- Further assessment of benefits and harms is necessary.
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