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Related Experiment Video

Updated: Sep 20, 2025

Prehospital Thrombolysis: A Manual from Berlin

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Emergency Medical Services Streaming Enabled Evaluation In Trauma: The SEE-IT Feasibility RCT.

Cath Taylor¹, Lucie Ollis¹, Richard Lyon^1,2

¹School of Health Sciences, University of Surrey, Guildford, Surrey, UK.

Health and Social Care Delivery Research

|May 30, 2025

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.

Keywords:

AIR AMBULANCE CRITICAL CARE EMERGENCY MEDICAL DISPATCH EMERGENCY MEDICAL RESOURCE EMERGENCY MEDICAL SERVICES FEASIBILITY RCT HELICOPTER EMERGENCY MEDICAL SERVICES MIXED METHODS PRE-HOSPITAL SMARTPHONE TRAUMA VIDEO

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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.