See the published version of this article at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Original research
Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference
Camilla Metelmann
Universitatsmedizin Greifswald
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6145-9021
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
Background: Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This paper reviews the current state in five European countries, reveals similarities and controversies, and presents consensus statements generated in an international conference with the intention to support public decision making on future strategies for SBA of CFR.
Methods: In a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA Appropriateness method to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic.
Results: While 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies.
Conclusions: Members of the consensus conference acknowledged that smartphone-based activation of CFR to OHCA saves lives. The statements generated by the consensus conference may assist the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.
Keywords
Resuscitation, Out-of-hospital cardiac arrest, First responders, Citizen responder, Consensus, mHealth, Smartphone
This is a list of supplementary files associated with this preprint. Click to download.
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 21 Jan, 2021
Published
On 01 Feb, 2021
No community comments so far
Editorial decision: Accept
On 18 Jan, 2021
Editor assigned
On 12 Jan, 2021
Submission checks complete
On 12 Jan, 2021
Editor invited
On 12 Jan, 2021
No comments provided
Review #1 received
Received 20 Dec, 2020
Review #2 received
Received 20 Dec, 2020
Reviewer #2 agreed
On 14 Dec, 2020
Reviewer #1 agreed
On 14 Dec, 2020
Reviewers invited
Invitations sent on 13 Dec, 2020
Editor assigned
On 26 Nov, 2020
Submission checks complete
On 26 Nov, 2020
Editor invited
On 26 Nov, 2020
No comments provided
Editorial decision: Major Revision
On 29 Oct, 2020
Reviewer #3 agreed
On 13 Oct, 2020
Review #2 received
Received 17 Sep, 2020
Review #1 received
Received 17 Sep, 2020
Reviewer #2 agreed
On 30 Aug, 2020
Reviewers invited
Invitations sent on 27 Aug, 2020
Reviewer #1 agreed
On 27 Aug, 2020
Editor assigned
On 22 Jul, 2020
First submitted
On 21 Jul, 2020
Submission checks complete
On 21 Jul, 2020
Editor invited
On 21 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Critical Care & Emergency Medicine
Learn more about our company.
This preprint is under consideration at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Original research
Smartphone-based dispatch of Community First Responders to Out-of-Hospital Cardiac Arrest - Statements from an International Consensus Conference
Camilla Metelmann
Universitatsmedizin Greifswald
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6145-9021
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 21 Jan, 2021
Published
On 01 Feb, 2021
No community comments so far
Editorial decision: Accept
On 18 Jan, 2021
Editor assigned
On 12 Jan, 2021
Submission checks complete
On 12 Jan, 2021
Editor invited
On 12 Jan, 2021
No comments provided
Review #1 received
Received 20 Dec, 2020
Review #2 received
Received 20 Dec, 2020
Reviewer #2 agreed
On 14 Dec, 2020
Reviewer #1 agreed
On 14 Dec, 2020
Reviewers invited
Invitations sent on 13 Dec, 2020
Editor assigned
On 26 Nov, 2020
Submission checks complete
On 26 Nov, 2020
Editor invited
On 26 Nov, 2020
No comments provided
Editorial decision: Major Revision
On 29 Oct, 2020
Reviewer #3 agreed
On 13 Oct, 2020
Review #2 received
Received 17 Sep, 2020
Review #1 received
Received 17 Sep, 2020
Reviewer #2 agreed
On 30 Aug, 2020
Reviewers invited
Invitations sent on 27 Aug, 2020
Reviewer #1 agreed
On 27 Aug, 2020
Editor assigned
On 22 Jul, 2020
First submitted
On 21 Jul, 2020
Submission checks complete
On 21 Jul, 2020
Editor invited
On 21 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Critical Care & Emergency Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
Background: Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programmes have been established, and interestingly there are considerable differences in technology, responder spectrum and the degree of integration into the prehospital emergency services. It is unclear whether these dissimilarities affect outcome. This paper reviews the current state in five European countries, reveals similarities and controversies, and presents consensus statements generated in an international conference with the intention to support public decision making on future strategies for SBA of CFR.
Methods: In a consensus conference a three-step approach was used: (i) presentation of current research from five European countries; (ii) workshops discussing evidence amongst the audience to generate consensus statements; (iii) anonymous real-time voting applying the modified RAND-UCLA Appropriateness method to adopt or reject the statements. The consensus panel aimed to represent all stakeholders involved in this topic.
Results: While 21 of 25 generated statements gained approval, consensus was only found for 5 of them. One statement was rejected but without consensus. Members of the consensus conference confirmed that CFR save lives. They further acknowledged the crucial role of emergency medical control centres and called for nationwide strategies.
Conclusions: Members of the consensus conference acknowledged that smartphone-based activation of CFR to OHCA saves lives. The statements generated by the consensus conference may assist the public, healthcare services and governments to utilise these systems to their full potential, and direct the research community towards fields that still need to be addressed.