Mobile smartphone technology is associated with better clinical outcomes for OHCA

Retrospective cohort cardiac arrest calls the Paris fire brigade with the activation “Staying Alive”. Photo credit: KIRSTY CHALLEN, B.SC., MBCHB, MRES, PH.D., LANCASHIRE EDUCATIONAL HOSPITALS, UNITED KINGDOM

Mobile smartphone technology can speed up the dispatch of first aiders and help improve cardiac arrest survival (OCHA) in the hospital. This is the conclusion of a study that was published in the October 2020 issue of Academic Emergency Medicine (AEM), a journal of the Society for Academic Emergency Medicine (SAEM).

The lead author of the study is Dr. Clement Derkenne, an emergency doctor in the emergency room of the Paris Fire Brigade in Clamart, France. The results of the study were recently discussed on an AEM podcast: We didn’t start the fire, but can antacid monotherapy stop the fire?

In France, the launch of the mobile application “Staying Alive” (a free mobile smartphone application available in 18 languages ​​and compatible with all operating systems) improved healthcare and OHCA survival results in the Paris metropolitan area within one year (July 2017 to) 2018).

The application can be used to notify registered first responders, commonly known as “Bons Samaritains” (BS) who are in the vicinity of an OHCA scene, via a “push notification”. After confirmation of the notification, the available BSs will be directed to the OHCA scene and receive a map of the AEDs in the area.

SA is available on all smartphone platforms and uses geolocation services to tag nearby AEDs. It was first incorporated into the Paris Fire Brigade’s CPR protocols in the greater Paris area in 2017.

The study’s researchers concluded that smartphone apps that match trained responders with nearby cardiac arrest victims could be a valuable way to improve cardiac arrest response times outside the hospital. However, their impact on clinical outcomes and overall cost-effectiveness remain unclear.

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More information:
Clément Derkenne et al., Mobile Smartphone Technology Linked to Improving Out-of-Hospital Cardiac Arrest Survival: The Greater Paris Fire Brigade’s First Year Experience, Emergency Medical Medicine (2020). DOI: 10.1111 / acem.13987

Provided by the Society for Academic Emergency Medicine

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