J Telemed Telecare - Development of a first-responder dispatch system using a smartphone.

Tópicos

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Resumo

We constructed a prototype community first responder (CFR) dispatch system. The system sends incident information, including a map, to the chosen CFR's mobile phone. We tested it in a simulation of 30 out-of-hospital cardiac arrest incidents which had occurred in the town of Motegi during the previous year. Thirty off-duty firefighters acted as CFRs and were sent to the same locations. The mean response time (from the CFR receiving dispatch information to arrival at the scene) was 3min37s faster than the actual response time in the corresponding historical control, i.e. the response time was reduced by 36% (P<0.01). The median travel distance of the CFRs was 3.4km and there was a positive correlation between response time and travel distance. The study showed that interactive communication between dispatcher and CFR was important for effective operation and that CFRs could reach an OHCA patient before the Emergency Medical Service arrives.

Resumo Limpo

construct prototyp communiti first respond cfr dispatch system system send incid inform includ map chosen cfrs mobil phone test simul outofhospit cardiac arrest incid occur town motegi previous year thirti offduti firefight act cfrs sent locat mean respons time cfr receiv dispatch inform arriv scene min faster actual respons time correspond histor control ie respons time reduc p median travel distanc cfrs km posit correl respons time travel distanc studi show interact communic dispatch cfr import effect oper cfrs reach ohca patient emerg medic servic arriv

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