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  • Candefjord, Stefan,1981Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, 412 96, Sweden,Chalmers tekniska högskola,Chalmers University of Technology (författare)

Video support for prehospital stroke consultation: implications for system design and clinical implementation from prehospital simulations

  • Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

  • 2024
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:hb-31940
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-31940URI
  • https://doi.org/10.1186/s12911-024-02539-7DOI
  • https://research.chalmers.se/publication/541453URI
  • https://gup.ub.gu.se/publication/339254URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Open access funding provided by Chalmers University of Technology. The study was funded by Innovationsfonden at Region Västra Götaland and Vinnova (Grant: 2017–02418). The funding bodies played no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.
  • BackgroundVideo consultations between hospital-based neurologists and Emergency Medical Services (EMS) have potential to increase precision of decisions regarding stroke patient assessment, management and transport. In this study we explored the use of real-time video streaming for neurologist–EMS consultation from the ambulance, using highly realistic full-scale prehospital simulations including role-play between on-scene EMS teams, simulated patients (actors), and neurologists specialized in stroke and reperfusion located at the remote regional stroke center.MethodsVideo streams from three angles were used for collaborative assessment of stroke using the National Institutes of Health Stroke Scale (NIHSS) to assess symptoms affecting patient’s legs, arms, language, and facial expressions. The aim of the assessment was to determine appropriate management and transport destination based on the combination of geographical location and severity of stroke symptoms. Two realistic patient scenarios were created, with severe and moderate stroke symptoms, respectively. Each scenario was simulated using a neurologist acting as stroke patient and an ambulance team performing patient assessment. Four ambulance teams with two nurses each all performed both scenarios, for a total of eight cases. All scenarios were video recorded using handheld and fixed cameras. The audio from the video consultations was transcribed. Each team participated in a semi-structured interview, and neurologists and actors were also interviewed. Interviews were audio recorded and transcribed.ResultsAnalysis of video-recordings and post-interviews (n = 7) show a more thorough prehospital patient assessment, but longer total on-scene time, compared to a baseline scenario not using video consultation. Both ambulance nurses and neurologists deem that video consultation has potential to provide improved precision of assessment of stroke patients. Interviews verify the system design effectiveness and suggest minor modifications.ConclusionsThe results indicate potential patient benefit based on a more effective assessment of the patient’s condition, which could lead to increased precision in decisions and more patients receiving optimal care. The findings outline requirements for pilot implementation and future clinical tests.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Andersson Hagiwara, MagnusHögskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen,University of Borås(Swepub:hb)MHW (författare)
  • Sjöqvist, Bengt-Arne,1952Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, 412 96, Sweden,Chalmers tekniska högskola,Chalmers University of Technology(Swepub:cth)bensjo (författare)
  • Karlsson, Jan-ErikDepartment of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital (författare)
  • Nordanstig, Annika,1974Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden; Simulation Center West, Sahlgrenska University Hospital and University of Gothenburg, , Gothenburg, Sweden(Swepub:gu)xnoraz (författare)
  • Rosengren, Lars,1954Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden(Swepub:gu)xrosel (författare)
  • Maurin Söderholm, HannaHögskolan i Borås,Akademin för bibliotek, information, pedagogik och IT,Akademin för vård, arbetsliv och välfärd,PICTA Prehospital Innovation Arena, Lindholmen Science Park, Gothenburg, Sweden(Swepub:hb)HAM (författare)
  • Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, 412 96, SwedenChalmers tekniska högskola (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMC Medical Informatics and Decision Making24:11472-6947

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