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Randomised clinical simulation designed to evaluate the effect of telemedicine using Google Glass on cardiopulmonary resuscitation (CPR)

2017; BMJ; Volume: 34; Issue: 11 Linguagem: Inglês

10.1136/emermed-2016-205998

1472-0213

Nuria Pérez Alonso, Manuel Pardo Ríos, Laura Juguera Rodríguez, Tomás Vera Catalán, Francisca Segura Melgarejo, Belén López Ayuso, Carolina Martínez‐Riquelme, Joaquín Lasheras,

Simulation-Based Education in Healthcare

Aim Through a clinical simulation, this study aims to assess the effect of telematics support through Google Glass (GG) from an expert physician on performance of cardiopulmonary resuscitation (CPR) performed by a group of nurses, as compared with a control group of nurses receiving no assistance. Methods This was a randomised study carried out at the Catholic University of Murcia (November 2014–February 2015). Nursing professionals from the Emergency Medical Services in Murcia (Spain) were asked to perform in a clinical simulation of cardiac arrest. Half of the nurses were randomly chosen to receive coaching from physicians through GG, while the other half did not receive any coaching (controls). The main outcome of the study expected was successful defibrillation, which restores sinus rhythm. Results Thirty-six nurses were enrolled in each study group. Statistically significant differences were found in the percentages of successful defibrillation (100% GG vs 78% control; p=0005) and CPR completion times: 213.91 s for GG and 250.31 s for control (average difference=36.39 s (95% CI 12.03 to 60.75), p=0.004). Conclusions Telematics support by an expert through GG improves success rates and completion times while performing CPR in simulated clinical situations for nurses in simulated scenarios.