Objectives: To determine whether real-time video communication between the first responder and a remote intensivist via Google Glass improves the management of a simulated in-hospital pediatric cardiopulmonary arrest before the arrival of the ICU team.
Design: Randomized controlled study.
Setting: Children’s hospital at a tertiary care academic medical center.
Subjects: Forty-two first-year pediatric residents.
Interventions: Pediatric residents were evaluated during two consecutive simulated pediatric cardiopulmonary arrests with a high-fidelity manikin. During the second evaluation, the residents in the Google Glass group were allowed to seek help from a remote intensivist at any time by activating real-time video communication. The residents in the control group were asked to provide usual care.
Measurements and Main Results: The main outcome measures were the proportion of time for which the manikin received no ventilation (no-blow fraction) or no compression (no-flow fraction). In the first evaluation, overall no-blow and no-flow fractions were 74% and 95%, respectively. During the second evaluation, no-blow and no-flow fractions were similar between the two groups. Insufflations were more effective (p = 0.04), and the technique (p = 0.02) and rate (p < 0.001) of chest compression were more appropriate in the Google Glass group than in the control group.
Conclusions: Real-time video communication between the first responder and a remote intensivist through Google Glass did not decrease no-blow and no-flow fractions during the first 5 minutes of a simulated pediatric cardiopulmonary arrest but improved the quality of the insufflations and chest compressions provided.
1Sorbonne Universités, UPMC Paris 06, Groupe PEPITE, Paris, France.
2AP-HP, HUEP, hôpital Trousseau, service des Urgences Pédiatriques, Paris, France.
3AP-HP, HUEP, hôpital Trousseau, Service Hématologie et Oncologie pédiatrique, Paris, France.
Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website (http://journals.lww.com/pccmjournal).
Advanced Medical Applications (AMA), Rennes, France, provided the Google Glass equipment, and real-time video transmission was achieved with software they developed. The participation of AMA was strictly limited to the provision of this equipment. AMA was not associated in the design of the study, data collection, analysis or interpretation of data, the writing of the article, or the decision to submit the article for publication.
Drs. Drummond, Duguet, and Petit disclosed that Advanced Medical Applications (AMA) provided the Google Glass equipment, and real-time video transmission was achieved with software AMA developed; they also disclosed off-label product use in that the use of Google Glass in resuscitation is still investigational. The remaining authors have disclosed that they do not have any potential conflicts of interest.
For information regarding this article, E-mail: firstname.lastname@example.org