Le innovazioni tecnologiche nel servizio di emergenza urgenza in ambito extraospedaliero: una revisione della letteratura

Chiara Virgili; Alessandro Delli Poggi; Domenico Giuseppe Landolfi; Michele Angelo MilatinoSgambati

doi:10.54103/dn/24025

Authors

Chiara Virgili Heart life Croce Amica Srl, Roma, Italy
Alessandro Delli Poggi University of Rome “La Sapienza,” Rome, Lazio, Italy https://orcid.org/0000-0002-9770-4973
Domenico Giuseppe Landolfi Azienda Universitaria Ospedaliera Policlinico Umberto I
Michele Angelo MilatinoSgambati Azienda Regionale Emergenza Sanitaria (Ares118)

DOI:

https://doi.org/10.54103/dn/24025

Keywords:

Digital Health, Emergency, Videocall, Health Alarm System

Abstract

BACKGROUND: The use of advanced technologies significantly improves the timeliness and quality of healthcare, especially in out-of-hospital emergency settings. Digital Health promotes a person-centered healthcare system and technological innovation. Objective: This narrative review aims to identify new technologies applicable to the out-of-hospital urgent and emergency system, with particular attention to the Health Alarm System. It also seeks to evaluate the impact of these technologies on the quality of telephone dispatch and the effectiveness of rescue interventions.

METHODS: The research was conducted in July 2023 using databases PubMed, Cinahl-Ebsco, Ilisi, Google Scholar, and Cochrane Library. Studies published since 2013 in English or Italian, available in full-text format, were included.

RESULTS: Innovative technologies improve the management of out-of-hospital emergencies. Among the main findings, three articles address continuous patient monitoring, four discuss the rapid transmission of geolocation data and clinical conditions via SMS and email, and four focus on the use of video calls, which enable dispatchers to visually assess and provide real-time support.

CONCLUSIONS: The adoption of technology in out-of-hospital emergency services enhances dispatcher-caller interaction, performance quality, and response times. However, many technologies are still experimental or underused, resulting in fragmented application.

Downloads

Download data is not yet available.

References

1. Álvarez-García C, Cámara-Anguita S, López-Hens JM, Granero-Moya N, López-Franco MD, María-Comino-Sanz I, Sanz-Martos S, Pancorbo-Hidalgo PL. Development of the Aerial Remote Triage System using drones in mass casualty scenarios: A survey of international experts. PLoS One. 2021 May 11;16(5): e0242947. doi: 10.1371/journal.pone.0242947. PMID: 33974634; PMCID: PMC8112676.

2. Atto di indirizzo e coordinamento alle regioni per la determinazione dei livelli di assistenza sanitaria di emergenza, Gazzetta Ufficiale serie generale n.76 del 31 marzo 1992

3. Berglund E, Claesson A, Nordberg P, Djärv T, Lundgren P, Folke F, Forsberg S, Riva G, Ringh M. A smartphone application for dispatch of lay responders to out-of-hospital cardiac arrests. Resuscitation. 2018 May; 126:160-165. doi: 10.1016/j.resuscitation.2018.01.039. Epub 2018 Feb 1. PMID: 29408717.

4. Bhaumik S, Hannun M, Dymond C, DeSanto K, Barrett W, Wallis LA, Mould-Millman NK. Prehospital triage tools across the world: a scoping review of the published literature. Scand J Trauma Resusc Emerg Med. 2022 Apr 27;30(1):32. doi: 10.1186/s13049-022-01019-z. PMID: 35477474; PMCID: PMC9044621.

5. Cristiano Antonino, Trasporto del defibrillatore mediante drone: progetto pilota di EENA, Everdrone e Karolinska Institutet, EmergencyLive, 24 novembre 2020

6. De Marinis, M. et al. (2007) ‘Infermieristica e Tecnologia: un rapporto apparentemente conflittuale-Nursing care and Technology: an apparently conflictual relation’, INTERNATIONAL NURSING PERSPECTIVES, pp. 11–15.

7. Ecker H, Lindacher F, Dressen J, Wingen S, Hamacher S, Böttiger BW, Wetsch WA. Accuracy of automatic geolocalization of smartphone location during emergency calls - A pilot study. Resuscitation. 2020 Jan 1; 146:5-12. doi: 10.1016/j.resuscitation.2019.10.030. Epub 2019 Nov 7. PMID: 31706968.

8. Giornale di Barga. (2024, Febbraio). Grazie a un 'caschetto', collegamento in tempo reale tra soccorritori e medici della centrale operativa 118 dell'Alta Toscana. Giornale di Barga.

9. Giovanni Gordini, DAE RespondER – Una App per salvare una vita, Fondazione del Monte, anno 2020

10. Johansson A, Esbjörnsson M, Nordqvist P, Wiinberg S, Andersson R, Ivarsson B, Möller S. Technical feasibility and ambulance nurses' view of a digital telemedicine system in pre-hospital stroke care - A pilot study. Int Emerg Nurs. 2019 May; 44:35-40. doi: 10.1016/j.ienj.2019.03.008. Epub 2019 Apr 30. PMID: 31047854.

11. Linderoth G, Lippert F, Østergaard D, Ersbøll AK, Meyhoff CS, Folke F, Christensen HC. Live video from bystanders' smartphones to medical dispatchers in real emergencies. BMC Emerg Med. 2021 Sep 6;21(1):101. doi: 10.1186/s12873-021-00493-5. PMID: 34488626; PMCID: PMC8419944

12. Lipodio, D. et al. (2021) ‘I trend della tecnologia informatica in sanità e le sue ricadute sul Servizio Sanitario Nazionale’, Sanità Pubblica e Privata, pp. 62–65.

13. Loncar-Turukalo T, Zdravevski E, Machado da Silva J, Chouvarda I, Trajkovik V. Literature on Wearable Technology for Connected Health: Scoping Review of Research Trends, Advances, and Barriers. J Med Internet Res. 2019 Sep 5;21(9): e14017. doi: 10.2196/14017. PMID: 31489843; PMCID: PMC6818529.

14. Melbye S, Hotvedt M, Bolle SR. Mobile videoconferencing for enhanced emergency medical communication - a shot in the dark or a walk in the park? ‒‒ A simulation study. Scand J Trauma Resusc Emerg Med. 2014 Jun 2; 22:35. doi: 10.1186/1757-7241-22-35. PMID: 24887256; PMCID: PMC4055691.

15. Minea M, Dumitrescu CM, Costea IM. Advanced e-Call Support Based on Non-Intrusive Driver Condition Monitoring for Connected and Autonomous Vehicles. Sensors (Basel). 2021 Dec 10;21(24):8272. doi: 10.3390/s21248272. PMID: 34960361; PMCID: PMC8707471.

16. Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097.

17. Nurse24. Competenze avanzate degli infermieri nella risposta a crisi e soccorso territoriale. Recuperato da https://www.nurse24.it/specializzazioni/emergenza-urgenza/competenze-avanzate-infermieri-risposta-crisi-soccorso-territoriale.html.

18. Peters M, Stipulante S, Cloes V, Mulder A, Lebrun F, Donneau AF, Ghuysen A. Can Video Assistance Improve the Quality of Pediatric Dispatcher-Assisted Cardiopulmonary Resuscitation? Pediatr Emerg Care. 2022 Feb 1;38(2): e451-e457. doi: 10.1097/PEC.0000000000002392. PMID: 34009900.

19. Sutham K, Khuwuthyakorn P, Thinnukool O. Thailand medical mobile application for patients triage base on criteria-based dispatch protocol. BMC Med Inform Decis Mak. 2020 Apr 9;20(1):66. doi: 10.1186/s12911-020-1075-6. PMID: 32272928; PMCID: PMC7147000.

20. Tutti possono salvare una vita: approvata la legge sull’utilizzo dei defibrillatori, CronacaNews24, 6 agosto 2021

21. Weinlich M, Kurz P, Blau MB, Walcher F, Piatek S. Significant acceleration of emergency response using smartphone geolocation data and a worldwide emergency call support system. PLoS One. 2018 May 23;13(5): e0196336. doi: 10.1371/journal.pone.0196336. PMID: 29791450; PMCID: PMC5965832.

22. Yperzeele L, Van Hooff RJ, De Smedt A, Valenzuela Espinoza A, Van Dyck R, Van de Casseye R, Convents A, Hubloue I, Lauwaert D, De Keyser J, Brouns R. Feasibility of AmbulanCe-Based Telemedicine (FACT) study: safety, feasibility and reliability of third generation in-ambulance telemedicine. PLoS One. 2014 Oct 24;9(10): e110043. doi: 10.1371/journal.pone.0110043. PMID: 25343246; PMCID: PMC4208882

23. Zhang Z, Brazil J, Ozkaynak M, Desanto K. Evaluative Research of Technologies for Prehospital Communication and Coordination: a Systematic Review. J Med Syst. 2020 Apr 3;44(5):100. doi: 10.1007/s10916-020-01556-z. PMID: 32246206.