Abstract 15569: Clinical Feedback From Prehospital Use of a Novel Traumatic Brain Injury Dashboard
Introduction: Traumatic brain injury (TBI) patients must be carefully monitored and treated in the prehospital setting to prevent secondary brain injury from hypoxia, hypotension, and/or hyperventilation. A novel technology, the TBI dashboard, was developed to provide a focused display of clinically relevant parameters and an adjustable ventilation timer to assist clinicians in the care of TBI patients. The purpose of this project was to assess the usability of the TBI dashboard technology and remote display in the prehospital setting.
Methods: Clinical parameters (SpO2, ETCO2, SBP) were wirelessly streamed from a defibrillator monitor to a mobile smartphone device and displayed in a trend graph format together with an adjustable ventilation timer during prehospital treatment of TBI patients. After use of the TBI dashboard display, clinicians completed an anonymous online survey describing their experiences with the technology.
Results: Twenty-nine prehospital clinicians (26 paramedics, 3 EMTs) completed surveys after 26 clinical uses of the TBI dashboard. The individual parameters of the TBI Dashboard (SBP, SpO2, and ETCO2) were viewed frequently or continuously 66-72% of the time. When asked to rate the usefulness of the different features on a scale of 1 (not useful) to 5 (extremely useful), the SpO2, ETCO2, and SBP features were rated 4 (median, IQR=3,4 for all features). There were not enough cases requiring assisted ventilation (n=2) to test the usefulness of the ventilation timer. The clinicians generally had a positive (55%) or neutral (33%) opinion of the remote display and 11% disliked it somewhat. The TBI Dashboard was less frequently viewed on scene (45% viewed) and rarely during patient extrication (14% viewed) but viewed frequently during transport (93% viewed). Clinicians rated that they would definitely (28%) or probably (38%) use the TBI dashboard on a remote display in the future whereas 24% had a neutral opinion and 10% would not use the feature again.
Conclusions: Prehospital clinicians generally viewed the TBI Dashboard positively and found SpO2, ETCO2, and SBP trending to be useful, especially during patient transport. Further testing is needed to evaluate the usefulness of an adjustable ventilation rate timer.
Author Disclosures: A. Silver: Employment; Significant; ZOLL Medical. T. Harrington: Employment; Significant; ZOLL Medical. J. Carroll: Employment; Significant; ZOLL Medical.
- © 2016 by American Heart Association, Inc.