EENA Conference 2017 session

1. Image as a tool for support in the decision-
making process of Emergency Medical
Dispatch: A feasibility study
Katarina Bohm, PhD, Associate Professor
Karolinska Institute, Department of Clinical Science and
Education, South Hospital, Sweden
katarina.bohm@ki.se

2. Background
 112-call: Assessment and
prioritization relay on spoken
information
 The majority of citizens own
a smart phone
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3. Aim
 To test technical aspects and feasibility of an image
transmission technique in the emergency-medical-call to 112
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4. Methods
 One 112-center and eight call-takers/dispatchers
 Uses an iPad for image communication
 Non-urgent calls
 Inclusion Nov 2016 to May 2017
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Project organisation
University/research:
 Katarina Bohm, PI, Karolinska Institute
 Klara Torlén, PhD-student, Karolinska Institute
Technical developement organisation:
 Martin Sjöblom, Technician TUCAP
 Ola Stensby, Program director TUCAP
Dispatch organisation:
 Andreas Norrby, SOS Alarm Sverige AB

6. The way it works
1. The dispatcher decides that a picture could have an impact
2. The dispatcher send a link to the callers´ mobile
3. The caller takes a picture
4. The dispatcher receives the picture
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7. Bildstödprojektet
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The caller receives a link

8. Bildstödprojektet
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”Take a picture”

9. Bildstödprojektet
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10. Bildstödprojektet
Technial problem, caller don´t want to or don´t understand
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11. Study report (interrim)
n
Log in 1563
Received images 25
”No question during call” 1426
”Do not want to” 0
”Do not understand” 5
Technical problems 14
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12. To come: Interviews
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The dispatchers´ experience

13. Pre-study
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• What the dispatchers thought
about to receive an image:
• Benefits,
• The impact on
dispatchers,
• Risk to miss information,
• Image only if necessary,
• Secrecy

14. Conclusions
 25 images to analyze
 Encourage call-takers to remember asking for images
 Some technical problems to solve
 This works, but still unclear for what kind of cases
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