Google Glass for Residents Dealing With Pediatric Cardiopulmonary Arrest: A Randomized, Controlled, Simulation-Based Study.
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.



Randomized controlled study.



Children's hospital at a tertiary care academic medical center.



Forty-two first-year pediatric residents.



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.



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.



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.
David
D
Drummond
Cécile
C
Arnaud
Romain
R
Guedj
Alexandre
A
Duguet
Nathalie
N
de Suremain
Arnaud
A
Petit
D000046:Academic Medical Centers; D016887:Cardiopulmonary Resuscitation / Q000193:education* / Q000379:methods; D002983:Clinical Competence; D003199:Computer Systems; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007396:Internship and Residency / Q000379:methods*; D008297:Male; D008348:Manikins; D010297:Paris; D010372:Pediatrics / Q000193:education*; D000066908:Simulation Training / Q000379:methods*; D017216:Telemedicine / Q000379:methods*; D049269:Videoconferencing