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Table 3 Progression criteria (published in protocol paper [17])

From: The SEE-IT Trial: emergency medical services Streaming Enabled Evaluation In Trauma: a feasibility randomised controlled trial

GREEN; proceed to definitive study—GO

AMBER; consider protocol amendments to improve criteria

RED; do not proceed to main trial—STOP

 ≥ 70% of callers with smartphones agreeing and able to activate video livestreaming

 ≥ 50% of callers with smartphones agreeing and able to activate video livestreaming

 < 50% of callers with smartphones agreeing and able to activate video livestreaming

 ≥ 50% of requests to activate video livestreaming resulting in footage being viewed

 ≥ 30% but < 50% of requests to activate video livestreaming resulting in footage being viewed

 < 30% of requests to activate video livestreaming resulting in footage being viewed

Air Ambulance (HEMS) stand-down rate reducing by ≥ 10% and/or change in dispatch decision as a result of live streamed footage confirmed as being appropriate in ≥ 10% cases

Air Ambulance stand-down rate reducing by ≥ 5% and/or change in dispatch decision as a result of live streamed footage confirmed as being appropriate in ≥ 5% cases

No change in Air Ambulance stand-down rate and/or change in dispatch decision as a result of live streamed footage

Rates of psychological harm (based on the survey measures) not significantly greater in 999 callers using video livestreaming compared to those not; and no significant difference in change to psychological harm over time in staff (CCPs, HEMS dispatchers, Research Paramedics) compared to change in staff in a comparison EOC not using video livestreaming/streamed from scene footage

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Evidence of significantly greater harm in either 999 callers or EOC staff using video livestreaming compared to EOC not using video livestreaming