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Table 4 Progression criteria findings

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

Progression criteria

RAG rating

1: Proportion of callers with smartphones agreeing to and able to activate video livestreaming

n/N (%)

62/72 (86)

Green

 

95% CI

(76 to 93)

 

2. Number (proportion) of requests to activate that result in GoodSAM footage being viewed by HEMS and/or CCP

n/N (%)

53/62 (85)

Green

NB: The number of requests to activate is taken as the number of GoodSAM texts received (n = 62)

(95% CI)

(74 to 93)

 

3. Air Ambulance standdown rate/change in dispatch decision as result of livestreaming

n/N (%)

2/20 (10) ITT*

Indeterminate due to insufficient data

  

2/6 (33) PP

4a. Rates of psychological harm not significantly greater in 999 callers using livestreaming vs. not

Only 4/244 (1.6%) callers completed surveys

 
 

No evidence of harm from interviews or observations

 

4b. No significant difference in change over time in psychological harm in staff within the trial site compared to the comparison site

  

Trial site: Pre-intervention IES-R (n = 41)

3.6 (6.2)

 

Post-intervention IES-R (n = 25)

2.8 (4.4)

 

Change (mean, SD), difference between time points (95% CI)

 − 1 (8.5),  − 1.0( − 4.5,2.5)

 

Pre-intervention GHQ-12 (n = 40)

9.6 (3.4)

 

Post-intervention GHQ-12 (n = 25)

9.0 (2.8)

 

Comparison site: Pre-intervention IES-R (n = 9)

5 (5.8)

 

Post-intervention IES-R (n = 4)

13.1 (20.6)

 

Change: Mean (SD)**

6.3 (15.8)

 

Pre-intervention GHQ-12 (n = 9)

9.9 (3.4)

 

Post-intervention GHQ-12 (n = 4)

14.5 (4.4)

 

Change, difference between sites (95% CI)

  

IES-R

 − 7.3 ( − 31.8, 17.3), p = 0.43

 

GHQ-12

 − 7.5 ( − 14.4,  − 0,7), p = 0.04

 
  1. *ITT intention to treat (denominator is all HEMS dispatches in intervention arm) PP per protocol (denominator is HEMS dispatches where livestreaming was used).
  2. **Difference between time points not calculated as numbers too small