Resuscitation by video in northern communities

Abstract

Objectives. This paper describes the set-up of a videoconference system to support resuscitation in remote communities and the outcome of the video support. Study design. A case study examining the use of videoconferencing to lead life support remotely. Methods. Resuscitations in these communities were led remotely by a physician through videoconferencing. The videoconference unit is set up in the corner of the room for optimal viewing of the patient and the monitors. The keys to success are a secure 512 kbps broadband service, user-friendly videoconference units and appropriate training. Results. Over the past 3 years in Labrador, 6 patients with major trauma, pulseless tachyarrhythmias, cardiogenic shock, septic shock and severe hypothermia were successfully resuscitated. Conclusion. Oversight of life support via videoconferencing with the right set-up and training can lead to successful resuscitation in remote communities.