ABSTRACT
Background: Out-of-hospital cardiac arrest (OHCA) is associated with poor survival rates. Factors that may enable survival include cardiopulmonary resuscitation (CPR) initiated by bystanders and early use of an automated external defibrillator (AED). This explorative simulation study was conceptualized to test the feasibility of a semi-autonomously operating drone that delivers an AED to a remote emergency location and its bystander-use. Methods: Ten paramedics and nineteen laypersons were confronted with a manikin simulating an OHCA as single bystanders within a field test located in a mountainous region between Austria and Slovenia. The scenario included a mock-call to the local emergency response center that dispatched a drone towards the caller's GPS coordinates and supported the ongoing CPR. The outcomes were the successful delivery of the AED, the time to the first shock, hands-off times, and the overall performance of the CPR. Results: The AED was delivered by drone and used in all 29 scenarios without serious adverse events. The flight time of the drone was in median 5:20 (range: 1:35-8:19) minutes. The paramedics delivered the first shock after a mean of 12:15 ± 2:03 min and hands-off times were 50 ± 22 s. The laypersons delivered the first shock after 14:04 ± 2:10 min and hands-off times were 2:11 ± 0:39 min. All participants felt confident in the handling of the delivered AED. Conclusion: The delivery and usage of an AED via a semi-autonomously flying drone in a remote region is feasible. This approach can lead to early administration of shocks.
ABSTRACT
The COVID-19 pandemic has profoundly altered common social and economic patterns as governments all over the world have been forced to take drastic measures to counter the spread of the disease. Among them, quarantine, the closure of borders, and social distancing are the ones that have affected transportation systems most severely. With the clear need to avoid all unnecessary direct human contact, an increased interest in contactless transportation and delivery modes emerged. Drones are a promising alternative in this regard, especially for the delivery of essential goods, such as COVID-19 viral tests. In this study, we therefore investigate how drones can be used to distribute viral tests to potentially infected patients. The novel approach that we propose is to use existing drone infrastructure to perform this task, where drones owned and operated by different public and private entities are retrofitted for the distribution of essential goods in the case of emergency. In a wider sense, we hence suggest the establishment of a drone enabled back-up transport system. Potential performance gains are analyzed through a mathematical time and cost model that was developed in close cooperation with the state Red Cross Organization and a utility drone manufacturer. Process design as well as parameter estimation are based on empirical investigation including, but not limited to, accompanying a COVID-19 mobile testing team in the field. The practical feasibility was verified by retrofitting drones initially assigned to other purposes. Additionally, policy recommendations, such as the establishment of public-public and public-private partnerships, were identified.
