Table 2.
Counts and proportion of completed checklist items (both raters).
| Checklist item | Completed checklist item, n (%) | P value | ||
| App (n=29) | Control (n=29) |
|
||
| Shortness of breath checklist items |
|
|
|
|
|
|
Introduces self and role | 47 (81) | 43 (74) | .37 |
|
|
Acknowledges patient by name and identifies family members | 45 (78) | 18 (31) | <.001 |
|
|
Asks patient for bystander for insight | 58 (100) | 57 (98) | .99 |
|
|
Request flight attendant assistance | 35 (60) | 19 (33) | .003 |
|
|
Informs/updates the cabin crew | 17 (31) | 5 (11) | .01 |
|
|
Asks patient basic history | 55 (95) | 57 (98) | .62 |
|
|
Asks patient allergies | 17 (30) | 17 (29) | .99 |
|
|
Asks patient about home oxygen use | 10 (17) | 12 (21) | .64 |
|
|
Elicits COPDa/asthma history | 12 (21) | 12 (21) | .99 |
|
|
Examines heart and lungs through auscultation | 46 (79) | 54 (93) | .03 |
|
|
Examines neck | 2 (3) | 2 (3) | .99 |
|
|
Examines for pedal edema | 6 (10) | 8 (14) | .57 |
|
|
Obtains vitals (BPb, HRc) | 13 (22) | 13 (22) | .99 |
|
|
Reassesses patient | 56 (97) | 58 (100) | .50 |
|
|
Administers steroids | 18 (32) | 4 (7) | .001 |
|
|
Administers albuterol treatment | 56 (97) | 56 (97) | .99 |
|
|
Requests for emergency medical kit | 58 (100) | 58 (100) | .99 |
|
|
Requests ground medical control consult | 26 (45) | 11 (19) | .003 |
|
|
Repeats vitals | 38 (66) | 52 (88) | .002 |
|
|
Administers high flow oxygen | 49 (85) | 40 (69) | .048 |
| Syncope checklist items |
|
|
|
|
|
|
Introduces self and role | 45 (78) | 44 (79) | .90 |
|
|
Acknowledges patient by name and identifies family members | 27 (47) | 18 (32) | .10 |
|
|
Asks patient for bystander for insight | 57 (98) | 53 (91) | .21 |
|
|
Requests emergency medical kit | 58 (100) | 58 (100) | .99 |
|
|
Informs the cabin crew | 39 (71) | 18 (40) | .002 |
|
|
Requests ground medical control | 29 (50) | 16 (28) | .02 |
|
|
Asks about patient’s allergies | 9 (15) | 14 (25) | .23 |
|
|
Asks about patient’s symptoms | 54 (93) | 57 (100) | .12 |
|
|
Asks about palpitations | 11 (19) | 2 (4) | .01 |
|
|
Asks about chest pain | 33 (57) | 27 (47) | .31 |
|
|
Asks about dyspnea | 35 (60) | 22 (39) | .02 |
|
|
Asks about arrhythmia history | 15 (26) | 11 (20) | .40 |
|
|
Asks about gastrointestinal bleeding history | 0 (0) | 3 (5) | .12 |
|
|
Asks patient basic history | 58 (100) | 54 (95) | .12 |
|
|
Requests flight attendant assistance | 24 (41) | 5 (9) | <.001 |
|
|
Auscultates heart and lungs | 42 (72) | 43 (74) | .83 |
|
|
Examines abdomen | 2 (3) | 2 (3) | .99 |
|
|
Examines patients neck | 2 (3) | 3 (5) | .99 |
|
|
Requests the AEDd | 20 (35) | 12 (21) | .12 |
|
|
Obtains vitals | 51 (88) | 51 (88) | .99 |
|
|
Repeats vitals | 17 (29) | 24 (41) | .17 |
|
|
Reassess patient | 56 (98) | 52 (90) | .11 |
|
|
Positions the patient | 48 (84) | 32 (56) | .001 |
|
|
Administers oxygen | 28 (52) | 8 (14) | <.001 |
|
|
Administers fluids | 54 (93) | 56 (97) | .68 |
aCOPD: chronic obstructive pulmonary disease.
bBP: blood pressure.
cHR: heart rate/pulse.
dAED: automatic external defibrillator.