Arizona Prehospital CPR Quality Improvement Project

NCT01258244 | Completed

• 1 other identifier: 2010-118
• Study Type: observational
• Target: 101
• Locations: 1 country
• Sites: 2

Brief Summary

The quality of cardiopulmonary resuscitation (CPR) provided to patients with out-of-hospital cardiac arrest (OHCA) is often suboptimal. There now exist monitors/defibrillators that allow for the measurement and real time feedback of the quality of chest compressions and ventilations. In addition to giving the prehospital provider the benefit of real time CPR quality feedback via voice and visual cues, the CPR quality data acquired using these devices can be utilized as part of an on-going quality assurance/quality improvement program. The first objective of the proposed project is to quantify the quality of chest compressions and ventilations provided in the state of Arizona to patients with OHCA and to determine whether the quality of CPR is related to patient outcome from OHCA. A second objective of this project is to determine whether use of audiovisual feedback improves both CPR quality and patient outcome in the pre-hospital setting.

Conditions

Out-of-Hospital Cardiac Arrest

Keywords

Out-of-Hospital Cardiac Arrest, OHCA

Outcome Measures

Primary Outcomes (1)

• Quality of chest compressions

  Depth of chest compressions, rate of chest compressions, and interruptions in chest compressions

  Phase I - 6 months; Phase II - 20 months

Secondary Outcomes (1)

• Survival to hospital discharge

  Phase I - 6 months; Phase II - 20 months

Study Arms (1)

Audiovisual feedback on CPR

EMS technicians will receive audiovisual feedback from the ZOLL device on depth, frequency, and interruptions to cardiac compressions

Other: Audiovisual Feedback

Interventions

Audiovisual Feedback OTHER

EMTs will get audiovisual feedback on CPR technique during CPR

Audiovisual feedback on CPR

Eligibility Criteria

• Age: 24 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Emergency medical services providers in 4 different Arizona cities

You may qualify if:

• Emergency Medical Services personnel at 8 fire departments in AZ who treat patients with out of hospital cardiac arrest (OHCA)

Sponsors & Collaborators

• Valleywise Health: lead
• Arizona Department of Health Services: collaborator
• Guardian Medical Transport: collaborator
• Mesa Fire Department: collaborator
• Zoll Medical Corporation: collaborator

Study Sites (2)

Guardian Medical Transport

Flagstaff, Arizona, 86001, United States

Location

Mesa Fire Department

Mesa, Arizona, 85201, United States

Location

Related Publications (2)

• Bobrow BJ, Clark LL, Ewy GA, Chikani V, Sanders AB, Berg RA, Richman PB, Kern KB. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA. 2008 Mar 12;299(10):1158-65. doi: 10.1001/jama.299.10.1158.

  PMID: 18334691 BACKGROUND

• Handley AJ, Handley SA. Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. Resuscitation. 2003 Apr;57(1):57-62. doi: 10.1016/s0300-9572(02)00400-8.

  PMID: 12668300 BACKGROUND

MeSH Terms

Conditions

Out-of-Hospital Cardiac Arrest

Condition Hierarchy (Ancestors)

Heart Arrest; Heart Diseases; Cardiovascular Diseases

Study Officials

• Bentley J Bobrow, MD

  Arizona Department of Health Services, Maricopa Integrated Health System

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 9, 2010
• First Posted: December 10, 2010
• Study Start: December 7, 2010
• Primary Completion: February 25, 2015
• Study Completion: February 25, 2015
• Last Updated: January 25, 2018

Record last verified: 2018-01

Locations

US (2)