Effects of a New Dispatcher-Assisted Basic Life Support Training Program

NCT02142387 | Completed Results

• 1 other identifier: SNUH-heros-01
• Study Type: interventional
• Target: 18,822
• Locations: 1 country
• Sites: 1

Brief Summary

Despite aggressive cardiopulmonary resuscitation (CPR) training, the outcome of cardiac arrest is not good. The problem is method of education. So, the investigators want to add the dispatcher-assisted CPR simulation into conventional CPR training. In this study, the study is aimed to investigate the effect of newer CPR training program.

Conditions

Out of Hospital Cardiac Arrest

Keywords

cardiac arrest; dispatcher-assisted bystander cardiopulmonary resuscitation; survival

Outcome Measures

Primary Outcomes (1)

• Number of Participants Surviving to Hospital Discharge

  The study end points are survival to hospital discharge. Survival to discharge will be measured as proportions of patients who were discharged from a hospital with their spontaneous circulation recovered. This information will be collected from medical record review.

  from date of discharge, assessed up to 3 months

Secondary Outcomes (2)

• Number of Participants With Return of Spontaneous Circulation (ROSC)

  from date of cardiac arrest occurred, assessed up to 1 week

• Number of Participants With Good Neurological Recovery

  from date of discharge, assessed up to 3 months

Study Arms (2)

New DA-BLS training program

ACTIVE COMPARATOR

A one-hour training course that includes a 30-minute video-based self-instruction (VSI) training session, a short role-play, and a debriefing. The video consists of a bystander CPR simulation with dispatcher instructions using the trainee's own phone and practice session following demonstration by a simulated layperson. After watching the video clip, all trainees are divided into two groups and conduct a role-play as dispatchers and laypersons for 15 minutes. Finally, there is a 15-minute debriefing session with several assignments. The HEROS program focuses on cooperation with a dispatcher, from recognition of cardiac arrest to performing DA-CPR, with hands-on practice so that laypersons can provide bystander CPR immediately in a real situation. Moreover, the HEROS program emphasizes practice for providing the correct address of the scene and switching to speakerphone mode, especially for the elderly.

Other: BLS CPR program with dispatcher assisted CPR simulation

Current Basic Life Support (BLS) training program

NO INTERVENTION

A one-hour training program that was developed by the Korea Center for Disease Control and Prevention (CDC) and it was based on the American Heart Association (AHA) guideline (http://www.cdc.go.kr/board.es?mid=a20503050000\&bid=0021\&tag=\&act=view\&list\_no=127655). The program consists of a 30-minute VSI, and a 30-minute practice debriefing session. It focuses on detailed techniques for performing high-quality chest compressions including the correct hands and body position of the bystanders.

Interventions

BLS CPR program with dispatcher assisted CPR simulation OTHER

the training program more focuses on cooperation with a dispatcher, from recognition to perform DA-CPR and hands-on practice.

New DA-BLS training program

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All out-of-hospital cardiac arrest (OHCA) patients with presumed cardiac etiology who are 19 years of age or older and assessed and treated by EMS providers after dispatched by the EMS dispatch center will be included.

You may not qualify if:

• We will exclude patients with non-cardiac etiology, prolonged cardiac arrest with a suspected duration more than 30 minutes, cases such as livor mortis or rigor mortis, and decapitated or decomposed body, and patients who have "Do-Not-Resuscitate" card documented by doctor.

Sponsors & Collaborators

• Seoul National University Hospital: lead

Study Sites (1)

Seoul National University Hospital

Seoul, 110-744, South Korea

Location

Related Publications (1)

• Park GJ, Song KJ, Shin SD, Hong KJ, Kim TH, Park YM, Kong J. Clinical effects of a new dispatcher-assisted basic life support training program in a metropolitan city. Medicine (Baltimore). 2022 Jul 15;101(28):e29298. doi: 10.1097/MD.0000000000029298.

  PMID: 35839001 DERIVED

MeSH Terms

Conditions

Out-of-Hospital Cardiac Arrest; Heart Arrest

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Limitations and Caveats

This new DA-BLS training program was only used in the community health center. And it was difficult to identify whether laypersons who had performed bystander CPR actually received this new program.

Results Point of Contact

• Title: Dr. Gwan Jin Park
• Organization: Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute

pkj83531@naver.com

82-10-7477-3293

Study Officials

• Sang Do Shin, MD, MPH, PHD

  Seoul National University Hospital

  STUDY CHAIR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: professor

Study Record Dates

• First Submitted: May 13, 2014
• First Posted: May 20, 2014
• Study Start: January 1, 2014
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2018
• Last Updated: May 1, 2020
• Results First Posted: May 1, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

KR (1)