Ambulance Crews' Experiences of Using a Mechanical Chest Compression Device.

NCT04478786 | Completed

• 1 other identifier: 18018/275607
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Should a person have a cardiac arrest (where their heart stops beating) they require treatment of cardiopulmonary resuscitation (CPR). This includes providing chest compressions. Traditionally these compressions are provided by hand but mechanical chest compression devices (MCCD) have been investigated for use in out of hospital resuscitation attempts. Research trials recruiting human participants have concluded recently. They all found no difference in survival outcomes when MCCD and manual compressions were compared. Despite this, the latest expert review on MCCD suggests that MCCD can be a reasonable alternative to high quality manual compressions when these cannot be provided. MCCD continue to be used by Specialists in the local ambulance service and historically by those recruiting patients to a national multi centre trial of MCCD. There is another, as yet under-investigated element, and that is of ambulance crews' experiences of using such devices. Therefore it is a reasonable topic to investigate.

Conditions

Resuscitation

Keywords

Cardiopulmonary Resuscitation,; Resuscitation; Out of Hospital; Ambulance Crew; Mechanical Chest Compression Device; Qualitative; Experiences

Outcome Measures

Primary Outcomes (1)

• Collect and report ambulance crews' experiences of using MCCDs for out-of-hospital resuscitation attempts.

  The transcribed discussions will be coded and then themes emerging from the data identified and developed. To do this I will use a constant comparison method of analysis. The presence or lack of consensus and reinforcement on certain topics will also be observed for.

  2 hours

Other Outcomes (2)

• Does the use of MCCDs have any effect on, or facilitate, the team leader role at an out-of-hospital resuscitation attempt

  2 hours

• Does providing mechanical versus manual chest compressions have an effect on how ambulance crews feel physically and emotionally after an out-of-hospital resuscitation attempt.

  2 hours

Study Arms (1)

Focus Groups 1-4

An anticipated 3-8 participants who meet the inclusion criteria of being aged 18 or over, a employee of the local ambulance service, are employed as an operational ambulance crew member, irrespective of title and to have had experienced an out of hospital resuscitation where MCCD was used, irrespective of the type of device or their level of involvement, and who also volunteer and agree to take part in the online focus group.

Other: Focus group discussion

Interventions

Focus group discussion OTHER

There is no intervention. This is a qualitative piece of work only.

Focus Groups 1-4

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Operational ambulance crew employees of the local ambulance service

You may qualify if:

• aged 18 or over
• an employee of the local ambulance service
• employed as an operational ambulance crew member, irrespective of title
• to have experienced an out of hospital resuscitation where MCCD was used, irrespective of the type of device or their level of involvement.

You may not qualify if:

• not an employee of the local ambulance service
• have no experience of using a mechanical chest compression device at an out of hospital resuscitation
• the participant is unwilling to provide consent to participate
• the participant is unwilling to provide consent to be audio recorded.

Sponsors & Collaborators

• Northumbria University: lead
• Jolife AB: collaborator

Study Sites (1)

North East Ambulance Service NHS Foundation Trust

Newcastle upon Tyne, NE15 8NY, United Kingdom

Location

Related Publications (1)

• Blair L, Duffy R. What are ambulance crews' experiences of using a mechanical chest compression device for out-of-hospital resuscitation? A constructivist qualitative study utilising online focus groups. Br Paramed J. 2022 Sep 1;7(2):24-30. doi: 10.29045/14784726.2022.09.7.2.24.

  PMID: 36451709 RESULT

Study Officials

• Richelle Duffy, PhD

  Northumbria University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: July 7, 2020
• First Posted: July 21, 2020
• Study Start: July 31, 2020
• Primary Completion: September 19, 2020
• Study Completion: September 19, 2020
• Last Updated: October 14, 2022

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)