Impact of the Organization of the First Responders in the Remote Areas on Cardiac Arrest Victim Survival

NCT04485390 | Completed

• 1 other identifier: UKC-MB-KME-24/20
• Study Type: observational
• Target: 150
• Locations: 0 countries
• Sites: N/A

Brief Summary

Emergency medical services (EMS) provide emergency care not only in the urban but also in the remote areas which could be up to 40 minutes from the EMS station. Thus, a cardiac arrest victim in those remote areas has a low likelihood to survive the cardiopulmonary resuscitation. Therefore, we have organized first responders (who are mostly volunteer fire-fighters) in the remote areas and taught them how to perform basic life support (BLS) with use of an automated external defibrillator (AED). In the case of a cardiac arrest the medical dispatcher activates simultaneously the EMS and the first responders, who perform the BLS with the use of an AED before the arrival of EMS. The aim of the study is to analyze and compare the survival of the cardiac arrest victims in remote areas in the time period when the first responders were not organized yet compared to the time period when the first responders were activated to perform BLS.

Conditions

Cardiac Arrest, Sudden

Keywords

cardiac arrest; cardiopulmonary resuscitation; automated external defibrillator; first responders

Outcome Measures

Primary Outcomes (3)

• Return of spontaneous circulation (ROSC)

  The number of patients who gained the ROSC.

  5 years

• Survival to hospital discharge

  The number of patients who survived to hospital discharge.

  5 years

• Neurological outcome

  The number of patients with good neurological outcome assessed with cerebral performance score (CPC 1-2).

  5 years

Secondary Outcomes (2)

• Survival till hospital admission

  5 years

• 30 day survival

  5 years

Study Arms (2)

First responder group

Cardiac arrest victims in remote areas resuscitated by the first responders before the arrival of the EMS.

Other: Basic life support witn use of an AED before EMS

EMS groups

Cardiac arrest victims in remote areas resuscitated by the EMS.

Interventions

Basic life support witn use of an AED before EMS OTHER

BLS performance with use of an AED before arrival of EMS

First responder group

Eligibility Criteria

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

Study Population

In the study will be included all adult cardiac arrest victims in the remote areas.

You may qualify if:

• cardiac arrest in adult victims

You may not qualify if:

• cardiac arrest in pediatric population

Sponsors & Collaborators

• University Medical Centre Maribor: lead

MeSH Terms

Conditions

Death, Sudden, Cardiac; Heart Arrest

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases; Death, Sudden; Death; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Professor

Study Record Dates

• First Submitted: July 21, 2020
• First Posted: July 24, 2020
• Study Start: March 1, 2014
• Primary Completion: December 31, 2019
• Study Completion: August 31, 2021
• Last Updated: October 5, 2021

Record last verified: 2021-09