Impact of the Organization of the First Responders in the Remote Areas on Cardiac Arrest Victim Survival
- Conditions
- Cardiac Arrest, Sudden
- Interventions
- Other: Basic life support witn use of an AED before EMS
- Registration Number
- NCT04485390
- Lead Sponsor
- University Medical Centre Maribor
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
- cardiac arrest in adult victims
- cardiac arrest in pediatric population
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description First responder group Basic life support witn use of an AED before EMS Cardiac arrest victims in remote areas resuscitated by the first responders before the arrival of the EMS.
- Primary Outcome Measures
Name Time Method Return of spontaneous circulation (ROSC) 5 years The number of patients who gained the ROSC.
Neurological outcome 5 years The number of patients with good neurological outcome assessed with cerebral performance score (CPC 1-2).
Survival to hospital discharge 5 years The number of patients who survived to hospital discharge.
- Secondary Outcome Measures
Name Time Method 30 day survival 5 years The number of patients who survived first 30 days after cardiac arrest.
Survival till hospital admission 5 years The number of patients who survived to hospital admission.