Clinical Effects of a New Dispatcher-Assisted Basic Life Support Training Program in a Metropolitan City: A Before-and-After Intervention Study
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Out of Hospital Cardiac Arrest
- 发起方
- Seoul National University Hospital
- 入组人数
- 18822
- 试验地点
- 1
- 主要终点
- Number of Participants Surviving to Hospital Discharge
- 状态
- 已完成
- 最后更新
- 6年前
概览
简要总结
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.
详细描述
The training program focuses on working in team with dispatcher, performing all steps from recognizing cardiac arrest to performing CPR, together with the dispatcher. The one hours training session is split into four parts: 1. Video self-instruction manikin practice (30 min), including a brief introduction to automated external defibrillator (AED). 2. Practice in pairs (15 min). Practicing the dispatcher and rescuer role in a simulation to enhance learning. 3. Debriefing. Questions, answers and reflection (15 min). 4. Homework. Leaflet with tasks like learn how to activate the speaker function on your own phone. The main difference between dispatcher-assisted basic life support (DA-BLS) and traditional BLS training is that DA-BLS provides the scenes and interactive experiences on calling emergency medical service (EMS) and receiving CPR instruction via telephone speaker function, following up the skill training by scenario simulation training.
研究者
Sang Do Shin
professor
Seoul National University Hospital
入排标准
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Number of Participants Surviving to Hospital Discharge
时间窗: from date of discharge, assessed up to 3 months
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.
次要结局
- 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)