Cardio-Pulmonary-Resuscitation Quality in Out-of-Hospital Cardiac Arrest - Effect of Real-time Feedback and Post-event Debriefing
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Out-Of-Hospital Cardiac Arrest
- Sponsor
- Emergency Medical Services, Capital Region, Denmark
- Enrollment
- 2989
- Locations
- 1
- Primary Endpoint
- Chest compression depth
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is to investigate the quality of cardio-pulmonary resuscitation(CPR) delivered by EMS professionals and whether this quality can be improved by implementing real-time feedback during the event and an oral post-event debriefing procedure based on the actual event performance data.
Detailed Description
The aim of this study is to investigate whether CPR quality can be improved by implementing real-time feedback and immediate oral structured post-event debriefing in out-of-hospital cardiac arrest (OHCA). The objectives of this study is to assess the current quality of CPR delivered by emergency medical services (EMS) during OHCA events in the Capital Region of Denmark. Furthermore, to investigate if CPR quality can be improved by applying real-time feedback during OHCA resuscitation attempts and to investigate if structured oral post-event debriefing delivered immediately after a resuscitation attempt and based on data from the defibrillator can further improve CPR quality The hypothesis of this study is that adding real-time and post event feedback can improve the compression rate, compression depth, overall CPR hands-on time (CPR fraction), and recoil with at least 15% in total for both interventions. Using a prospective study design data is retrieved from the standard defibrillator (ZOLL X series) through ZOLL RescueNet® Case Review (software for post-event review, analysis, and debriefing) from ZOLL Medical Corporation, Massachusetts, United States of America. The study consists of three consecutive phases. Phase one with no feedback / debriefing available for EMS. Phase two with real-time feedback during the event and phase three which adds post-event debriefing to real-time feedback. We expect to be able to include at least 500 cases in each phase.
Investigators
Rasmus Meyer Lyngby
Paramedic (BSc.)
Emergency Medical Services, Capital Region, Denmark
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •No use of EMS defibrillator attached to patient during resuscitation attempt Patients \< 18 years of age OHCA without involvement of the physician manned vehicle Patients who are subject to mechanical CPR from the time of device attachment Traumatic OHCA
Outcomes
Primary Outcomes
Chest compression depth
Time Frame: During cardiopulmonary resuscitation performed by emergency medical services, up to 4 hours
Chest compression depth is defined as the maximum posterior deflection of the sternum prior to chest recoil. Measured in centimeters and as percentage of compressions within the recommended 5 to 6 cm
Secondary Outcomes
- Sustained return of spontaneous circulation (ROSC)(During cardiopulmonary resuscitation performed by emergency medical services, up to 4 hours)
- Return of spontaneous circulation (ROSC)(During cardiopulmonary resuscitation performed by emergency medical services, up to 4 hours)
- 30- day survival(30 days from event)
- Chest compression rate(During cardiopulmonary resuscitation performed by emergency medical services, up to 4 hours)
- Chest compression fraction(During cardiopulmonary resuscitation performed by emergency medical services, up to 4 hours)