Differential Diagnosis and Cause-specific Treatment During OHCA - a Prospective Feasibility Study
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Successful execution of differential diagnosis protocol
研究概览
简要总结
Differential diagnosis: ultrasound, blood gas analyse combined with examination of the patient and environment is used during Out Of Hospital Cardiac Arrest (OHCA) to screen possible underlying cause of cardiac arrest. Helicopter Emergency Medical Service (HEMS) in Helsinki has unraveled a protocol for performing differential diagnosis during OHCA. Our study aim is to test the feasibility of this protocol. Our study is a prospective medical record based study. The anesthesiologist operating in the HEMS unit fills a form after encounter of OHCA. Questioners focus on how long did execution of the protocol take, and the cause if the protocol was not completed.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •non-traumatic out-of-hospital cardiac arrest encountered by the helicopter emergency medical services team
排除标准
- •return of spontaneous circulation before HEMS crew arrival
- •termination of resuscitation attempt before HEMS crew arrival
结局指标
主要结局
Successful execution of differential diagnosis protocol
时间窗: 60 minutes
Successful and all-inclusive execution of the following items during cardiopulmonary resuscitation: ultrasound examination, arterial blood gas analyze, clinical examination, obtaining structured history from next of kin and searching of the environment.
次要结局
- Time needed to complete the differential diagnostics protocol(60 minutes)
- Rate of cause-specific treatment during resuscitation(60 minutes)
研究者
Jouni Nurmi, MD
docent, specialist in anesthesiology and intensive care
Helsinki University Central Hospital