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Heart Arrest clinical trials

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NCT ID: NCT01682629 Completed - Clinical trials for Pediatric Cardiac Arrest (Simulated)

Examining the Effect of a Scripted Debriefing on Resuscitation Performance in Pediatrics

EXPRESS
Start date: April 2009
Phase: N/A
Study type: Interventional

The investigative team's purpose for conducting this research is to improve effective and efficient translation and implementation of evidence based advanced life support practice to providers of care for children. This specific project aims to accomplish 2 major goals. The investigators aim to evaluate the utility of a debriefing script specifically designed to facilitate debriefing when used by novice Pediatric Advanced Life Support instructors during low and high realism simulation-based learning. Secondly, the investigators hope to evaluate the effectiveness of high realism simulation vs. low realism simulation in achieving PALS-based educational outcomes, such as knowledge and skill acquisition. The investigators hypothesize that SCRIPTED debriefing by novice instructors following low and high fidelity simulation-based learning will : 1. Improve the cognitive performance and knowledge of multidisciplinary team members as assessed by a cognitive performance tool and multiple choice testing compared with more traditional, NON-SCRIPTED debriefing; 2. Improve the behavioural, teamwork and communication skills of multidisciplinary team members as assessed by a validated assessment tool compared with more traditional, NON-SCRIPTED debriefing; The investigators hypothesize that HIGH REALISM simulation-based learning will: 1. Improve the cognitive performance and knowledge of multidisciplinary team members as assessed by a cognitive performance tool and multiple choice testing compared with more traditional, LOW REALISM simulation; 2. Improve the behavioural, teamwork and communication skills of multidisciplinary team members as assessed by a validated assessment tool compared with more traditional, LOW REALISM simulation;

NCT ID: NCT01670383 Recruiting - Sepsis Clinical Trials

Repository for Sepsis and Postresuscitation Samples

Start date: July 2006
Phase:
Study type: Observational

The objective of this study is to find a new therapeutic strategy by investigating the serial serum samples of patients with sepsis or postresuscitation state.

NCT ID: NCT01617291 Terminated - Cardiac Arrest Clinical Trials

Therapeutic Hypothermia After the Return of Spontaneous Circulation

Start date: March 2013
Phase: N/A
Study type: Interventional

The purpose of this study is to determine if induced therapeutic hypothermia (ITH) in the pre-hospital setting of a four county emergency medical system (EMS) that serves both urban and rural communities improves meaningful survival from medical cardiac arrest.

NCT ID: NCT01605409 Recruiting - Cardiac Arrest Clinical Trials

Emergency Cardiopulmonary Bypass for Cardiac Arrest

ECPB4OHCA
Start date: November 2014
Phase: N/A
Study type: Interventional

Cardiac arrest ist associated with a very poor prognosis. Even though resuscitation algorithms and postcardiac arrest care have been improved there is an urgent need for measures leading to a higher survival rate. Emergency cardiopulmonary bypass (ECPB - artificial heart and lung outside the patients body) is a method which has shown good results in case reports and animal studies for cardiac arrest care. The study will be performed as comparison between the new treatment option of ECPB versus the standard of care treatment. Aim of our study is to determine the feasibility of ECPB installed in an emergency department to improve the rate of patients restoration of spontaneous circulation.

NCT ID: NCT01596595 Completed - Clinical trials for Primary Prevention of Sudden Cardiac Arrest

Longitudinal Surveillance Study of the 4-SITE Lead/Header System

LSS of 4-SITE
Start date: April 4, 2013
Phase:
Study type: Observational

Post-approval studies of implanted leads provide an opportunity to observe and assess patient outcomes and technology performance in a real-world setting. The goal of the study is to evaluate, document and report on the appropriate clinical performance, long-term reliability and the functional integrity of the Boston Scientific ENDOTAK RELIANCE® 4-SITEā„¢ Lead and the pulse generator 4-SITE Header.

NCT ID: NCT01595958 Completed - Clinical trials for Non Shockable Out of Hospital Cardiac Arrest

Cyclosporine A in Cardiac Arrest

CYRUS
Start date: June 2010
Phase: Phase 3
Study type: Interventional

The investigators hypothesised that cyclosporine A administration at the onset of cardiopulmonary resuscitation, by inhibiting the mitochondrial permeability transition pore, could prevent the post cardiac arrest syndrome and improve outcomes.

NCT ID: NCT01561144 Terminated - Cardiac Arrest Clinical Trials

UMBRELLA - Incidence of Arrhythmias in Spanish Population With a Medtronic Implantable Cardiac Defibrillator Implant

UMBRELLA
Start date: August 2011
Phase: N/A
Study type: Observational

The purpose of the study is to analyze the different patient profiles implanted with an Implantable Cardiac Defibrillator (ICD) in Spain (guidelines adoption) and the patient prognosis as a function of clinical profile, implant indication, arrhythmias incidence, treatments or device programming.

NCT ID: NCT01560338 Completed - Cardiac Arrest Clinical Trials

Hypothermia's Impact on Pharmacology

HIP
Start date: March 2012
Phase:
Study type: Observational

The purpose of the study will help us understand the complex interaction between hypothermia (cooling) and pharmacogenetics (how specific genes effect how drugs are handled), and their impact on how routinely given sedation drug are broken down and used by the body when given to children after cardiac arrest (when heart stops pumping blood) and are critically ill.

NCT ID: NCT01531426 Completed - Cardiac Arrest Clinical Trials

Cerebral Oxygenation in Cardiac Arrest and Hypothermia

CoCaHYp
Start date: January 2012
Phase: N/A
Study type: Observational

Data indicate that neurological prognostication is difficult after cardiac arrest if mild therapeutic hypothermia is part of the post resuscitation care. Cerebral oxygenation detected by near-infrared spectroscopy, could be a new, non-invasive index marker for outcome assessment after cardiac arrest. The investigators hypothesize that cardiac arrest survivors with a continuously low cerebral oxygenation index have a poor prognosis.

NCT ID: NCT01528475 Completed - Clinical trials for Out of Hospital Cardiac Arrest

Initiation of Cooling by EMS to Promote Adoption of In-hospital Hypothermia in Cardiac Arrest Survivors

Start date: July 2012
Phase: N/A
Study type: Interventional

This is a large pragmatic, randomized controlled trial comparing pre-hospital initiation of therapeutic hypothermia by Emergency Medical Services (EMS) providers to conventional post-resuscitation care. The goal of this trial is to increase the proportion of cardiac arrest patients that are appropriately treated in-hospital with therapeutic hypothermia to reach the target body temperature within 6 hours of hospital arrival. The investigators believe that EMS-initiation of cooling will be a powerful reminder to in-hospital clinicians to continue therapeutic hypothermia, and will lead to care improvements across a health system.