Impact of the Organization of the First Responders in the Remote Areas on Cardiac Arrest Victim Survival

Cardiac Arrest, Sudden Clinical Trial

Official title:

Impact of the Organization of the First Responders in the Remote Areas on Cardiac Arrest Victim Survival: an Utstein Analysis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04485390
• Other study ID #: UKC-MB-KME-24/20
• Status: Completed
• Start date: March 1, 2014
• Est. completion date: August 31, 2021

Study information

• Verified date: September 2021
• Source: University Medical Centre Maribor
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 150
• Est. completion date: August 31, 2021
• Est. primary completion date: December 31, 2019
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• cardiac arrest in adult victims

Exclusion Criteria:

• cardiac arrest in pediatric population

Related Conditions & MeSH terms

• Cardiac Arrest, Sudden
• Death, Sudden, Cardiac
• Heart Arrest

Intervention

Other:
• Basic life support witn use of an AED before EMS
BLS performance with use of an AED before arrival of EMS

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University Medical Centre Maribor

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Return of spontaneous circulation (ROSC)	The number of patients who gained the ROSC.	5 years
Primary	Survival to hospital discharge	The number of patients who survived to hospital discharge.	5 years
Primary	Neurological outcome	The number of patients with good neurological outcome assessed with cerebral performance score (CPC 1-2).	5 years
Secondary	Survival till hospital admission	The number of patients who survived to hospital admission.	5 years
Secondary	30 day survival	The number of patients who survived first 30 days after cardiac arrest.	5 years