Cardiac Arrest Clinical Trial
— COPILOT-SimOfficial title:
Code Blue Outcomes & Process Improvement Through Leadership Optimization Using Teleintensivists-Simulation
Verified date | December 2021 |
Source | Intermountain Health Care, Inc. |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This multicenter randomized trial will employ in-situ cardiac arrest simulations ("mock codes") to test whether using telemedicine technology to add an intensive care physician as the "copilot" for cardiac arrest resuscitation teams influences chest compression quality, resuscitation protocol adherence, team function, and provider experience.
Status | Completed |
Enrollment | 1001 |
Est. completion date | December 2018 |
Est. primary completion date | December 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion criteria (on-site cardiac arrest team): - Are 18 years of age or older Inclusion criteria (teleintensivist cardiac arrest team copilot): - Are 18 years of age or older - Are a board-certified or board-eligible critical care physician - Provide clinical care through the Intermountain Healthcare Telecritical Care program Exclusion criteria (both groups): - Are under 18 years of age - Are a member of the study research team |
Country | Name | City | State |
---|---|---|---|
United States | American Fork Hospital | American Fork | Utah |
United States | Intermountain Medical Center | Murray | Utah |
United States | The Orthopedic Specialty Hospital | Murray | Utah |
United States | McKay-Dee Hospital | Ogden | Utah |
United States | Park City Hospital | Park City | Utah |
United States | Riverton Hospital | Riverton | Utah |
United States | LDS Hospital | Salt Lake City | Utah |
Lead Sponsor | Collaborator |
---|---|
Intermountain Health Care, Inc. |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Fraction of pulseless time with no chest compressions | From initiation of intervention or placebo control until completion of two complete cycles of CPR (an average of 4 minutes) | ||
Secondary | Time from onset of shockable rhythm to defibrillation | From onset of simulated VF or VT until first defibrillation or end of simulation | ||
Secondary | Fraction of chest compressions with complete release | From initiation of intervention or placebo control until completion of two complete cycles of CPR (an average of 4 minutes) | ||
Secondary | Fraction of chest compressions at target rate | From initiation of intervention or placebo control until completion of two complete cycles of CPR (an average of 4 minutes) | ||
Secondary | Time to first dose of epinephrine | From initiation of simulation through termination of simulation, an average of 15 minutes | ||
Secondary | Overall ACLS protocol adherence (using checklist adapted from McEvoy ACLS assessment tool) | From initiation of simulation through termination of simulation, an average of 15 minutes | ||
Secondary | ACLS protocol errors (using checklist adapted from McEvoy ACLS assessment tool) | From initiation of simulation through termination of simulation, an average of 15 minutes | ||
Secondary | Team Emergency Assessment Measure score | From initiation of simulation through termination of simulation, an average of 15 minutes | ||
Secondary | Types of input by telemedical intensivist copilot | From initiation of simulation through termination of simulation, an average of 15 minutes | ||
Secondary | Opinions of study subjects about experience participating in simulated cardiac arrest, using a locally-developed and validated survey instrument | Measured domains: understanding of telemedicine intensivist copilot's role, beliefs about telemedicine intensivist copilot's ability to integrate with on site team, ability to influence on-site team performance, comfort with telemedicine intensivist copilot's role, and function of telemedicine interface | Immediately after simulation | |
Secondary | Short form State-Trait Anxiety Inventory score | Immediately after simulation | ||
Secondary | Presence of telemedicine audiovisual connection problems per intervention group simulation event | From initiation of simulation through termination of simulation, an average of 15 minutes |
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