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Heart Arrest clinical trials

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NCT ID: NCT03041350 Completed - Clinical trials for Out-of-Hospital Cardiac Arrest

Smartphone Video-assisted Advanced Life Support of Patients With Out-of-hospital Cardiac Arrest by EMS Under Physician Direction

SWALS
Start date: January 2013
Phase: N/A
Study type: Interventional

Direct medical control using video conferencing capabilities of smartphones has never been conducted in out-of-hospital cardiac arrest patients. This study was conducted to investigate its feasibility and treatment effectiveness in out-of-hospital cardiac arrest (OHCA) patients using a real-time smartphone video call.

NCT ID: NCT03036202 Completed - Cardiac Arrest Clinical Trials

Pharmacokinetics of Epinephrine During Cardiac Arrest

Start date: June 26, 2017
Phase:
Study type: Observational

To determine the pharmacokinetics of epinephrine during cardiac arrest.

NCT ID: NCT03024021 Completed - Cardiac Arrest Clinical Trials

Cerebral Oxymetry and Neurological Outcome in Therapeutic Hypothermia

Start date: September 2016
Phase:
Study type: Observational

This study is designed to assess the effect of cerebral oxygen saturation as an early predictor of neurological outcomes in patients undergoing therapeutic hypothermia after cardiac arrest

NCT ID: NCT03021564 Completed - Heart Arrest Clinical Trials

Unexpected Cardiac Arrest in Intensive Care Unit

ACIR
Start date: January 2017
Phase:
Study type: Observational

Unexpected cardiac arrest involves approximately 0.5 to 5% of patients admitted in Intensive Care Unit (ICU). Even if they have a technical environment conducive to prompt diagnosis and prompt treatment, patients hospitalized in ICU suffer from chronic illnesses and organ failure(s) that obscure the prognosis of cardiac arrest. Although extra cardiac arrhythmias or intra-hospital arrests are the subject of numerous publications, few studies specifically focus on unexpected cardiac arrest in ICU (none in France). The objective of our work is to produce a prospective epidemiological description of unexpected cardiac arrest in in French ICUs.

NCT ID: NCT03017144 Completed - Cardiac Arrest Clinical Trials

The Association Between Technical and Non-technical Skills in Real-life ALS Situations. Impact of Pit Crew Model on the Resuscitation Skills.

Start date: June 2012
Phase:
Study type: Observational

Cardiac arrest is handled by cardiopulmonary resuscitation which is a time critical emergency situation. The actions during resuscitation are lead by international guidelines. Traditionally, the main focus of the training has been on medical knowledge and technical skills (TS). Nowadays non-technical skills (NTS), such as communication, teamwork behaviour, and leadership, are considered at least equally important. The aim of this study is to evaluate both TS and NTS of the resuscitation team during real-life resuscitation situations using a validated assessment tool. The association between TS and NTS will be analyzed. Findings from this study may help to recognize the possible weaknesses and issues which could be improved by training. Hypothesis is that that TS are probably in a high level, but some improvement points of NTS are ought to be known better. Investigators hypothesis that the good NTS performance in resuscitation is accompanied by good TS performance.

NCT ID: NCT03016754 Completed - Heart Failure Clinical Trials

Heart Failure Optimization Study

HF-Opt
Start date: March 1, 2017
Phase:
Study type: Observational

This study is designed as a multi-center prospective observational study of newly diagnosed Heart Failure (HF) patients to test the hypothesis that additional Ejection Fraction (EF) recovery occurs between 90 and 180 days as Guideline Directed Medical Therapy (GDMT) is achieved. Although the study doesn't start until day 90, all eligible, consenting patients will be entered into a registry at the start of wearable cardioverter defibrillator (WCD) use. The pre-study registry will allow us to collect early (90 day) outcomes and data in those patients who are likely to be eligible for the study at day 90, or are eligible, but refuse the study at day 90.

NCT ID: NCT03006484 Completed - Clinical trials for Inhospital Cardiac Arrest

Neurological Outcomes After In-Hospital Cardiac Arrest

NO-IHCA
Start date: March 21, 2017
Phase:
Study type: Observational

Little is known about the long-term neurological outcomes after in-hospital cardiac arrest (IHCA). It is also not known whether withdrawal of life-sustaining measures will influence rates of survivors with poor neurological status. Currently, withdrawal of care in comatose patients after cardiac arrest is strongly forbidden by law in Korea. However, a new legislation on allowing withdrawal of care will come into effect since early 2018 in Korea. The investigators aim to determine 1) long-term neurological outcomes in patients who developed IHCA, 2) whether early neurological status can predict late neurological status after IHCA, and 3) whether the proportion of IHCA survivors with good neurological outcomes will change since implementation of new legislation on withdrawal of care.

NCT ID: NCT03000829 Completed - Cardiac Arrest Clinical Trials

Code Blue Outcomes & Process Improvement Through Leadership Optimization Using Teleintensivists-Simulation

COPILOT-Sim
Start date: December 2016
Phase: N/A
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.

NCT ID: NCT02998749 Completed - Clinical trials for Cardiac Arrest With Successful Resuscitation

Gasping Improves Long-term Survival After Out-of-hospital Cardiac Arrest

Start date: July 2013
Phase: N/A
Study type: Observational

The aim of our retrospective clinical study was to examine the association between agonal breathing, return of spontaneous circulation (ROSC), and long-term survival. A secondary aim was to examine role of basic life support (BLS) and response time. Our hypothesis is that agonal breathing has positive effects on both primary and secondary endpoints.

NCT ID: NCT02992873 Completed - Clinical trials for Out-Of-Hospital Cardiac Arrest

The Scandinavian AED and Mobile Bystander Activation Trial

SAMBA
Start date: December 1, 2018
Phase: N/A
Study type: Interventional

Sudden cardiac death is a major health problem in the western world. In Europe alone nearly 300 000 patients are affected annually. The majority of victims suffering from an Out-of-Hospital Cardiac Arrest (OHCA have an initial cardiac rhythm that can be treated by means of defibrillation. In most emergency medical systems (EMS) time to defibrillation is too long and survival averages 10 %.However, when laymen operated Automated External Defibrillators (AEDs) are used within the first minutes, 7 out of 10 may survive. The aim of "The Scandinavian AED and Mobile Bystander Activation" (SAMBA) trial is to evaluate if a Mobile Phone Positioning system and a smartphone application will increase the proportions of patients with an attached Automated External Defibrillator (AED) before arrival of the Emergence Medical System (EMS). Mobile phone technology and a smartphone application will be used identify and recruit nearby CPR-trained lay people and automated external defibrillators (AEDs) to patients suffering out-of-hospital cardiac arrest (OHCA). The system is currently running in Stockholm Sweden and in the Gothenburg region.