Out-Of-Hospital Cardiac Arrest Clinical Trial
Official title:
Differential Diagnosis and Cause-specific Treatment During OHCA - a Prospective Feasibility Study
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.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | December 2022 |
Est. primary completion date | June 5, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - non-traumatic out-of-hospital cardiac arrest encountered by the helicopter emergency medical services team Exclusion Criteria: - return of spontaneous circulation before HEMS crew arrival - termination of resuscitation attempt before HEMS crew arrival |
Country | Name | City | State |
---|---|---|---|
Finland | FinnHEMS 10 | Vantaa |
Lead Sponsor | Collaborator |
---|---|
Helsinki University Central Hospital |
Finland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Successful execution of differential diagnosis protocol | 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. | 60 minutes | |
Secondary | Rate of cause-specific treatment during resuscitation | Any therapy given as a treatment of presumed reversible cause of a cardiac arrest (excluding chest-compressions, ventilation, airway management, oxygen, epinephrine, amiodarone and defibrillation) | 60 minutes | |
Secondary | Time needed to complete the differential diagnostics protocol | Delay from patient encountered by the prehospital critical care physician to the all diagnostics performed (during cardiopulmonary resuscitation) | 60 minutes |
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