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Completed

NCT Number: NCT04485390

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

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.

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Key information

Conditions

Cardiac Arrest, Sudden Cardiovascular Diseases Death Death, Sudden Death, Sudden, Cardiac Heart Arrest Heart Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • cardiac arrest in adult victims

Exclusion criteria

  • cardiac arrest in pediatric population

Treatment and study plan

Basic life support witn use of an AED before EMS

Other

BLS performance with use of an AED before arrival of EMS

Primary outcomes

  1. Return of spontaneous circulation (ROSC)

    Time frame: 5 years

    The number of patients who gained the ROSC.

  2. Survival to hospital discharge

    Time frame: 5 years

    The number of patients who survived to hospital discharge.

  3. Neurological outcome

    Time frame: 5 years

    The number of patients with good neurological outcome assessed with cerebral performance score (CPC 1-2).

Secondary outcomes

  1. Survival till hospital admission

    Time frame: 5 years

    The number of patients who survived to hospital admission.

  2. 30 day survival

    Time frame: 5 years

    The number of patients who survived first 30 days after cardiac arrest.

Sponsors and collaborators

Lead sponsor

University Medical Centre Maribor

Other

Registry information

Official study title

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

Important dates

Study start
2014
Primary completion
2019
Study completion
2021
First posted
Jul 24, 2020
Registry last updated
Oct 5, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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