CPR Quality Between Flexible Stretcher and Standard Stretcher in OHCA
NCT ID: NCT02527694
Last Updated: 2019-01-15
Study Results
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View full resultsBasic Information
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COMPLETED
NA
49 participants
INTERVENTIONAL
2015-09-30
2016-04-30
Brief Summary
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Detailed Description
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Method:
This is a before and after-trial in a metropolis EMS. Study targets are adult out-of-hospital cardiac arrest (OHCA), excluding evident death cases, pregnancy, DNR cases, and too big or too small body size for stretcher cart or mechanical CPR devices. In the before period, the standard stretcher will be used for manual CPR using standard CPR protocol. In the after period, the flexible stretcher will be used with mechanical CPR devices after 3 cycles of standard manual CPR. Individual and Utstein risk factors will be collected. Main outcomes are no-flow fraction (NFF) measured by defibrillators (X-series) and safety will be measured on mechanical error, transportation error, patient injury and EMS provider injury. Sample size were 24 cases for before (12 cases) and after (12 cases) trial from 80% power and 0.05 of alpha error for expecting 20% quality difference (30% NFF inflexible stretcher and 50% NFF in standard stretcher)
Expected impact:
The study will be expected to find the benefit of flexible stretcher cart during CPR in small elevators. This findings will contribute to revise the Asian EMS protocol for improving quality of CPR.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Flexible EMS Stretcher Cart Group
Patients in this group will be transported on the new flexible EMS stretcher cart and receive mechanical CPR during transport to the hospital. The intervention will be given during elevator transport (if applicable) as well as in the moving ambulance.
Flexible EMS stretcher cart
The flexible EMS stretcher cart is an innovative EMS stretcher cart built to be flexible to fit in smaller spaces such as elevators. The flexible stretcher bends at the hip joint as well as at the knee joint, so that the patient can be put in head-up position at 30 degrees elevation with elevated legs.
mechanical CPR
Standard Stretcher Cart Group
Patients in this group will be transported on the standard stretcher cart and receive manual CPR during transport to the hospital. The resuscitation protocol will follow the current standard protocol used by the EMS providers.
No interventions assigned to this group
Interventions
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Flexible EMS stretcher cart
The flexible EMS stretcher cart is an innovative EMS stretcher cart built to be flexible to fit in smaller spaces such as elevators. The flexible stretcher bends at the hip joint as well as at the knee joint, so that the patient can be put in head-up position at 30 degrees elevation with elevated legs.
mechanical CPR
Eligibility Criteria
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Inclusion Criteria
* 18 years or older of age
Exclusion Criteria
* Signs of evident death (decapitation, evident livor mortis or rigor mortis)
* Pregnant
* Physique too large for mechanical CPR device application
* Chest deformation or injury
* EMS CPR quality not assessed by the defibrillator
* Return of spontaneous circulation (ROSC) before scene departure
* Cardiac arrest cases during transport
18 Years
ALL
No
Sponsors
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Seoul National University Hospital
OTHER
Responsible Party
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Sang Do Shin
Associate Professor
Principal Investigators
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Sang Do Shin, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Seoul National University Hospital
Locations
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Seoul National University Hospital
Seoul, , South Korea
Countries
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Other Identifiers
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SNUH-EM-2015-2P
Identifier Type: -
Identifier Source: org_study_id
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