Multifaceted Intervention for Increasing Performance of CPR by Laypersons in Out-of-hospital Cardiac Arrest
NCT ID: NCT03633370
Last Updated: 2023-05-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
2481 participants
INTERVENTIONAL
2018-08-27
2022-03-20
Brief Summary
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As soon as a call is received, EMS dispatchers should try to identify CA. This may be difficult, in a context of stress and distress of the person calling. Yet, it is vital for bystanders to initiate CPR. Survival can be multiplied by 2 to 4 if the bystanders initiate a CPR before the arrival of the emergency medical services.
This work aim to assess a multifaceted intervention combining 3 elements to improve the initial phone recognition of CA and raise the number of patients benefiting from CPR before EMS arrival on scene.
The first element is a dispatcher training to the early phone recognition of CA. This training will be based on the concept of active teaching, favouring the interactive work of learners in particular by listening to real dispatch recordings. It will be completed by continuing education with a distance teaching platform including the systematic listening of recorded CA calls.
The second element is based on the deployment of a software aiming to notify CA thanks to mobile phones. This system interfaced to a control software enables to request the participation of CPR-trained volunteers automatically. The volunteers have to be located in the patient's surroundings. The deployment of this mobile application will rely on first-aid volunteers, health personal and any trained volunteers willing to participate. A randomized control study in one city area proved the efficiency of a similar software to improve the proportion of CPR by bystanders.
The third element consists in a motivational feedback. A weekly overview of the management and the outcomes of patients who suffered CA will be broadcast to all the responders and volunteers in the mobile application.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
SEQUENTIAL
TREATMENT
SINGLE
Study Groups
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Control Group
Usual management of patients according to international guidelines. Protocols of call acceptance, phone advice and sending of emergency services are not modified
No interventions assigned to this group
Test Group
Multifaceted intervention
1. Training using distance learning for medical regulation assistants to recognise cardiac arrest on phone
2. Activation of the location-software application to send bystanders on cardiac arrest location before the arrival of emergency medical services (EMS)
3. Motivation feed-back Volunteers will received feed-back regarding CPR initiated before EMS arrival and survival
Multifaceted intervention including 3 components
Multifaceted intervention including Dispatcher training to improve cardiac phone recognition, mobile application to send bystanders on cardiac arrest location before first professionals rescuers and motivational support for volunteer bystanders
Interventions
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Multifaceted intervention including 3 components
Multifaceted intervention including Dispatcher training to improve cardiac phone recognition, mobile application to send bystanders on cardiac arrest location before first professionals rescuers and motivational support for volunteer bystanders
Eligibility Criteria
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Inclusion Criteria
* Cardiac arrest located in urban area
Exclusion Criteria
* Patients under the law
* Patients deprived of liberty by court ruling or administrative ruling
* Traumatic cardiac arrest
* CA occurring under the eyes of a professional emergency services patrol on duty
* Cardiac arrest for which resuscitation seem unjustified (inevitable death, terminally ill irreversible condition, too long duration of cardiac arrest, non-resuscitation personal directive…)
18 Years
ALL
No
Sponsors
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University Hospital, Grenoble
OTHER
Responsible Party
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Principal Investigators
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Monique Sorentino
Role: STUDY_DIRECTOR
CHU Grenoble Alpes
Locations
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SAMU 80 - CHU Amiens Picardie
Amiens, , France
SAMU 74 - CH Annecy Genevois
Annecy, , France
SAMU 33 - CHU Hôpital Pellegrin
Bordeaux, , France
SAMU 01 - CH Fleyriat
Bourg-en-Bresse, , France
SAMU 29 - CHRU La Cavale Blanche
Brest, , France
SAMU 73 - Centre Hospitalier Métropôle Savoie
Chambéry, , France
SAMU 21 - CHU Dijon
Dijon, , France
SAMU 38 - CHU Grenoble Alpes
Grenoble, , France
Samu 85 - Chd Les Oudairies
La Roche-sur-Yon, , France
SAMU 54 - CHU Nancy
Nancy, , France
SAMU 44 - Hôtel Dieu
Nantes, , France
SAMU 06 - CHU de Nice
Nice, , France
SAMU 42 -CHU Saint-Etienne
Saint-Etienne, , France
SAMU 31 - CHU Toulouse
Toulouse, , France
SAMU 26 - CH de Valence
Valence, , France
Countries
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Other Identifiers
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DISPATCH
Identifier Type: -
Identifier Source: org_study_id
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