Out of hospital cardiac arrest Circulatory System Cardiac arrest
Conditions
Interventions
The unit of randomisation is the ambulance service vehicle (rapid response vehicles and ambulances).
The intervention arm will receive resuscitation according to the Resuscitation Council (UK) 27 an
Sponsors
University of Warwick (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients (both males and females) in cardiac arrest in the out of hospital environment 2. Resuscitation attempt is initiated by the attending paramedic, according to Joint Royal Colleges Ambulance Liaison Committee (JRCALC) guidelines 3. Patient is believed to be aged 18 years or over
Exclusion criteria
Exclusion criteria: 1. Traumatic cardiac arrest 2. Known or clinically apparent pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival to hospital discharge (the point at which the patient is discharged from the hospital acute care unit regardless of neurological status, outcome or destination). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Survived event (sustained return of spontaneous circulation [ROSC], with spontaneous circulation until admission and transfer of care to medical staff at the receiving hospital) 2. Survival to 12 months 3. Health related quality of life at 3 and 12 months (SF-12® Health Survey and Euroqol EQ-5D) 4. Neurological outcome at discharge from hospital, assessed by the Cerebral Performance Category (CPC) score 1-2 v 3-5 5. Neurological outcome at 12 months, assessed by the telephone version of Mini Mental State Examination (T3MS) 6. Anxiety and depression at 12 months, assessed by the Hospital Anxiety and Depression Scale (HADS) 7. Post-traumatic stress at 12 months, assessed by the post-traumatic stress disorder (PTSD) civilian checklist (PCL-C) 8. Hospital length of stay 9. Intensive care length of stay | — |
Countries
United Kingdom
Outcome results
None listed