Specialty: Injuries and emergencies, Primary sub-specialty: Injuries and emergencies Circulatory System Out of hospital cardiac arrest (OHCA)
Conditions
Interventions
Paramedics employed full-time by South Western Ambulance Service NHS Foundation Trust (SWAST) on front-line operational duties, and who are based in Bristol or Bath, will be invited to participate in
Sponsors
University Hospitals Bristol NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Sustained a cardiac arrest in the pre-hospital setting believed to be of a non-traumatic cause. Cardiac arrest will be defined according to the Utstein Definition as "the cessation of cardiac mechanical activity as confirmed by the absence of signs of circulation. If an EMS provider or physician did not witness the cardiac arrest, he/she may be uncertain as to whether a cardiac arrest actually occurred." For the purposes of this study, patients will be eligible for inclusion if they are attended by ambulance staff and are believed by those staff to have suffered a cardiac arrest. 2. ROSC (indicated by signs of circulation: usually a palpable central or peripheral pulse) for greater than 2 minutes (sustained ROSC) has been achieved 3. Attended by a paramedic participating in the trial 4. Known, or believed to be, 18 years of age, or older
Exclusion criteria
Exclusion criteria: 1. Less than 18 years old 2. Cardiac arrest believed to have been caused by trauma (including hanging and drowning) 3. Entered into the study previously 4. Detained by Her Majesty's Prison Service
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment rate is measured as the proportion of eligible paramedics attending training and consenting to take part at the end of the recruitment period. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Proportion of surviving participants providing quality of life data at discharge and 90 days is measured by the number of patients completing the modified Rankin Scale, EuroQol EQ-5D-5L and the SF-36 instruments at discharge and 90 days following OHCA 2. Survival to discharge and 90-days is measured by reviewing patient notes at hospital discharge and 90 days following OHCA | — |
Countries
United Kingdom
Outcome results
None listed