Cardiac Arrest
Conditions
Keywords
cardiac arrest, No Flow, Emergency, Nurse, laryngeal Tube
Brief summary
International recommendations stress on the importance of no flow time reduction in cardiac arrest management. In fact, no flow time is an independent factor of morbidity and mortality. In France, cardiac arrests are treated by first responders (including emergency nurses) before the arrival of a mobile intensive care unit. Those first responders use bag-valve-mask for ventilation and therefore practice conventional CPR (30 chest compression / 2 ventilation rhythm). Laryngeal tube is a safe and efficient device in cardiac arrest ventilation. The purpose of our study is to compare the no flow time between two strategies of out of hospital cardiac arrest management by first responders: conventional CPR with bag-valve-mask ventilation vs. compression only CPR with Laryngeal Tube ventilation.
Detailed description
Multicentric, prospective, controlled, randomized study with parallel groups in single blind. Patients will be included in chronological periods to avoid selection biais (one month with the first medical device the next month with the other one). The determination of these periods will be centralized. The emergency vehicles will be supplied sufficiently with devices. This design has been chosen in order to answer to the emergency problem. Patients will be included and ventilated by paramedical staff (first responders) before medical staff (Mobile Intensive Care Unit) intervention. Complete detailed information will be given to the patient or to the family and consent asked. The comparison of no flow time between the two strategies in out of hospital cardiac arrest will be the following : A : ventilation by bag valve mask and interrupted chest compression B : ventilation by laryngeal tube and continuous chest compression
Interventions
DEVICElaryngeal tube ventilation and continuous chest compression
Comparison of no flow time between two strategies in out of hospital cardiac arrest
Sponsors
University Hospital, Grenoble
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* preliminary treatment of cardiac arrest by fire fighters (Basic Life support) * more than 18 years * patient affiliated to the social security system or equivalent
Exclusion criteria
* certain death * patient deprived of freedom by judicial or administrative decision * patient under legal protection * Pregnancy, parturient or breast feeding * facial trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| comparison of no flow time between two strategies | arrival of paramedical staff T0 | group A : ventilation by bag valve mask and interrupted chest compression group B : ventilation by laryngeal tube and continuous chest compression outcome measure : time of no flow during Resuscitation by trained paramedical staff in out of hospital cardiac arrest |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| qualitative observation of laryngeal tube use for ventilation of patients in cardiac arrest | during cardiac arrest at T0 | No flow proportion during resuscitation by paramedical staff after emergency training |
Countries
France
Outcome results
None listed