Out of Hospital Cardiac Arrest
Conditions
Brief summary
Medical call center have no phone advice protocol within out of hospital cardiac arrest in France. The purpose of the present study is to compare a group of patients with protocol phone advice delivered by the dispatchers (CONTARM group) versus usual phone advice ( CONTHAB group). Comparison will be performed on survival to seven days. The hypothesis is that CONTARM group has an higher survival at seven days. A second goal is to measure the survival to 15 and 30 days. The trial is randomized, controlled and will include 2600 patients. The patients will be enrolled in 19 hospitals in France.
Interventions
Protocol phone advice
Usual phone advice
Sponsors
Study design
Eligibility
Inclusion criteria
* \> 18 years old * initial call to 15 * out of hospital cardiac arrest * patient proximity to witness
Exclusion criteria
* first aid professionals on site * rigor mortis * location not allowing resuscitation * inability to realize actions or misunderstanding * no flow \> 5 minutes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 7 days survival | 7 days | 7 days survival |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 15 and 30 days survival | 15 and 30 days | 15 and 30 days survival |
| Assessment of compliance of phone advice | 7 days | Listening of phone bands to measure compliance of phone advice protocol : * good frequency of chest compression. Binary variable (Yes or Not) * good depth of chest compression. Binary variable (Yes or Not) * good patient positioning. Binary variable (Yes or No). |
| 30 days neurological status | 30 days | Cerebral performance categories scale is counting with medical file |
Countries
France