Cardiopulmonary Arrest, Emergency Medicine, Shock
Conditions
Keywords
intravascular access, intraosseous access, personal protective equipment, cardiopulmonary resuscitation, shock
Brief summary
The current COVID-19 pandemic, this is especially since the transmission of SARS-CoV-2 is thought to occur mainly through respiratory droplets generated by coughing and sneezing, by direct contact with contaminated surfaces and because in a large number of patients COVID-19 disease may be asymptomatic. As recommended by the CDC medical personnel should be equipped with full personal protective equipment (PPE) for AGP in contact with suspected/confirmed COVID-19 patient. Therefore, it is reasonable to search for the most effective methods of intravascular access in those conditions.
Interventions
obtaining intravascular access using a ready intravenous NIO needle set
obtaining intravascular access using a standard intravenous cannula
Sponsors
Study design
Eligibility
Inclusion criteria
* Out-of-hospital cardiac arrest (OHCA) * Adult ≥ 18 years old * Non-traumatic cause of cardiac arrest
Exclusion criteria
* Existing do-not-attempt-resuscitation order * OHCA patients with contraindications to IO access or IV access * Patients with signs of obvious death, e.g. rigor mortis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate of first intravascular access attempt | 1 day | successful placement of intravascular device |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time to successful access | 1 day | time to successful access |
| number of attempts to successful access | 1 day | number of attempts to successful access |
| time to infusion | 1 day | time to therapy including but not limited to time to fluids, antibiotics, and antiarrythmics |
| complication rates | 1 day | complication rates |
| ROSC | 1 day | the rate of survival to hospital admission |
Countries
Poland