Impact of the Organization of the First Responders in the Remote Areas on Cardiac Arrest Victim Survival

Impact of the Organization of the First Responders in the Remote Areas on Cardiac Arrest Victim Survival: an Utstein Analysis

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04485390

Enrollment

150

Registered

2020-07-24

Start date

2014-03-01

Completion date

2021-08-31

Last updated

2021-10-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiac Arrest, Sudden

Keywords

cardiac arrest, cardiopulmonary resuscitation, automated external defibrillator, first responders

Brief summary

Emergency medical services (EMS) provide emergency care not only in the urban but also in the remote areas which could be up to 40 minutes from the EMS station. Thus, a cardiac arrest victim in those remote areas has a low likelihood to survive the cardiopulmonary resuscitation. Therefore, we have organized first responders (who are mostly volunteer fire-fighters) in the remote areas and taught them how to perform basic life support (BLS) with use of an automated external defibrillator (AED). In the case of a cardiac arrest the medical dispatcher activates simultaneously the EMS and the first responders, who perform the BLS with the use of an AED before the arrival of EMS. The aim of the study is to analyze and compare the survival of the cardiac arrest victims in remote areas in the time period when the first responders were not organized yet compared to the time period when the first responders were activated to perform BLS.

Interventions

OTHERBasic life support witn use of an AED before EMS

BLS performance with use of an AED before arrival of EMS

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* cardiac arrest in adult victims

Exclusion criteria

* cardiac arrest in pediatric population

Design outcomes

Primary

Measure	Time frame	Description
Return of spontaneous circulation (ROSC)	5 years	The number of patients who gained the ROSC.
Survival to hospital discharge	5 years	The number of patients who survived to hospital discharge.
Neurological outcome	5 years	The number of patients with good neurological outcome assessed with cerebral performance score (CPC 1-2).

Secondary

Measure	Time frame	Description
Survival till hospital admission	5 years	The number of patients who survived to hospital admission.
30 day survival	5 years	The number of patients who survived first 30 days after cardiac arrest.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026