Cardiac Arrest, Cardiopulmonary Arrest, Emergency Medicine, Resuscitation
Conditions
Brief summary
Airway management in out-of-hospital cardiac arrest is still debated. Several options exist: bag-valve-mask ventilation, supraglottic devices and endotracheal intubation. Intermediate and advanced airway management strategies could be useful devices to increase chest compression fraction. A previous study shows that early insertion of an i-gel device significantly increases chest compression fraction and enhances respiratory parameters. However, the compressions were found to be shallower in the experimental group using the i-gel device. Although, the shallower compressions found in the supraglottic airway device group did not appear to be linked to their provision in an over-the-head position, it is reasonable to assume that the addition of a feedback device to the use of an i-gel® device could fix this issue. The feedback devices seem to be able to provide a benefit, and allow deeper compressions / more often in the depth target. There is a mismatch between perceived and actual cardiopulmonary resuscitation performance supporting the need for such a feedback device's study.
Interventions
DEVICEUse of a chest compressions' feedback device
The participants will have access to a chest compressions' feedback device
Sponsors
Geneve TEAM Ambulances
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Data extraction will be fully automated and the statistician will not know the identity of the participants or the sequence they were allocated to.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Registered EMTs and paramedics actively working in any of the participating study trial centers will be eligible for inclusion.
Exclusion criteria
* Members of the study team * EMTs will be randomly excluded if there are more EMTs than paramedics.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compressions within the depth target | Through study completion, i.e.10 minutes of scenario. | Proportions of compressions within the depth target of 5 to 6 centimeters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depth of chest compressions | Through study completion, i.e.10 minutes of scenario. | The depth of chest compressions measured in centimeters |
| Compressions within the rate target | Through study completion, i.e.10 minutes of scenario. | Proportions of compressions within the rate target of 100 to 120 compressions per minute |
| Overall chest compression fraction | Through study completion, i.e.10 minutes of scenario. | The chest compression fraction is the time during which compressions are provided divided by the total time of the resuscitation |
| Compressions with correct chest recoil | Through study completion, i.e.10 minutes of scenario. | The proportions of compressions with complete chest recoil (less than 5 millimeters of deviation from the reference value) |
| Time to first effective ventilation | Through study completion, i.e.10 minutes of scenario. | The time measured in seconds from beginning of the resuscitation to first effective ventilation (defined as at least 300 millilitres) |
| Rate of chest compressions | Through study completion, i.e.10 minutes of scenario. | The rate of chest compressions measured in compressions per minute |
Countries
Switzerland
Outcome results
None listed