A Logic-Based Clinical Decision Support System versus Standard Manual Resuscitation in Simulated Refractory Cardiac Arrest: A Randomised Controlled Trial

Status

Active, not recruiting

Phases

Early Phase 1

Study type

Interventional

Source

TCTR

Registry ID

TCTR20260505008

Enrollment

Registered

2026-05-05

Start date

2025-12-31

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

Refractory Cardiac Arrest Ventricular Fibrillation in cardiac arrest Advanced Cardiovascular Life Support Clinical Decision Support System Resuscitation Simulation Training Cognitive Load Medical Informatics Medical Errors

Interventions

A logic-based clinical decision support system (CDSS) used on a 10-inch tablet. The system provides automated timekeeping for CPR cycles and medication intervals, conditional prompting based on ACLS a

Experimental Other,Active Comparator Other

Easy CPR Guide and Record 2025,Standard Manual Resuscitation

Eligibility

Sex/Gender

All

Age

20 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.Registered physicians or licensed registered nurses 2.Valid ACLS provider certification 3.Capable of operating a smartphone or tablet 4.Willing to provide written informed consent

Exclusion criteria

Exclusion criteria: 1.Involvement in the design or development of the study application 2.Musculoskeletal conditions precluding standardized chest compressions 3.Current ACLS instructor status 4.Acute psychological distress or fatigue at the time of scenario enactment

Design outcomes

Primary

Measure	Time frame
Time to first defibrillation During the simulated cardiac arrest scenario (immediate assessment) Measured in seconds from the confirmation of a shockable rhythm to the delivery of the first defibrillation	—

Secondary

Measure	Time frame
Medication administration accuracy Throughout the duration of the simulation scenario Percentage of correct administration of Epinephrine doses 1-3, Amiodarone 300 mg, and Amiodarone 150 mg (assessed by agent, dose, and timing),Documentation completeness score Immediately after the completion of the simulation scenario Score ranging from 0 to 20 based on a 20-item checklist of required resuscitation data points,Timestamp accuracy score Post-scenario evaluation using video analysis Score ranging from 0 to 10 based on the concordance between documented times and video-adjudicated times,Post simulation provider confidence After the simulation scenario concludes Self-reported score using a 5-point Likert scale	—

Measure

Time frame

Medication administration accuracy Throughout the duration of the simulation scenario Percentage of correct administration of Epinephrine doses 1-3, Amiodarone 300 mg, and Amiodarone 150 mg (assessed by agent, dose, and timing),Documentation completeness score Immediately after the completion of the simulation scenario Score ranging from 0 to 20 based on a 20-item checklist of required resuscitation data points,Timestamp accuracy score Post-scenario evaluation using video analysis Score ranging from 0 to 10 based on the concordance between documented times and video-adjudicated times,Post simulation provider confidence After the simulation scenario concludes Self-reported score using a 5-point Likert scale

—

Countries

Thailand

Contacts

Public ContactWasan Limsuriyakan

Phra Nakhon Si Ayutthaya Hospital

wijaiayhosp@gmail.com035211888

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026