Management of the reversible causes in cardiac arrest is fundamental for successful treatment of out-of-hospital cardiac arrests. Point-of-care diagnostics as prehospital emergency ultrasound, blood gas analysis and toxicological screening support the diagnostic process of evaluating potential reversible causes. Digital tools provide support of a structured approach. This study aims to evaluate the frequency of reversible causes during OHCA as well as specific interventions due to these findings. Furthermore, CPR performance (hands-off, ROSC, 30-day mortality) and cognitive load of the prehospital emergency physician will be investigated. In total 100 patients with OHCA will be included in this study. Identification of reversible causes will be performed upon a structured protocol using an interactive checklist. Cognitive load of emergency physician as well as CPR parameter (frequency of reversible causes, hands-off, ROSC, 30-day mortality) will be analysed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
100
Prehospital evaluation by checklist and diagnostic testing for reversible causes of OHCA using point-of-care blood gas analysis, saliva toxicological screen and ultrasound and post-hoc toxicological analysis of blood using mass spectrometry
Anesthesiology and Intensive Care Medicine Department - Medical University of Vienna
Vienna, Austria, Austria
NOT_YET_RECRUITINGDepartment of Anesthesia, General Intensive Care and Pain Management,Medical University of Vienna
Vienna, Austria
RECRUITINGFrequency of reversible causes in OHCA and alterations of treatment
The primary outcome of this study evaluates the frequency of reversible causes during OHCA.
Time frame: up to 30 days
Frequency of ROSC
Any prehospital ROSC/sustained ROSC/in-hospital ROSC
Time frame: up to 30 days
30-day mortality
rate of mortality within 30 days in case of hospital admission
Time frame: up to 30 days
Hands-off time
Hands-off time during process of identification of reversible causes
Time frame: During study completion, up to 120 min
Cognitive load
NASA Task Load Index evaluated by the prehospital emergency physician after rescue mission
Time frame: 1 year (evaluation in documentation phase after CPR)
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