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Compression Only CPR Versus Standard CPR in Out-Of-Hospital Cardiac Arrest - A Randomized Survival Study

RecruitingNAAges 18 Years - anyAllKarolinska Institutet
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In plain words

What the trial is, and whether it could suit you

Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of mortality in the industrialized world. Bystander CPR before arrival of the Emergency Medical Service (EMS) is associated with an increased chance of survival. During the last decade, the best form of bystander CPR has been debated. Chest Compression Only CPR (CO-CPR) has been advocated as a preferable method in situations where the bystander has no previous knowledge in CPR, both because its believed to be equally efficient but also a simplified form of CPR that could lead to a higher incidence of bystander-CPR. In an initiative to increase CPR rates the American Heart Association has launched public campaigns such as the "hands-only CPR" promoting CO-CPR as an option to S-CPR for adult non-asphyxic cardiac arrest. In the 2015 updates of the European resuscitation council guidelines it states that the confidence in t

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Unconsciousness with no, abnormal or agonal breathing (suspected OHCA) * The suspected OHCA is witnessed (seen or heard) * Any Bystander at the scene has previous training in CPR Exclusion Criteria: * Age below 18 years * Collapse is not witnessed * Bystander has no prior CPR training * Obvious asphyxia (i.e. hanging, foreign body, suffocation, strangulation) * Obvious drug overdose / intoxication * Pregnancy * Trauma (penetrating, blunt, burn injury) Post randomisation exclusion Criteria from data analysis: * Not EMS-verified cardiac arrest * Previous do not resuscitate (DNR) decision
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What it tests

  • Chest Compression Only CPR (CO-CPR) performed by trained bystanders after instructions from dispatchers
  • Standard CPR (S-CPR) performed by trained bystanders after instructions from dispatchers
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Where

2 sites
AREU, Agenzia Regionale Emergenza Urgenza
Bergamo, Italy
SOS Alarm AB
Stockholm, Sweden
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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