Viewing Study NCT00219687



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Study NCT ID: NCT00219687
Status: COMPLETED
Last Update Posted: 2014-10-29
First Post: 2005-09-13

Brief Title: Dispatcher-Assisted Resuscitation Trial DART
Sponsor: Public Health - Seattle and King County
Organization: Public Health - Seattle and King County

Study Overview

Official Title: Randomized Trial of Dispatcher-Assisted CPRChest Compression Alone Versus Chest Compression Plus Ventilation
Status: COMPLETED
Status Verified Date: 2014-10
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The purpose of this study is to determine whether dispatcher-assisted CPR instructions with compressions and ventilations versus dispatcher-assisted CPR instructions with compressions only improves survival from out-of-hospital cardiac arrests
Detailed Description: Out-of-hospital cardiac arrest a condition characterized by a person suddenly collapsing due to heart stoppage is a leading cause of death in the United States In out-of-hospital cardiac arrest survival is dependent upon what the American Heart Association has termed the chain of survival which includes quick activation of the 9-1-1 system prompt cardiopulmonary resuscitation CPR early defibrillation and qualified advanced life support care paramedic care CPR allows for some circulation and delivery of oxygen to vital organs when the heart is no longer beating on its own However in some instances the citizen bystander has not been trained in CPR presenting a circumstance where the cardiac arrest victim may not receive CPR until the arrival of emergency medical services EMS personnel ie paramedics The delay in CPR adversely affects outcome and dcreases the chance of survival In response to this need the EMS Division of Public Health - Seattle and King County developed and instituted telephone CPR instructions that could be provided on-the-spot during a cardiac arrest by the emergency medical 9-1-1 dispatcher The instructions are designed to be given over the phone to persons who have not had previous CPR training so that they can initiate CPR prior to the arrival of EMS personnel and have been termed dispatcher-assisted CPR The dispatcher instructions provided by the dispatch agencies of King County include the standard full CPR protocol of ventilations breathing into the victims mouth to inflate the lungs and chest compressionspumping on the patients chest to help circulate the blood The ventilations oxygenate the blood while the chest compressions pump the oxygenated blood forward This EMS program has led to a considerable increase in the proportion of cardiac arrest victims in King County that receive citizen bystander CPR prior to EMS arrival and has been associated with improved survival appendix 1

Comparison Dispatcher-assisted CPR instructions with compressions and ventillations compared to dispatcher-assisted CPR instructions with compressions only

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None