Basic Cardiac Life SupportNCT03690102
The Effect of T-CPR on the Quality of CPR and AED Use
A study testing T-CPR and ERC standardized BLS course in people with Basic Cardiac Life Support and Cardiopulmonary Resuscitation, run by Copenhagen Academy for Medical Education and Simulation at 1 site in Denmark.
Trial summary
The purpose of the study is to examine the effect of telephone assistance and standardized basic life support courses on the quality of cardiopulmonary resuscitation (CPR) and the use of automated external defibrillator (AED). Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Basic Cardiac Life Support, Cardiopulmonary Resuscitation
- What is being tested?
- T-CPR and ERC standardized BLS course
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 153 participants
- Where
- 1 siteDenmark
- Study dates
- 30 Sep 2018to 23 Aug 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Participant at a European Resuscitation Council standardized basic life support course. Participants are enrolled from courses for university students, courses for elderly and courses for recruits in the Danish Emergency Management Agency.
Who cannot join
- Basic life support course within the last two years.
- Healthcare professional or background as healthcare professional.
- Instructor in basic life support or first aid.
- Lifeguard or background as lifeguard.
- Does not want to participate.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of Telephone Assistance on the Quality of Cardiopulmonary Resuscitation and Use of Automated External Defibrillator.
The purpose of the study is to examine the effect of telephone assistance and standardized basic life support courses on the quality of cardiopulmonary resuscitation (CPR) and the use of automated external defibrillator (AED).
The investigators hypothesize that bystanders can provide compressions in correct frequency and use an AED correctly as well as safely from telephone instructions but that correct and successful ventilations including correct open airway require training on a course.
Read the detailed description
The study aims at answering the following research questions:
- How is the quality of CPR and use of AED when performed by an inexperienced bystander who receives telephone assistance compared to the quality when performed by a trained bystander, who has passed a standardized European Resuscitation Council (ERC) course in basic life support (BLS) but does not receive telephone assistance?
- How is the quality of CPR and use of AED when performed by a trained bystander who has passed a standardized ERC course in BLS and who receives telephone assistance compared to the quality when performed by a trained bystander who does not receive telephone assistance?
The questions are sought answered through simulated cardiac arrest scenarios in non-classroom settings.
Participants are recruited from ERC courses in BLS.
Participants are randomised to one of three groups (stratified for course type using computer-generated randomisation lists with blocks of variable sizes):
- Cardiac arrest scenario test before BLS course with telephone-assistance.
- Cardiac arrest scenario test after BLS course, no telephone-assistance.
- Cardiac arrest scenario test after BLS course with telephone-assistance.
- Being tested
- T-CPR, ERC standardized BLS course
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
T-CPROther
Participants receive telephone instructions in cardiopulmonary resuscitation (T-CPR) from the Emergency Medical Services in Copenhagen during the cardiac arrest scenario test.
ERC standardized BLS courseOther
Participants will receive and complete the standardized course in basic life support (BLS) from European Resuscitation Council (ERC).
| Study group | Role | What they receive |
|---|---|---|
| No BLS course. With T-CPR. | Experimental | The participant is presented for a cardiac arrest scenario before attending the ERC standardized BLS course.
During the scenario test, the participant will receive T-CPR. Receives: Other: T-CPR |
| With BLS course. No T-CPR. | Experimental | The participant is presented for a cardiac arrest scenario after completion of the ERC standardized BLS course.
During the scenario test, the participant will not receive T-CPR. Receives: Other: ERC standardized BLS course |
| With BLS course. With T-CPR. | Experimental | The participant is presented for a cardiac arrest scenario after completion of the ERC standardized BLS course.
During the scenario test, the participant will receive T-CPR. Receives: Other: T-CPR; Other: ERC standardized BLS course |
What is being measured
The primary outcome is the main question the study is designed to answer.
Compression depth
Keeps a compression depth as recommended by International Liaison Committee on Resuscitation (ILCOR) (5-6 cm) on at least 50 % of compressions (yes/no). Measured by advanced manikin.
Measured: 8 minutes
Compression rate
Rescuer keeps a compression rate of approximately 100-120 compressions per min. throughout the CPR (yes/no). Measured by advanced manikin.
Measured: 8 minutes
Shock delivered
Shock delivered with AED (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Secondary outcomes (15)
Hands-of time
Relevant actions of resuscitation within more than 75 % of the test time (yes/no). Measured as no flow time by advanced manikin.
Measured: 8 minutes
Responsiveness
Shakes AND shouts (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Open airway
Opens or correctly tries to open mouth (chin lift OR jaw thrust) (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Assess breathing
Looks, listens AND feels for normal breathing (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Recoil/lean
Full rise on at least 50 % of all compressions (yes/no). Measured by advanced manikin.
Measured: 8 minutes
Rescue breaths
More than 400 mL for at least 50 % of all ventilations (yes/no). Measured by advanced manikin.
Measured: 8 minutes
Ratio
Acceptable range 28-32:2 (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Activate AED
Activates AED immediately upon arrival (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Attachment of AED pads
Correct attachment of AED pads according to the picture in protocol (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Stand clear
Ensures safety by looking around and verbally announcing delivery of shock (yes/no). Assessed by ERC instructor.
Measured: 8 minutes
Compression depth 2
Percentage of compressions with a depth within the recommendations from ILCOR (5-6 cm) (%). Measured by advanced manikin.
Measured: 8 minutes
Compression rate 2
Average rate of compressions (compressions/minute). Measured by advanced manikin.
Measured: 8 minutes
Rescue breaths 2
Percentage of ventilations with more than 400 mL (%). Measured by advanced manikin.
Measured: 8 minutes
Time to first compression
Time from scenario start to first compression. Assessed by ERC instructor.
Measured: 8 minutes
Hand placement
Correct hand placement in at least 50 % of compressions (yes/no). Measured by advanced manikin.
Measured: 8 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2018
- Study start30 Sep 2018
- Primary completion23 Aug 2020
- Study completion23 Aug 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Basic Cardiac Life SupportStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Parallel Assignment Participants are randomized to one of three groups (stratified for course type, using computer-generated lists with variable block sizes): Participants are given a cardiac arrest scenario test either before or after a European Resuscitation Council standardized basic life support course. Two of the groups receive instructions in cardiopulmonary resuscitation from a dispatcher when they call the Emergency Medical Services.
- Masking
- None (open label)
- Enrolment
- 153 participants (actual)
Sponsor and investigators
- Lead sponsor
- Copenhagen Academy for Medical Education and Simulation
- Sponsor type
- University, hospital or other
- Collaborators
- TrygFonden, Denmark, Emergency Medical Services, Capital Region, Denmark, University of Southern Denmark
- Responsible party
- Principal investigator, Kristine Elisabeth Eberhard, Copenhagen Academy for Medical Education and Simulation
- Investigators
- Freddy Lippert, Study director, Emergency Medical Services, Capital Region, DenmarkDoris Oestergaard, Study director, Copenhagen Academy for Medical Education and Simulation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03690102
- Sponsor's protocol ID
- CAMES/AkutBeredskabet_2018_001
- Status last verified
- Feb 2021
- First submitted
- 26 Sep 2018
- Last updated
- 23 Feb 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Telephone Assistance on the Quality of Cardiopulmonary Resuscitation and Use of Automated External Defibrillator.
- ClinicalTrials.gov ID
- NCT03690102
- Acronym / sponsor ID
- CAMES/AkutBeredskabet_2018_001
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 153 participants (actual)
- Lead sponsor
- Copenhagen Academy for Medical Education and SimulationUniversity, hospital or other
- Collaborators
- TrygFonden, Denmark, Emergency Medical Services, Capital Region, Denmark, University of Southern Denmark
- Study start
- 30 Sep 2018 (actual)
- Primary completion
- 23 Aug 2020 (actual)
- Study completion
- 23 Aug 2020 (actual)
- First posted
- 1 Oct 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to examine the effect of telephone assistance and standardized basic life support courses on the quality of cardiopulmonary resuscitation (CPR) and the use of automated external defibrillator (AED).
The investigators hypothesize that bystanders can provide compressions in correct frequency and use an AED correctly as well as safely from telephone instructions but that correct and successful ventilations including correct open airway require training on a course.
Detailed description
The study aims at answering the following research questions:
- How is the quality of CPR and use of AED when performed by an inexperienced bystander who receives telephone assistance compared to the quality when performed by a trained bystander, who has passed a standardized European Resuscitation Council (ERC) course in basic life support (BLS) but does not receive telephone assistance?
- How is the quality of CPR and use of AED when performed by a trained bystander who has passed a standardized ERC course in BLS and who receives telephone assistance compared to the quality when performed by a trained bystander who does not receive telephone assistance?
The questions are sought answered through simulated cardiac arrest scenarios in non-classroom settings.
Participants are recruited from ERC courses in BLS.
Participants are randomised to one of three groups (stratified for course type using computer-generated randomisation lists with blocks of variable sizes):
- Cardiac arrest scenario test before BLS course with telephone-assistance.
- Cardiac arrest scenario test after BLS course, no telephone-assistance.
- Cardiac arrest scenario test after BLS course with telephone-assistance.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Parallel Assignment Participants are randomized to one of three groups (stratified for course type, using computer-generated lists with variable block sizes): Participants are given a cardiac arrest scenario test either before or after a European Resuscitation Council standardized basic life support course. Two of the groups receive instructions in cardiopulmonary resuscitation from a dispatcher when they call the Emergency Medical Services.
| Arm | Type | Receives |
|---|---|---|
| No BLS course. With T-CPR. | Experimental | Other: T-CPRThe participant is presented for a cardiac arrest scenario before attending the ERC standardized BLS course. During the scenario test, the participant will receive T-CPR. |
| With BLS course. No T-CPR. | Experimental | Other: ERC standardized BLS courseThe participant is presented for a cardiac arrest scenario after completion of the ERC standardized BLS course. During the scenario test, the participant will not receive T-CPR. |
| With BLS course. With T-CPR. | Experimental | Other: T-CPR, Other: ERC standardized BLS courseThe participant is presented for a cardiac arrest scenario after completion of the ERC standardized BLS course. During the scenario test, the participant will receive T-CPR. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Participant at a European Resuscitation Council standardized basic life support course. Participants are enrolled from courses for university students, courses for elderly and courses for recruits in the Danish Emergency Management Agency.
Key exclusion criteria (5 listed)
- Basic life support course within the last two years.
- Healthcare professional or background as healthcare professional.
- Instructor in basic life support or first aid.
- Lifeguard or background as lifeguard.
- Does not want to participate.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| T-CPRParticipants receive telephone instructions in cardiopulmonary resuscitation (T-CPR) from the Emergency Medical Services in Copenhagen during the cardiac arrest scenario test. | Other | No BLS course. With T-CPR., With BLS course. With T-CPR. |
| ERC standardized BLS courseParticipants will receive and complete the standardized course in basic life support (BLS) from European Resuscitation Council (ERC). | Other | With BLS course. No T-CPR., With BLS course. With T-CPR. |
Primary outcome
Compression depth
Time frame: 8 minutes
Keeps a compression depth as recommended by International Liaison Committee on Resuscitation (ILCOR) (5-6 cm) on at least 50 % of compressions (yes/no). Measured by advanced manikin.
Compression rate
Time frame: 8 minutes
Rescuer keeps a compression rate of approximately 100-120 compressions per min. throughout the CPR (yes/no). Measured by advanced manikin.
Shock delivered
Time frame: 8 minutes
Shock delivered with AED (yes/no). Assessed by ERC instructor.
15 secondary outcomes
Hands-of time
Time frame: 8 minutes
Responsiveness
Time frame: 8 minutes
Open airway
Time frame: 8 minutes
Assess breathing
Time frame: 8 minutes
Recoil/lean
Time frame: 8 minutes
Rescue breaths
Time frame: 8 minutes
Ratio
Time frame: 8 minutes
Activate AED
Time frame: 8 minutes
Attachment of AED pads
Time frame: 8 minutes
Stand clear
Time frame: 8 minutes
Compression depth 2
Time frame: 8 minutes
Compression rate 2
Time frame: 8 minutes
Rescue breaths 2
Time frame: 8 minutes
Time to first compression
Time frame: 8 minutes
Hand placement
Time frame: 8 minutes
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Freddy Lippert study director
Emergency Medical Services, Capital Region, Denmark
Doris Oestergaard study director
Copenhagen Academy for Medical Education and Simulation
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing T-CPR and ERC standardized BLS course in people with Basic Cardiac Life Support and Cardiopulmonary Resuscitation, run by Copenhagen Academy for Medical Education and Simulation at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Compression depth (time frame: 8 minutes). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Feb 2021.