About this trial
The purpose of this study is to find out if a Doppler ultrasound patch placed on the neck can accurately and quickly detect when a cardiac arrest patient's heart starts beating again (return of spontaneous circulation, or ROSC) during resuscitation in the emergency department. The study compares the ultrasound readings to data from an arterial line, which is considered the most reliable way to check for a pulse. The main question the study is trying to answer is whether using Doppler ultrasound is better than the traditional method of feeling for a pulse, which can be unreliable, especially in stressful situations. Secondarily, this study aims to assess blood flow through the carotid artery from chest compressions during resuscitative events to determine overall effectiveness. This research hopes to show that Doppler ultrasound can help medical teams recognize when a patient's heart has restarted more accurately and quickly, leading to better care during cardiac arrest.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Any adult patient aged > 18 to 99 years old
Intact skin on their neck
In cardiac arrest with an arterial line placed during the resuscitation event as part of the standard of care.
Disqualifiers
Patients in cardiac arrest with a Do Not Resuscitate/Do Not Intubate (DNR/DNI) order.
Patients without an arterial line in place as part of the standard of care.
*Pregnant women
*Prisoners
Trial population
Any patient that comes into the University Hospital's Emergency Department displaying signs and symptoms of cardiac arrest may be considered for this effort. Only those patients that receive an arterial line as part of standard of care will be enrolled into the effort.
Trial design
Cohort
Prospective
Treatments tested in this trial
Ultrasound doppler perfusion monitoring
DeviceA Doppler ultrasound patch will be placed on the patient's neck over the carotid artery to continuously record blood flow during resuscitation. For patients who already have an arterial line as part of their regular care, whether a pulse is present or not will also be recorded at each pulse check. No arterial lines will be inserted just for this study. There is no change to patient care.
Treatment groups
Trial outcomes
Primary outcomes
Accuracy of Doppler Ultrasound Patch for Detecting Return of Spontaneous Circulation During Cardiac Arrest
Evaluate how well the Doppler ultrasound patch can detect when a cardiac arrest patient's heart starts adequately beating again, by comparing its results to blood pressure readings from an arterial line.
Secondary outcomes
Association Between Doppler Ultrasound Patch Waveforms and Chest Compression Quality During Cardiac Arrest
Determine if the Doppler ultrasound patch readings on the neck during chest compressions match up with measures of chest compression quality, using data from the cardiac monitors.
Sponsors and contacts
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Heartstream US LLC
Lead sponsor
Northwell Health
Collaborator
This trial is not recruiting at the moment. You can still explore other options: