About this trial
The goal of this clinical trial is to learn the feasibility of equipping the volunteer community responders (VCR) with the mobile external automated defibrillators (mAEDs) for the management of adults experiencing out-of-hospital cardiac arrest (OHCA) patients. It will also provide early signals if this enhanced system can help increase the frequency of defibrillation and doing it earlier. The main questions it aims to answer are:
* Can equipped VCRs apply mAEDs more frequently and earlier to potentially get more patients successfully resuscitated? * Is this system enhancement is feasible in the long run.
Participants, the VCRs, will:
* Carry a 450 gm mAED with them all the time for up to an year and use it on an OHCA patient if and when alerted to help. * They will hand over this single-use battery-operated device to the EMS crew for data retrieval and potential replacement * They will be interviewed for their experience of being equipped and use of the mAED.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Must be proficient in English. Able to read and understand English fluently.
Be aged 21-74 years of age at point of recruitment.
Willing and able to move rapidly to a scene that can be 400 meters away from their location.
Be a registered CFR with SCDF.
Disqualifiers
Not proficient in English. Cannot read and understand English.
Aged less than 21 and over 74 years of age.
Not willing to be a myResponder app user.
Not able to move rapidly to a scene that can be 400 meters away from their location.
Trial design
Single group
Treatments tested in this trial
Mobile external automated defibrillator
DeviceA single-use, hand-held, chocolate bar sized portable AED
Treatment groups
Trial outcomes
Primary outcomes
Feasibility of a full scale trial
A validated AIM/FIM tool will be used to collect perceptions of the users and managers using a likert scale measurement reporting on feasibility and acceptability of the intervention
Secondary outcomes
Qualitative experiences of CFR elicited through semi-structured interviews
Experience of the CFRs as regards challenges faced while carrying the device and convenience when the device is needed
Qualitative experiences of CFR elicited through semi-structured interviews
Experience of the CFRs as regards challenges of using the new device as compared to standard of care device
Qualitative experiences of CFR elicited through semi-structured interviews
Responses of the patient's relatives regarding the use of the device by CFRs before and after the usage as perceived by the CFRs
Other outcomes
Exploratory outcome mesaures
Acceptability of the volunteers to carry it for 24 months (# of acceptors/# offered to carry; proportion, presented in %)
Exploratory outcome mesaures
Convenience to carry for an extended duration (# stopped carrying/#acceptors; proportion, presented in %)
Exploratory outcome mesaures
Availability when needed (# of carrying the device when needed/# acceptors; proportion, presented in %)
Locations
Sponsors and contacts
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Singapore General Hospital
Lead sponsor
Singapore Civil Defence Force
Collaborator
Duke-NUS Graduate Medical School
Collaborator
This trial is not recruiting at the moment. You can still explore other options: