About this trial
The purpose of this study is to assess the efficacy of institutionalized care program of patients with out-of-hospital cardiac arrest.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age < 60 years
witnessed sudden cardiac arrest with immediate CPR
supposed cardiac cause of the event
ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) at first medical contact with 3 unsuccessful defibrillations (no ROSC)
Disqualifiers
Total presumed time from 112 call to ECMO implantation longer than 60 minutes
Age < 18 years old or > 60 years old;
Non-shockable initial rhythm
Unavailability of the automated CPR device
Trial population
Patients with out-of-hospital cardiac arrest which occured in the predefined area of the city of Wroclaw, Poland.
Trial design
Cohort
Prospective
Treatments tested in this trial
ECMO assisted CPR in out-of-hospital cardiac arrest
Other interventionPatients included in the registry will be transferred during LUCAS assisted CPR by the Wroclaw Emergency Medical Services to the Emergency Department of the Wroclaw University Hospital where blood gasses will be assessed. If two or more of the following: end-tidal carbon dioxide (CO2) \> 10 mm Hg, arterial partial pressure of oxygen (PaO2) \>50 mm Hg or oxygen saturation \>85%, and lactic acid \<18 mmol/L will be fulfilled patient will be further transferred to the Cardiac Catheterization Laboratory for V-A ECMO implantation followed by coronary/pulmonary artery angiography and intervention.
Treatment groups
Trial outcomes
Primary outcomes
mortality
all cause mortality
Secondary outcomes
degree of disability
Modified Rankin Scale of 3 or lower
Sponsors and contacts
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Wroclaw Medical University
Lead sponsor
Wroclaw Emergency Medical Services
Collaborator