Live Stream of Prehospital point-of Care Ultrasound During Cardiopulmonary Resuscitation

Study Overview
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Brief Summary
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Background: Point-of-care ultrasound (POCUS) has been suggested as a useful tool in out-of-hospital cardiac arrest (OHCA) for diagnosis and treatment of reversible causes. However, in prehospital emergency medicine performing ultrasound and the translation of the findings can be challenging. As new prehospital ultrasound devices offer the possibility for remote supervision, the impact of tele-supervision on the performance of POCUS during OHCA is unclear. Aims: This prospective observational study aims to evaluate if POCUS with tele-supervision can be performed during CPR without any additional hands-off periods longer than 5 seconds. Methods: In total 30 patients with OHCA, where POCUS is considered, will be included in this study.

Official Title
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Live Stream of Prehospital point-of Care Ultrasound During Cardiopulmonary Resuscitation

Conditions
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Ultrasound, Cardiopulmonary Resuscitation, Echocardiography

Intervention / Treatment
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* Other: Point-of-care ultrasound with tele-supervision


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with prehospital cardiac arrest, where POCUS is considered during cardiac pulmonary resuscitation, will be included. Exclusion Criteria: under the age of 18, if POCUS is not considered or if POCUS will lead to a delay of live-saving treatment or transportation. pregnant patients patients with a body-mass-index (BMI) above 35 kg/m2

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Point-of-care ultrasound with tele-supervision<br>Point-of-care ultrasound of patients with a out-of-hospital cardiac arrest will be performed with tele-supervision. | Other: Point-of-care ultrasound with tele-supervision<br>* Point-of-care ultrasound of patients with a out-of-hospital cardiac arrest will be performed with tele-supervision.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hands-off time during prehospital cardiopulmonary resuscitation | The primary outcome of this study evaluates, if POCUS with tele-supervision can be performed during prehospital cardiopulmonary resuscitation without any additional hands-off period longer than 5 seconds | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact of real-time supervision of POCUS during cardiopulmonary resuscitation on the duration time of POCUS | Impact of real-time supervision of POCUS during cardiopulmonary resuscitation on the duration time of POCUS | through study completion, an average of 1 year | 
| Impact of real-time supervision of POCUS during cardiopulmonary resuscitation on changing of diagnosis of suspected cause of out-of-hospital cardiac arrest. | Impact of real-time supervision of POCUS during cardiopulmonary resuscitation on changing of diagnosis of suspected cause of out-of-hospital cardiac arrest. | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ultrasound diagnstics, Prehospital emergency medicine, Telemedicine