Clinical trial NCT06768099: A Clinical Trial to Study the Feasibility and Acceptability of an App to Support Pediatric Resuscitation
Official title: Reducing Disparities for Children in Rural Emergency Resuscitation (RESCU-ER): Developing and Testing the Acceptability and Feasibility of an Integrated Linear Cognitive Aid for Pediatric Resuscitation in a Pilot RCT
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Pediatric Emergency Medicine
Resuscitation
Pediatrics
Emergency Medical Services
Arrest Cardio Respiratory
Keywords: Pediatric emergency medical services
Rural-urban health disparities
Child mortality
Adverse safety events (ASEs)
Prehospital pediatric care
Cognitive aid
Randomized controlled trial (RCT)
Emergency resuscitation
Out of hospital Cardiac arrest
Lead sponsor: Beth Israel Deaconess Medical Center
Sponsor class: OTHER
Collaborators: name: National Heart, Lung, and Blood Institute (NHLBI)
First posted: 2025-01-10
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: We propose to conduct a pilot feasibility randomized control trial of a mobile app that provides AHA cardiac resuscitation guidance. We will perform high-fidelity simulation of two children's resuscitation scenarios. Teams will be randomized to: 1) perform both resuscitations with their current standard with existing cognitive aids or 2) perform both resuscitations using our mobile app. The order of the scenarios will be randomized for each team.
Primary purpose: OTHER

Brief summary: The goal of this clinicial trial is to test the acceptability and feasibility of linear cognitive aid intervention to support EMS teams in responding to pediatric emergencies. We are testing the hypothesis that cognitive aids with linear logic will be feasible to use and acceptable to EMS teams in urban and rural areas.

Researchers will compare technical performance, teamwork, and self-assessed cognitive load of participants to see the difference between performing resuscitations using their current standard with existing cognitive aids and using our linear cognitive aid.

Participants' teams will:

* perform in situ high-fidelity simulation of two critical children's resuscitation scenarios
* be randomized to 1) perform both resuscitations with their current standard with existing cognitive aids or 2) perform both resuscitations using our linear cognitive aid.


Eligibility criteria: Inclusion Criteria:

* Active public, private, volunteer, hospital-based, or third-party EMS providers
* Speaks and understands English
* Age 18 and over

Exclusion Criteria:

- Not clinically active

Primary outcomes:
measure: Time to Achieve AHA Technical Milestones
timeFrame: 10 minute simulation
Secondary outcomes:
measure: Teamwork
timeFrame: Cumulative evaluation over each 10 minute simulation
measure: Cognitive load
timeFrame: Cumulative evaluation over each 10 minute simulation
Other outcomes:
Locations:
city: Boston
country: United States
facility: 20 Overland 4th floor
state: Massachusetts
city: Boston
country: United States
facility: BIDMC
state: Massachusetts
Study officials:
References: