Emergency Resuscitative Endovascular Balloon Occlusion of the Aorta in Out of Hospital Cardiac Arrest

Launched by QUEEN MARY UNIVERSITY OF LONDON · Oct 4, 2023

Keywords

ClinConnect Summary

This clinical trial is studying a procedure called Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) to see if it can help patients who experience cardiac arrest outside of the hospital. The goal is to find out if this procedure can be safely performed by emergency medical teams and if it can improve the chances of survival for patients who have stopped breathing or whose hearts have stopped beating due to non-traumatic causes, such as heart problems.

To be eligible for the trial, participants need to be between 18 and 80 years old, live in the East of England, and have experienced a cardiac arrest without any CPR for less than 10 minutes. The study specifically focuses on patients who are still in cardiac arrest when the emergency team arrives. Those with severe health issues, known terminal illnesses, or who are pregnant will not be included. If chosen to participate, you can expect emergency responders to provide conventional life support as well as the additional REBOA procedure, which could help improve blood flow during resuscitation efforts.

Gender

ALL

Eligibility criteria

• • Inclusion criteria
• • Non-Traumatic OHCA in patients within the East of England area AND with a East Anglian Air Ambulance (EAAA) REBOA team in attendance
• • Patients below or equal to 80yrs of age and above or equal to 18yrs of age, according to available information/estimate at scene
• • No flow \<10 mins from data available (i.e. total period in OHCA with no CPR)
• • In cardiac arrest (with no sustained ROSC) on arrival of the EAAA REBOA team
• • Exclusion criteria
• • Patients aged less than 18 or above 80 years
• • Known terminal illness
• • Multiple severe co-morbidities
• • Traumatic Cardiac Arrest (TCA)
• • Inability to deploy mechanical CPR (e.g. LUCAS Device)
• • Pregnancy, obvious or suspected