Pediatric Prehospital Airway Resuscitation Trial

Launched by OHIO STATE UNIVERSITY · Apr 11, 2024

Keywords

ClinConnect Summary

The Pediatric Prehospital Airway Resuscitation Trial is a clinical study aimed at finding the best ways to manage airways in critically ill children who experience life-threatening situations like heart arrest or severe injuries. The trial involves different strategies that emergency medical teams can use, such as providing breathing support with a bag-mask (BVM) alone, using a bag-mask followed by a supraglottic airway (SGA), or a bag-mask followed by endotracheal intubation (ETI). The main goal of the study is to see which method helps children survive without needing intensive care for 30 days.

To participate in this trial, children must be aged between 24 hours and 17 years old and require emergency treatment for conditions like cardiac arrest, major trauma, or breathing difficulties. Unfortunately, children who have a tracheostomy, those who are pregnant, or those whose airway management is already being handled by a non-study EMS agency cannot take part. If eligible, participants will receive one of the airway management strategies during an emergency call, and the trial is designed to gather data to determine the most effective approach. This study aims to improve emergency care for children in critical situations and is currently recruiting participants.

Gender

ALL

Eligibility criteria

• Inclusion criteria are:
• • At least 24 hours old and \<18 years old
• • Cardiopulmonary arrest, major trauma or respiratory failure
• • Life-saving care initiated or continued by Pedi-PART EMS personnel as part of an emergency "9-1-1" response
• • Requiring active airway management (BVM or higher level of respiratory support
• Exclusion criteria are:
• • Prisoners
• • Pre-existing tracheostomy
• • Pre-existing do-not-resuscitate/do-not-intubate status
• • Visibly or known to be pregnant
• • Initial advanced airway attempt by an EMS agency not affiliated with the study
• • Interfacility transports
• • EMS personnel will use bystander reports or follow local protocols to establish patient age and pregnancy status.