Study of an Enhanced Support System for Community First Responders to Improve CPR Quality in Out-of-Hospital Cardiac Arrest

What this Trial Is About

The trial investigates ways to improve bystander cardiopulmonary resuscitation CPR quality for patients experiencing out-of-hospital cardiac arrest OHCA in Singapore. Despite many lay responders performing CPR, survival rates with good neurological outcomes have not improved significantly. This research evaluates an enhanced community first responder CFR support system using digital technology to provide real-time feedback and communication to improve CPR delivery. Participants are randomized to receive either standard care, where responders use the CPRCard device alone, or the enhanced CFR support system eCSS, which adds two-way audio and one-way video communication between responders and dispatchers via the CPRCard plus the TCPR Link App and Web. This setup aims to reduce responder stress, encourage alert engagement, and improve CPR quality during resuscitation efforts. Throughout the study, researchers will measure chest compression depth during CPR before handing over to emergency medical services, tracking this for up to 24 hours. Secondary outcomes include survival rates during hospital admission, monitored for up to one year. The study leverages Singapores robust CFR and OHCA registries, focusing on technology-assisted support and real-time feedback to potentially enhance outcomes for cardiac arrest patients.

Enhanced Community First Responder System Evaluation in Singapore