An interventional study of aCPR algorithm and ERC ALS 2025 in Cardiac Arrest (CA), sponsored by Johannes Kepler University of Linz. Recruiting at 1 site in Austria. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-10.
Sponsored by Johannes Kepler University of Linz · Not applicable, Interventional, and Treatment
The goal of this controlled single centre RCT is to compare frequency rates concerning return of spontaneous circulation (ROSC) in prehospital cardiac arrest. Two different algorithms (control-and interventiongroup) of advanced cardiac life support will be used to treat patients. In patients over 18 years suffering from cardiac arrest. The main question aims to answer if the frequency of ROSC differs between the groups receiving either the new Advanced Life Support (ALS) algorithm, or standard treatment.
Researchers will compare the new algorithm to the standard care algorithm to see if there is a difference .
Participants will be randomized to treatment on scene. The controlgroup will receive ALS standard treatment as performed in local protocols.
The intervention group will receive a modified treatment including:
Exclusion Criteria:
Procedure: ERC ALS 2025
* thorax compression via mechanical device (LUCAS 3) * head up cpr * use of an ITD module * arterial line placement * continuous epinephrin infusion via infusion pump * double sequence defibrillation
Procedure: aCPR algorithm
* thorax compression via mechanical device (LUCAS 3) * head up cpr * use of an ITD module * arterial line placement * continuous epinephrin infusion via infusion pump * double sequence defibrillation
Placement of an IV line, placement of a supraglottic airway device or endotracheal intubation. Optional use of an intraosseus acces
ROSC
frequency of ROSC in the study cohort
Time frame: one minute
Time to ROSC
comparison between the groups if ROSC can be achieved faster in one group
Time frame: Periprocedural: from enrollement to ROSC or Termination of Resuscitation (TOR)
CO2
Measurement of CO2 differences between study arms
Time frame: Periprocedural: from enrollement to ROSC orTOR
descriptive data
analyzing vital parameters measured
Time frame: Periprocedural: during study intervention
Plan to share: No — Deidentified participant data utilized in this study can be made available upon reasonable request to the corresponding author. Access to the data will be subject to approval by institutional and ethical considerations.
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Johannes Kepler University of Linz