Can faster 911 and CPR training double cardiac arrest survival?
NCT ID NCT04660526
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 2 times
Summary
This large trial tests whether a coordinated community approach can improve survival and brain function after cardiac arrest. The plan includes faster 911 dispatch, CPR instructions over the phone, public CPR and AED training, and better first responder performance. About 20,000 patients across 50 North Carolina counties will be studied over 4 years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could show that community-wide training and faster emergency response save more lives after cardiac arrest.
- What could go wrong
- This is a real-world trial, not a controlled lab study, so results may vary by community. It tests a system, not a drug, so improvements may be modest.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 20,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2022
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * OHCA of non-traumatic etiology * Patients who are pulseless on arrival of a first responder; or patients who become pulseless in the presence of a first responder; OR patients who have a pulse on arrival of EMS, where a successful defibrillation was previously administered by a bystander or first responder. Exclusion Criteria: * Untreated cardiac arrests, including arrests in which resuscitation efforts are not initiated or are terminated immediately upon arrival of EMS because the patient is not a viable candidate for resuscitation due to: 1. injuries incompatible with life, 2. the presence of rigor mortis or lividity, 3. signs of decomposition, or 4. the presence of a valid DNR. * Private EMS transport that did not involve 911 dispatch (example: interfacility transport between nursing home and hospital). * Arrest of clear and obvious traumatic etiology * Bystander suspected cardiac arrest, where ROSC was achieved without the need for defibrillation or first responder CPR
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Duke
Durham, North Carolina, 27705, United States
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Other studies related to the condition(s) this trial covers.
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