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Procedure
Double Sequential Defibrillation for Cardiac Arrest (DOSEVF Trial)
N/A
Waitlist Available
Led By Sheldon Cheskes, MD
Research Sponsored by Sunnybrook Health Sciences Centre
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up throughout study completion of three years
Awards & highlights
DOSEVF Trial Summary
This trial will compare three methods of resuscitation for patients in refractory ventricular fibrillation (VF) during out-of-hospital cardiac arrest: (1) standard defibrillation; (2) double sequential external defibrillation (DSED); or (3) vector change defibrillation.
Eligible Conditions
- Cardiac Arrest
- Ventricular Fibrillation
DOSEVF Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ through study completion of three years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through study completion of three years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Survival to Hospital Discharge
Secondary outcome measures
Neurologic outcome
Electric Countershock
Return of Spontaneous Circulation
+2 moreDOSEVF Trial Design
3Treatment groups
Active Control
Group I: Standard ArmActive Control1 Intervention
All defibrillation attempts will occur using the standard defibrillation method, i.e. defibrillation pads will be placed in the anterior-anterior configuration. The patient may also be administered antiarrythmic agents and epinephrine, as per current provincial standard.
Group II: Double Sequential DefibrillationActive Control1 Intervention
The first three shocks will occur with defibrillation pads placed in the anterior-anterior position. For all further shocks, a second set of defibrillation pads (via a second on scene EMS or fire defibrillator) will be applied in the anterior-posterior position, and defibrillation will be carried out by sequential defibrillation shocks provided by the two defibrillators (i.e. with a short delay between the two defibrillators). The patient may also be administered antiarrythmic agents and epinephrine, as per current provincial standard.
Group III: Vector Change DefibrillationActive Control1 Intervention
The first three shocks will occur with defibrillation pads placed in the anterior-anterior position. All further shocks will occur with the pads placed in the anterior-posterior position. The patient may also be administered antiarrythmic agents and epinephrine, as per current provincial standard.
Find a Location
Who is running the clinical trial?
Toronto Paramedic ServicesUNKNOWN
1 Previous Clinical Trials
173 Total Patients Enrolled
Halton Region Paramedic ServicesOTHER
2 Previous Clinical Trials
1,795 Total Patients Enrolled
Ottawa Paramedic ServiceUNKNOWN
1 Previous Clinical Trials
192 Total Patients Enrolled
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