About this trial
This study will test if a sustained Return of Spontaneous Circulation (ROSC) in patients with cardiac arrest is more frequent when patients receive advanced cardiac life support (ACLS) alone or when they receive ACLS plus a balloon occlusion of the thoracic aorta.
Eligibility criteria
Qualifiers
patients suffering from in hospital cardiac arrest (IHCA), including patients with out of hospital cardiac arrest (OHCA) and return of spontaneous circulation (ROSC), transported to the emergency department, where they suffer a second arrest (IHCA)
successful placement of a femoral artery introducer sheath
any electrical cardiac activity seen in the initial rhythm analysis
ongoing effort of resuscitation as determined by study-independent resuscitation lead
Disqualifiers
IHCA in the operating room, on intensive care unit or in the cardiac catheter laboratory
hospital visitors suffering from cardiac arrest
asystole seen in the initial rhythm analysis
(presumed) age under 18 years
Trial design
Treatments tested in this trial
- resuscitative endovascular occlusion of the aorta (REBOA)
- Advanced Cardiac Life Support (ACLS)