<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03828305</url>
  </required_header>
  <id_info>
    <org_study_id>P17/075</org_study_id>
    <nct_id>NCT03828305</nct_id>
  </id_info>
  <brief_title>Effectiveness of a Network of Trained Volunteers Automatically Activated, on the Reduction of the Start Time of Cardiopulmonary Resuscitation Maneuvers. Study Protocol.</brief_title>
  <acronym>Smartwatch</acronym>
  <official_title>Effectiveness of a Network of Trained Volunteers Automatically Activated, on the Reduction of the Start Time of Cardiopulmonary Resuscitation Maneuvers. Study Protocol.</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>Department of Health, Generalitat de Catalunya</agency>
      <agency_class>Other</agency_class>
    </collaborator>
  </sponsors>
  <source>Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina</source>
  <oversight_info>
    <has_dmc>Yes</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      Background Cardiorespiratory arrest (CRA) is a health emergency with high mortality.&#xD;
      Mortality could depends on the start time of cardiopulmonary resuscitation (CPR) maneuvers&#xD;
      (and the quality of its performance) and the use of the automated external defibrillator&#xD;
      (AED).&#xD;
&#xD;
      Methods / design The aim of the study is to determine the effectiveness of a network of&#xD;
      volunteers automatically activated by smartwatch and smartphone, on the reduction of the&#xD;
      start time of cardiopulmonary resuscitation maneuvers. It is developed in four phases: 1)&#xD;
      validation of an application (App) for smartwatch developed to automatically generate a&#xD;
      health alert in case of out-of-hospital cardiorespiratory arrest (OHCA); 2) training course&#xD;
      in basic CPR maneuvers and use of the AED aimed at the civilian population; 3) creation of a&#xD;
      network of volunteers trained in CPR and using the AED that covers the city; 4) simulation&#xD;
      study in which members of the network of volunteers will be activated automatically through&#xD;
      their smartphone to attend simulated OHCA. 134 activations of the alert will be made. On 67&#xD;
      occasions the alert will be directed to the emergency health services and to the network of&#xD;
      volunteers (intervention group). On 67 occasions the alert will be directed to the emergency&#xD;
      health services (control group). The arrival time of the first rescuer, category of the first&#xD;
      rescuer (emergency services or network of volunteers), start time of the maneuvers and&#xD;
      competence in the performance of the maneuvers will be recorded.&#xD;
&#xD;
      Discussion Training in CPR maneuvers is recommended for the civilian population and&#xD;
      especially for relatives and close persons of people with heart disease to reduce the start&#xD;
      time of CPR and improve survival rates due to CRA. This study aims to observe that the start&#xD;
      time of CPR maneuvers and use of the AED will be lower in the intervention group than in the&#xD;
      control group.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Methods/design Study aim This clinical trial aims to determine the effectiveness of a network&#xD;
      of volunteers trained in CPR maneuvers and using the AED connected through an application&#xD;
      (App) for smartwatch, which allows automatic activation in case of out-of-hospital&#xD;
      cardiorespiratory arrest (OHCA), on the start time of the CPR maneuvers and use of the AED.&#xD;
&#xD;
      This study will be carried out in 4 phases. 1) validate an App for smartwatch that allows the&#xD;
      automatic activation of a network of volunteers trained in CPR maneuvers and use of the AED&#xD;
      (Network-CPR) and the emergency services, in case the user of the smartwatch suffers a OHCA;&#xD;
      2) training in basic CPR and use of the AED in the general population; 3) creating a network&#xD;
      of volunteers from the subjects trained (Network-CPR); 4) determine the effectiveness of the&#xD;
      automatic activation of the Network-CPR through an app for smartwatch on the start time of&#xD;
      the CPR maneuvers and use of the AED; and to evaluate the competences in the performance of&#xD;
      the maneuvers by the members of the Network-CPR through simulations in the city streets.&#xD;
&#xD;
      Development of the mobile app An App was developed in the Android operating system for&#xD;
      smartwatch, an App for mobile smartphones with Android operating systems, and a platform to&#xD;
      install in the central computer of the Primary Care Emergency Center (PCEC). In case of&#xD;
      detecting an absence of the heart rate (&gt;3 seconds without heartbeat) and falling down to the&#xD;
      ground of the smartwatch carrier, the application will send an alert in the first place to&#xD;
      the smartwatch, if it is a false positive the smartwatch carrier will deactivate it. If it is&#xD;
      a real alert and after 6 seconds the smartwatch carrier does not deactivate it, a warning&#xD;
      alert will be generated and sent automatically to an App installed on the smartphones of the&#xD;
      members of the Network-CPR (limited to members that are within a radius of 300 meters where&#xD;
      the warning alert was generated), and at the same time will also reach a platform installed&#xD;
      in the central computer of the PCEC. The members of the Network-CPR will receive on their&#xD;
      smartphone the signal with the geolocation of the CRA, the map with the fastest route to&#xD;
      reach the location of the CRA and the point where the nearest AED is located.&#xD;
&#xD;
      Phase 1. Validation of the App. This validation will be done through the determination of&#xD;
      automatic activations in various locations in the city, it will be determined if the alert&#xD;
      reach the members of the Network-CPR and the PCEC and if it is geolocated in a precise way .&#xD;
      In addition, during 3 months, four volunteers with high risk of CRA will carry the smartwatch&#xD;
      and it will be determined if false activations (false positives) occur during this period of&#xD;
      time.&#xD;
&#xD;
      Phase 2 and 3. Training and creation of the Network-CPR that will cover the city. This&#xD;
      network will be created with certain population groups that are routinely in contact with&#xD;
      susceptible persons of OHCA (police, firemen, teaching staff, health personnel, merchants,&#xD;
      pharmacists, university students, gym monitors, etc.), in addition, relatives of people with&#xD;
      heart disease will be included. In the case of elderly people who are alone, they will&#xD;
      include their neighbors or caregivers. In the city, there are 2,105 people with heart disease&#xD;
      susceptible to OHCA. The research team and the health personnel of the participating primary&#xD;
      care centers (PCC) will offer training courses on basic CPR maneuvers and use of the AED,&#xD;
      following the protocol of the Center Català de Ressucitació (CCR) [14]. The training is aimed&#xD;
      at training 430 people (20% of the relatives of people with heart disease) and will be made&#xD;
      by trainers accredited by the CCR. There will be a total of 30 sessions with groups of&#xD;
      approximately 15 people.&#xD;
&#xD;
      At the end of the training courses, the research team will explain the project and offer&#xD;
      voluntary participation in the Network-CPR. Recruitment of 100 participants (25% of the&#xD;
      trained participants) is expected. This participation implies having a qualification of&#xD;
      suitable, based on the evaluation of the competences during the course; being over 18 years;&#xD;
      have a smartphone with Android operating system; the signing of the informed consent&#xD;
      document; and the installation of the App receiving the alerts on the smartphone.&#xD;
&#xD;
      Phase 4. Simulation study. A total of 134 simulations will be carried out with simulated CRA&#xD;
      warnings alerts in the city. On 67 times, the alerts will reach the Network-CPR and the&#xD;
      emergency services (intervention group) and 67 times only the emergency services(control&#xD;
      group).&#xD;
&#xD;
      The warnings alerts will be generated in 134 locations randomly, based on the locations where&#xD;
      a CRA was notified to the emergency services during the year 2017 (51 locations). The&#xD;
      intervention group will be activated through generated alerts that will arrive through the&#xD;
      App for smartphones of the members of the Network-CPR that are in a radius of 300 meters; and&#xD;
      through the platform installed in the PCEC central computer to the emergency services. The&#xD;
      control group will be activated by telephone calls to the PCEC.&#xD;
&#xD;
      The simulations will be carried out during two periods (morning and afternoon). During the&#xD;
      time of the simulations a medical doctor and an emergency nurse (PCEC team) will be in the&#xD;
      PCEC, to be activated, go to the locations and perform the simulations. The PCEC team will&#xD;
      not know in which simulations they are activated or in which the Network-CPR is activated.&#xD;
&#xD;
      At the locations you will find two trained and standardized health personnel (victim team:&#xD;
      medical doctor or an emergency nurse and a trainer accredited by the CCR), duly identified,&#xD;
      with a CPR mannequin and a practice AED.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">June 1, 2016</start_date>
  <completion_date type="Actual">December 31, 2019</completion_date>
  <primary_completion_date type="Actual">June 1, 2016</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Non-Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <intervention_model_description>This clinical trial aims to determine the effectiveness of a network of volunteers trained in CPR maneuvers and using the AED connected through an application (App) for smartwatch, which allows automatic activation in case of out-of-hospital cardiorespiratory arrest (OHCA), on the start time of the CPR maneuvers and use of the AED.</intervention_model_description>
    <primary_purpose>Health Services Research</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Start time of the maneuvers (Tim)</measure>
    <time_frame>6 months</time_frame>
    <description>time (minutes and seconds) elapsed between the start of the simulated CRA (T0) and the start of the CPR maneuvers (T2b or T3b in case of arrival of PCEC team or Network-CPR , respectively). It is considered that the maneuvers stars when the chest compressions are started in the manikin.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Time of start of the use of the AED (Tid)</measure>
    <time_frame>6 months</time_frame>
    <description>time elapsed between the start of the simulated CRA (T0) and the start of the use of the AED (T2d or T3d in case of arrival of the PCEC team or Netwrok-CPR, respectively) . It is considered that the use of the AED starts when the patches are placed on the thorax of the manikin.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Response time of the PCCE team (Trc)</measure>
    <time_frame>6 months</time_frame>
    <description>time between the start of the simulated CRA (T0) and the arrival of the PCEC team (T2).</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Response time of the Network-CPR (Trr)</measure>
    <time_frame>6 months</time_frame>
    <description>time between the start of the simulated CRA (T0) and the arrival of the Network-CPR (T3).</description>
  </primary_outcome>
  <primary_outcome>
    <measure>AED arrival time (TllD)</measure>
    <time_frame>6 months</time_frame>
    <description>Time elapsed between the start of the simulated CRA (T0) and the arrival of the AED (T2c or T3c, in case of arrival of PCEC team or Network-CPR, respectively). It is necessary to register who brings the AED, members of the Network-CPR, personnel of the PCEC team or an external person to whom assistance has been requested.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Evaluation of the competence of the members of the Network-CPR</measure>
    <time_frame>6 months</time_frame>
    <description>Item score: 1p per item. a) safe approach; b) evaluation of the state of consciousness; c) opening of the airway; d) spontaneous breathing check; e) ask for help; f) chest compressions (quality); g) frequency of comprehensions; h) two insufflations (quality); i) alternation compressions/insufflations. It will be considered that you have performed a correct CPR maneuver if 8 of the 9 items evaluated are performed correctly</description>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Actual">475</enrollment>
  <condition>Cardio Respiratory Arrest</condition>
  <arm_group>
    <arm_group_label>Training and creation of the Network-CPR</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Training in CPR</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Control Group</arm_group_label>
    <arm_group_type>Active Comparator</arm_group_type>
    <description>Primary Care Center Emergency Personnel</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Training and creation of the Network-CPR</intervention_name>
    <description>Training and creation of the Network-CPR that will cover the city. This network will be created with certain population groups that are routinely in contact with susceptible persons of OHCA (police, firemen, teaching staff, health personnel, merchants, pharmacists, university students, etc.), in addition, relatives of people with heart disease will be included. In the case of elderly people who are alone, they will include their neighbors or caregivers. In the city, there are 2,105 people with heart disease susceptible to OHCA. The research team and the health personnel of the participating primary care centers (PCC) will offer training courses on basic CPR maneuvers and use of the AED, following the protocol of the Center Català de Ressucitació (CCR). The training is aimed at training 430 people (20% of the relatives of people with heart disease) and will be made by trainers accredited by the CCR. There will be a total of 30 sessions with groups of approximately 15 people.</description>
    <arm_group_label>Training and creation of the Network-CPR</arm_group_label>
  </intervention>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Control Group</intervention_name>
    <description>No intervention</description>
    <arm_group_label>Control Group</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Qualification of suitable, based on the evaluation of the competences during the&#xD;
             course.&#xD;
&#xD;
          -  Being over 18 years.&#xD;
&#xD;
          -  Have an smartphone with Android operating system.&#xD;
&#xD;
          -  The signing of the informed consent document&#xD;
&#xD;
          -  The installation of the App on the smartphone.&#xD;
&#xD;
        Exclusion Criteria&#xD;
&#xD;
          -  Qualification of no-suitable, based on the evaluation of the competences during the&#xD;
             course.&#xD;
&#xD;
          -  No-being over 18 years.&#xD;
&#xD;
          -  Have an smatphone with an operating system diferent from Android.&#xD;
&#xD;
          -  no-singning of the informed consent document.&#xD;
&#xD;
          -  The no-intallation of the App on the smartphone.&#xD;
&#xD;
          -  No understood the language.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Cristina Rey-Reñones, Phd</last_name>
    <role>Principal Investigator</role>
    <affiliation>IDIAP JORDI GOL</affiliation>
  </overall_official>
  <verification_date>July 2020</verification_date>
  <study_first_submitted>February 1, 2019</study_first_submitted>
  <study_first_submitted_qc>February 1, 2019</study_first_submitted_qc>
  <study_first_posted type="Actual">February 4, 2019</study_first_posted>
  <last_update_submitted>July 28, 2020</last_update_submitted>
  <last_update_submitted_qc>July 28, 2020</last_update_submitted_qc>
  <last_update_posted type="Actual">July 29, 2020</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>Out of hospital cardiac arrest</keyword>
  <keyword>cardiopulmonary resuscitation</keyword>
  <keyword>automated external defibrillators</keyword>
  <keyword>emergency medical system services</keyword>
  <keyword>mobile phone</keyword>
  <keyword>Primary healt-care</keyword>
  <keyword>Technology</keyword>
  <patient_data>
    <sharing_ipd>Undecided</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03828305
org study id: P17/075
nct id: NCT03828305
lead sponsor: 
collaborator: 
has dmc: Yes
is fda regulated drug: No
is fda regulated device: No
Background Cardiorespiratory arrest (CRA) is a health emergency with high mortality.
      Mortality could depends on the start time of cardiopulmonary resuscitation (CPR) maneuvers
      (and the quality of its performance) and the use of the automated external defibrillator
      (AED).

      Methods / design The aim of the study is to determine the effectiveness of a network of
      volunteers automatically activated by smartwatch and smartphone, on the reduction of the
      start time of cardiopulmonary resuscitation maneuvers. It is developed in four phases: 1)
      validation of an application (App) for smartwatch developed to automatically generate a
      health alert in case of out-of-hospital cardiorespiratory arrest (OHCA); 2) training course
      in basic CPR maneuvers and use of the AED aimed at the civilian population; 3) creation of a
      network of volunteers trained in CPR and using the AED that covers the city; 4) simulation
      study in which members of the network of volunteers will be activated automatically through
      their smartphone to attend simulated OHCA. 134 activations of the alert will be made. On 67
      occasions the alert will be directed to the emergency health services and to the network of
      volunteers (intervention group). On 67 occasions the alert will be directed to the emergency
      health services (control group). The arrival time of the first rescuer, category of the first
      rescuer (emergency services or network of volunteers), start time of the maneuvers and
      competence in the performance of the maneuvers will be recorded.

      Discussion Training in CPR maneuvers is recommended for the civilian population and
      especially for relatives and close persons of people with heart disease to reduce the start
      time of CPR and improve survival rates due to CRA. This study aims to observe that the start
      time of CPR maneuvers and use of the AED will be lower in the intervention group than in the
      control group.
Methods/design Study aim This clinical trial aims to determine the effectiveness of a network
      of volunteers trained in CPR maneuvers and using the AED connected through an application
      (App) for smartwatch, which allows automatic activation in case of out-of-hospital
      cardiorespiratory arrest (OHCA), on the start time of the CPR maneuvers and use of the AED.

      This study will be carried out in 4 phases. 1) validate an App for smartwatch that allows the
      automatic activation of a network of volunteers trained in CPR maneuvers and use of the AED
      (Network-CPR) and the emergency services, in case the user of the smartwatch suffers a OHCA;
      2) training in basic CPR and use of the AED in the general population; 3) creating a network
      of volunteers from the subjects trained (Network-CPR); 4) determine the effectiveness of the
      automatic activation of the Network-CPR through an app for smartwatch on the start time of
      the CPR maneuvers and use of the AED; and to evaluate the competences in the performance of
      the maneuvers by the members of the Network-CPR through simulations in the city streets.

      Development of the mobile app An App was developed in the Android operating system for
      smartwatch, an App for mobile smartphones with Android operating systems, and a platform to
      install in the central computer of the Primary Care Emergency Center (PCEC). In case of
      detecting an absence of the heart rate (>3 seconds without heartbeat) and falling down to the
      ground of the smartwatch carrier, the application will send an alert in the first place to
      the smartwatch, if it is a false positive the smartwatch carrier will deactivate it. If it is
      a real alert and after 6 seconds the smartwatch carrier does not deactivate it, a warning
      alert will be generated and sent automatically to an App installed on the smartphones of the
      members of the Network-CPR (limited to members that are within a radius of 300 meters where
      the warning alert was generated), and at the same time will also reach a platform installed
      in the central computer of the PCEC. The members of the Network-CPR will receive on their
      smartphone the signal with the geolocation of the CRA, the map with the fastest route to
      reach the location of the CRA and the point where the nearest AED is located.

      Phase 1. Validation of the App. This validation will be done through the determination of
      automatic activations in various locations in the city, it will be determined if the alert
      reach the members of the Network-CPR and the PCEC and if it is geolocated in a precise way .
      In addition, during 3 months, four volunteers with high risk of CRA will carry the smartwatch
      and it will be determined if false activations (false positives) occur during this period of
      time.

      Phase 2 and 3. Training and creation of the Network-CPR that will cover the city. This
      network will be created with certain population groups that are routinely in contact with
      susceptible persons of OHCA (police, firemen, teaching staff, health personnel, merchants,
      pharmacists, university students, gym monitors, etc.), in addition, relatives of people with
      heart disease will be included. In the case of elderly people who are alone, they will
      include their neighbors or caregivers. In the city, there are 2,105 people with heart disease
      susceptible to OHCA. The research team and the health personnel of the participating primary
      care centers (PCC) will offer training courses on basic CPR maneuvers and use of the AED,
      following the protocol of the Center Català de Ressucitació (CCR) [14]. The training is aimed
      at training 430 people (20% of the relatives of people with heart disease) and will be made
      by trainers accredited by the CCR. There will be a total of 30 sessions with groups of
      approximately 15 people.

      At the end of the training courses, the research team will explain the project and offer
      voluntary participation in the Network-CPR. Recruitment of 100 participants (25% of the
      trained participants) is expected. This participation implies having a qualification of
      suitable, based on the evaluation of the competences during the course; being over 18 years;
      have a smartphone with Android operating system; the signing of the informed consent
      document; and the installation of the App receiving the alerts on the smartphone.

      Phase 4. Simulation study. A total of 134 simulations will be carried out with simulated CRA
      warnings alerts in the city. On 67 times, the alerts will reach the Network-CPR and the
      emergency services (intervention group) and 67 times only the emergency services(control
      group).

      The warnings alerts will be generated in 134 locations randomly, based on the locations where
      a CRA was notified to the emergency services during the year 2017 (51 locations). The
      intervention group will be activated through generated alerts that will arrive through the
      App for smartphones of the members of the Network-CPR that are in a radius of 300 meters; and
      through the platform installed in the PCEC central computer to the emergency services. The
      control group will be activated by telephone calls to the PCEC.

      The simulations will be carried out during two periods (morning and afternoon). During the
      time of the simulations a medical doctor and an emergency nurse (PCEC team) will be in the
      PCEC, to be activated, go to the locations and perform the simulations. The PCEC team will
      not know in which simulations they are activated or in which the Network-CPR is activated.

      At the locations you will find two trained and standardized health personnel (victim team:
      medical doctor or an emergency nurse and a trainer accredited by the CCR), duly identified,
      with a CPR mannequin and a practice AED.
allocation: Non-Randomized
intervention model: Parallel Assignment
intervention model description: This clinical trial aims to determine the effectiveness of a network of volunteers trained in CPR maneuvers and using the AED connected through an application (App) for smartwatch, which allows automatic activation in case of out-of-hospital cardiorespiratory arrest (OHCA), on the start time of the CPR maneuvers and use of the AED.
primary purpose: Health Services Research
masking: None (Open Label)
measure: Start time of the maneuvers (Tim)
time frame: 6 months
description: time (minutes and seconds) elapsed between the start of the simulated CRA (T0) and the start of the CPR maneuvers (T2b or T3b in case of arrival of PCEC team or Network-CPR , respectively). It is considered that the maneuvers stars when the chest compressions are started in the manikin.
measure: Time of start of the use of the AED (Tid)
time frame: 6 months
description: time elapsed between the start of the simulated CRA (T0) and the start of the use of the AED (T2d or T3d in case of arrival of the PCEC team or Netwrok-CPR, respectively) . It is considered that the use of the AED starts when the patches are placed on the thorax of the manikin.
measure: Response time of the PCCE team (Trc)
time frame: 6 months
description: time between the start of the simulated CRA (T0) and the arrival of the PCEC team (T2).
measure: Response time of the Network-CPR (Trr)
time frame: 6 months
description: time between the start of the simulated CRA (T0) and the arrival of the Network-CPR (T3).
measure: AED arrival time (TllD)
time frame: 6 months
description: Time elapsed between the start of the simulated CRA (T0) and the arrival of the AED (T2c or T3c, in case of arrival of PCEC team or Network-CPR, respectively). It is necessary to register who brings the AED, members of the Network-CPR, personnel of the PCEC team or an external person to whom assistance has been requested.
measure: Evaluation of the competence of the members of the Network-CPR
time frame: 6 months
description: Item score: 1p per item. a) safe approach; b) evaluation of the state of consciousness; c) opening of the airway; d) spontaneous breathing check; e) ask for help; f) chest compressions (quality); g) frequency of comprehensions; h) two insufflations (quality); i) alternation compressions/insufflations. It will be considered that you have performed a correct CPR maneuver if 8 of the 9 items evaluated are performed correctly
arm group label: Training and creation of the Network-CPR
arm group type: Experimental
description: Training in CPR
arm group label: Control Group
arm group type: Active Comparator
description: Primary Care Center Emergency Personnel
intervention type: Other
intervention name: Training and creation of the Network-CPR
description: Training and creation of the Network-CPR that will cover the city. This network will be created with certain population groups that are routinely in contact with susceptible persons of OHCA (police, firemen, teaching staff, health personnel, merchants, pharmacists, university students, etc.), in addition, relatives of people with heart disease will be included. In the case of elderly people who are alone, they will include their neighbors or caregivers. In the city, there are 2,105 people with heart disease susceptible to OHCA. The research team and the health personnel of the participating primary care centers (PCC) will offer training courses on basic CPR maneuvers and use of the AED, following the protocol of the Center Català de Ressucitació (CCR). The training is aimed at training 430 people (20% of the relatives of people with heart disease) and will be made by trainers accredited by the CCR. There will be a total of 30 sessions with groups of approximately 15 people.
arm group label: Training and creation of the Network-CPR
intervention type: Other
intervention name: Control Group
description: No intervention
arm group label: Control Group
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: Accepts Healthy Volunteers
last name: Cristina Rey-Reñones, Phd
role: Principal Investigator
affiliation: IDIAP JORDI GOL
responsible party type: Sponsor
sharing ipd: Undecided