Evidence map›Paper›PMID 38260004›Full record

ArticleJournal of the American College of Emergency Physicians open2024

Early intranasal medication administration in out-of-hospital cardiac arrest: Two randomized simulation trials.

Stephen R Dowker, Madison L Downey, Noor K Majhail, Isabella G Scott, Jonah Mathisson, Daniel Rizk, Brad Trumpower, Debra Yake, Michelle Williams, Emilee I Coulter-Thompson and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 2 institutions in 1 country.

Stephen R DowkerDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Madison L DowneyDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Noor K MajhailDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Isabella G ScottDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Jonah MathissonDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Daniel RizkDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Brad TrumpowerDepartment of Internal Medicine Division of Cardiovascular Medicine University of Michigan Medical School, 2139 Cardiovascular Center Ann Arbor Michigan USA.
Debra YakeDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Michelle WilliamsDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Emilee I Coulter-ThompsonDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Christine M BrentDepartment of Emergency Medicine University of Michigan Medical School Ann Arbor Michigan USA.
Graham C SmithDepartment of Emergency Medicine University of Michigan Medical School Ann Arbor Michigan USA.
Robert SworDepartment of Emergency Medicine Corewell East William Beaumont University Hospital Royal Oak Michigan USA.
David A BergerDepartment of Emergency Medicine Corewell East William Beaumont University Hospital Royal Oak Michigan USA.
Deborah M RooneyDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Robert W NeumarDepartment of Emergency Medicine University of Michigan Medical School Ann Arbor Michigan USA.
Charles P FriedmanDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
James M CookeDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Amanda L MisselDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.ORCID https://orcid.org/0000-0002-9879-0519
University of Michigan · USOakland University · US

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
TRAINING IN MOLECULAR AND CELLULAR CARDIOLOGYT32HL007853 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David J. Pinsky · 1996 to 2026
$11.6M
American Heart Association-American Stroke Association 19SFRN34760762NCATS NIH HHS UL1 TR002240NHLBI NIH HHS T32 HL007853
6 · The paper itself

Abstract

Objective: Intranasal medications have been proposed as adjuncts to out-of-hospital cardiac arrest (OHCA) care. We sought to quantify the effects of intranasal medication administration (INMA) in OHCA workflows. Methods: We conducted separate randomized OHCA simulation trials with lay rescuers (LRs) and first responders (FRs). Participants were randomized to groups performing hands-only cardiopulmonary resuscitation (CPR)/automated external defibrillator with or without INMA during the second analysis phase. Time to compression following the second shock (CPR2) was the primary outcome and compression quality (chest compression rate (CCR) and fraction (CCF)) was the secondary outcome. We fit linear regression models adjusted for CPR training in the LR group and service years in the FR group. Results: Among LRs, INMA was associated with a significant increase in CPR2 (mean diff. 44.1 s, 95% CI: 14.9, 73.3), which persisted after adjustment ( Conclusions: INMA in LR resuscitation was associated with diminished resuscitation performance. INMA by FR did not impede key times or quality.

Indexed as

first responderintranasallay rescuerOHCArandomized trialsimulation

Identifiers

PMID38260004
PMCPMC10800291
OpenAlexW4391077423

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.