Mode
Text Size
Log in / Sign up

Out-of-Hospital Cardiac Arrest

Part of Cardiac Arrest

6 published articles · Updated continuously

Clinical Trial Landscape

Clinical Trials for Out-of-Hospital Cardiac Arrest

11 trials tracked for Out-of-Hospital Cardiac Arrest: 3 in phase 3 or 4 and 2 with published results. The most-cited published study has 308 citations.

11Trials tracked
3Phase 3 & 4
0Recruiting
2With published results
Phase distribution
Phase 4 1 Phase 3 2 Phase 1 1 Other / NA 7
  1. Phase 4 Continuous Chest Compressions vs AHA Standard CPR of 30:2 Completed · 308 cited
  2. Phase 3 Clinical Trial of Sodium Nitrite for Out of Hospital Cardiac Arrest Completed · 26 cited
  3. Phase 3 Induction of Mild Hypothermia Following Out-of-hospital Cardiac Arrest Completed
  4. Phase 1 Dose-Finding Study of Intranasal Insulin in Healthy Participants Insulin in Healthy Participants Completed
  5. N/A Serious Game Versus Online Course to Pre-train Medical Students on the Management of an Adult Cardiac Arrest. Completed
  6. N/A Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation Completed
Show 5 more trials
  1. N/A Effects of a New Dispatcher-Assisted Basic Life Support Training Program Completed
  2. N/A Pre-arrival Instructions Effect on Bystander Cardiopulmonary Resuscitation (CPR). Completed
  3. N/A A Pilot Study of Intra-arrest Therapeutic Hypothermia in Patients Suffering Non-Traumatic Out of Hospital Cardiac Arrest Completed
  4. N/A Pre-hospital ECMO in Advanced Resuscitation in Patients With Refractory Cardiac Arrest. ( SUB30 ) Completed
  5. N/A CPR Quality Between Flexible Stretcher and Standard Stretcher in OHCA Completed

Showing the 11 most-cited and recently-updated of 11 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found Updated — new results For clinicians

Out-of-Hospital Cardiac Arrest: what the trials found

Standard CPR is established in the management of out-of-hospital cardiac arrest, with data indicating that 7.0% to 7.7% of participants scored at or below a 3 on the MRS Scale 3.

Placebo interventions were evaluated for survival outcomes; however, no statistically significant differences were found regarding survival to hospital admission (p=0.82), survival to discharge (p=0.44), or number of days in the ICU (p=0.12) 4.

Recent results — preliminary, needs further review

  • Intranasal insulin was evaluated at three different dosages (100, 200, and 400 Units), resulting in various blood glucose levels across study visits 1.
  • Pre-arrival instructions were tested for impact on bystander CPR incidence, but no significant difference was observed (p=0.41) 2.
  • ECMO resuscitation was evaluated regarding clinical outcomes via the MRS scale at 3 months in a small cohort 6.

For the clinician treating this condition

  • Standard CPR is a primary established intervention, with low rates of poor neurological outcomes observed 3.
  • Placebo trials indicate that specific interventions compared against placebo did not significantly alter survival to admission or discharge 4.

AI synthesis of 5 cited trials, updated Jun 29, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.

Research across Cardiac Arrest

Related studies from across the Cardiac Arrest family.

Serum lactate levels associated with 1.40 odds of unfavorable neurobehavioral outcome in pediatric cardiac arrest
Emergency Medicine RCT
Serum lactate levels associated with 1.40 odds of unfavorable neurobehavioral outcome in pediatric cardiac arrest Serum Lactate Levels May Help Predict Outcomes After Cardiac Arrest
This secondary analysis of an RCT involving 213 pediatric patients following out-of-hospital cardiac arrest found that higher serum lactate …
Higher serum lactate levels in children following out-of-hospital cardiac arrest are linked to poorer neurological outcomes and higher morta…
Volume-controlled mechanical ventilation shows no difference in ROSC compared to manual ventilation in cardiac arrest
Emergency Medicine Meta-analysis
Volume-controlled mechanical ventilation shows no difference in ROSC compared to manual ventilation in cardiac arrest Trial results show no difference between mechanical and manual ventilation
This meta-analysis of 13 articles, including 6 randomized trials and 7 non-randomized studies, found no significant difference in return of …
New data shows that using a machine to provide volume-controlled ventilation does not improve survival rates for patients in cardiac arrest.
Bystander CPR increases 30-day survival odds by 50% in out-of-hospital cardiac arrest
Emergency Medicine Meta-analysis
Bystander CPR increases 30-day survival odds by 50% in out-of-hospital cardiac arrest Bystander CPR Linked to Higher Survival After Cardiac Arrest
This meta-analysis of observational studies involving 2,914,595 events indicates that bystander CPR is associated with significantly higher …
Bystander CPR is linked to significantly higher survival rates for people experiencing cardiac arrest outside of a hospital setting.
Expedited transfer does not reduce mortality in out-of-hospital cardiac arrest
Rheumatology Meta-analysis
Expedited transfer does not reduce mortality in out-of-hospital cardiac arrest Expedited Transfer Does Not Improve Survival in Cardiac Arrest
This systematic review and meta-analysis of randomized controlled trials in 1,303 adults with out-of-hospital cardiac arrest found that expe…
A review of clinical trials shows that moving patients with cardiac arrest to hospitals faster does not improve survival or neurological rec…
Vasopressin, steroids, and epinephrine triple therapy improves ROSC in in-hospital cardiac arrest
Cardiology Meta-analysis
Vasopressin, steroids, and epinephrine triple therapy improves ROSC in in-hospital cardiac arrest Triple Therapy Shows Promise in Improving Cardiac Arrest Outcomes
This meta-analysis of 3 randomized trials and a network meta-analysis of 21,768 patients evaluates vasopressin, steroids, and epinephrine (V…
A triple therapy of vasopressin, steroids, and epinephrine showed a link to better circulation after cardiac arrest.
High MAP target of 77 mmHg reduces pulmonary vascular resistance in OHCA survivors
Emergency Medicine RCT
High MAP target of 77 mmHg reduces pulmonary vascular resistance in OHCA survivors Higher Blood Pressure Targets May Improve Heart Function in Cardiac Arrest
This randomized controlled trial sub-study evaluated 730 comatose out-of-hospital cardiac arrest survivors. A higher mean arterial pressure …
A clinical trial suggests that targeting higher blood pressure may improve heart and lung circulation for patients recovering from cardiac a…
Mechanical CPR does not show statistically significant difference from manual CPR for chest injuries
Emergency Medicine Meta-analysis
Mechanical CPR does not show statistically significant difference from manual CPR for chest injuries Mechanical CPR does not show higher risk of internal injuries
This meta-analysis evaluates the incidence of cardiothoracic and abdominal injuries during mechanical versus manual cardiopulmonary resuscit…
New data suggests that using a machine for chest compressions during cardiac arrest does not increase the risk of rib fractures or organ dam…
PEEP Valve in Bag-Valve-Mask CPR for Cardiac Arrest Outcomes
Emergency Medicine RCT
PEEP Valve in Bag-Valve-Mask CPR for Cardiac Arrest Outcomes New trial plans to test airway pressure during cardiac arrest
This protocol outlines a trial testing whether a PEEP valve during bag-valve-mask ventilation improves neurological outcomes in out-of-hospi…
A large new trial will test if using a special valve during CPR helps patients with heart attacks have better neurological outcomes.
Manual pressure augmentation did not improve survival to hospital discharge in shockable OHCA
Emergency Medicine RCT
Manual pressure augmentation did not improve survival to hospital discharge in shockable OHCA Manual pressure during defibrillation does not improve cardiac arrest survival
This cluster-randomized controlled trial of 560 adults with out-of-hospital cardiac arrest and a shockable rhythm found that manual pressure…
A trial involving 560 patients found that adding manual pressure during shocks did not improve survival rates for those in cardiac arrest.
Standard cardiopulmonary resuscitation improves survival rates in patients with out-of-hospital cardiac arrest
Emergency Medicine Meta-analysis
Standard cardiopulmonary resuscitation improves survival rates in patients with out-of-hospital cardiac arrest Standard CPR May Improve Survival After Out-of-Hospital Cardiac Arrest
This meta-analysis compared standard cardiopulmonary resuscitation to chest compression-only techniques for patients experiencing out-of-hos…
New data suggests that standard cardiopulmonary resuscitation may improve survival rates for people experiencing a cardiac arrest outside of…
Frailty is associated with higher mortality and poorer neurological outcomes in patients with cardiac arrest
Emergency Medicine Meta-analysis
Frailty is associated with higher mortality and poorer neurological outcomes in patients with cardiac arrest Frailty Linked to Higher Mortality Risk in Cardiac Arrest Patients
This meta-analysis of 12 studies analyzed the impact of frailty on outcomes for adult patients experiencing cardiac arrest. The analysis fou…
Patients with cardiac arrest who are also identified as frail face significantly higher risks of death and poorer neurological outcomes.
Palliative care consultation increases do-not-resuscitate orders and decreases healthcare utilization in cardiac arrest and cardiogenic shock patients
Cardiology Sys. Review
Palliative care consultation increases do-not-resuscitate orders and decreases healthcare utilization in cardiac arrest and cardiogenic shock patients Palliative care linked to better choices for cardiac arrest patients
This narrative review examines palliative care for patients with cardiac arrest and cardiogenic shock and their caregivers. The authors repo…
A review suggests palliative care helps patients with cardiac arrest make decisions about life-sustaining treatments and lowers healthcare c…