Surviving PEA in Roanoke (SPEAR)

Doctors from Carilion Clinic and students from the Virginia Tech Carilion School of Medicine, in conjunction with local Emergency Medical Service Agencies of Roanoke Fire-EMS, Botetourt County Department of Fire & EMS and Salem Fire-EMS, are studying the outcomes of patients experiencing P...

About

A Prospective, Pre-Hospital Comparison of Normal Saline versus Half-Normal Saline, after Universal Calcium Chloride Administration, to Improve Outcomes in Pulseless Electrical Activity Patients.

Eligibility Criteria

Inclusion Criteria

Due to the rapidity and lethality of PEA, this study will automatically enroll all PEA patients treated by Roanoke Fire-EMS, Botetourt County Department of Fire & EMS and Salem Fire-EMS, unless they meet the exclusion criteria below.

Exclusion Criteria 

  • PEA patients with a Durable Do Not Resuscitate Order present on the patient’s refrigerator or the patient is wearing an approved Durable Do Not Resuscitate bracelet or necklace.
  • Patient less than 18 years old
  • Known pregnancy.
  • Duration of untreated cardiac arrest of more than 30 minutes
  • Traumatic cardiac arrest
  • Known LVAD
  • Rapidly fatal underlying disease
  • Known or suspected digitalis toxicity
  • Prisoners and other populations with involuntary consent

Primary Investigator


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Carol A. Bernier, D.O.

Dr. Bernier is and emergency medicine physician who oversees our EMS fellowship program. She is also an assistant professor of Emergency Medicine at Virginia Tech Carilion School of Medicine.

Contact Information

Cara Spivey, M.S. 

Clinical Research Coordinator