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  • Home
  • About Us
  • About EpiDOSE
    • Key Facts
  • For Patients & Families
    • Follow Up Interview
  • For Investigators & EMS
  • For EDs
  • Resources
  • Glossary
  • News
  • Contact

logologo

  • Home
  • About Us
  • About EpiDOSE
    • Key Facts
  • For Patients & Families
    • Follow Up Interview
  • For Investigators & EMS
  • For EDs
  • Resources
  • Glossary
  • News
  • Contact
  • Home
  • About Us
  • About EpiDOSE
    • Key Facts
  • For Patients & Families
    • Follow Up Interview
  • For Investigators & EMS
  • For EDs
  • Resources
  • Glossary
  • News
  • Contact

For Investigators & EMS

Overall Aim

The overall aim of EpiDOSE is to evaluate the effectiveness of a low cumulative dose of epinephrine compared to a standard cumulative dose of epinephrine on survival to hospital discharge following resuscitation from VF or pulseless VT in adults who experience an out-of-hospital cardiac arrest.

Study Kit

The study kit is comprised of the following:

  • A tamper-sealed envelope containing a randomization card that will indicate which treatment arm a patient is randomized to (low or standard dose epinephrine)
  • Resealable transparent bag (similar to a Ziplock) to hold the study envelope
  • Eligibility checklist
  • Fact sheet for emergency departments (Ontario only)
  • Patient notification bracelet (Ontario only)
  • General study information letter for patients and/or family members (Ontario only)
  • Study Kit QR Log (BCEHS only)

Data Sources

We are collecting data from the Ambulance Call Report (ACR) combined with administrative databases such as the Discharge Abstract Database (DAD) and the National Ambulatory Care Reporting System Metadata (NACRS), if available. We will also be collecting information from survivor interviews.

Inclusion/Exclusion Criteria (BC)

EpiDOSE Inclusion and Exclusion Checklist (BC)

Inclusion/Exclusion Criteria (ON)

EpiDOSE Inclusion and Exclusion Checklist (ON)

Eligibility Decision Tree (BC)

Eligibility Decision Tree (BC)

Eligibility Decision Tree (ON)

Eligibility Decision Tree (ON)

EMS Poster (BC)

EpiDOSE EMS Poster (BC)

EMS Poster (ON)

EpiDOSE EMS Poster (ON)

Relevant Publications

Epinephrine for Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis Update.
Aves T, Chopra A, Patel M, Lin S. Crit Care Med. 2019.

The CJEM Debate Series: #Epi – There is no place for the use of intravenous epinephrine as a standard component of cardiac arrest resuscitation care.
Welsford M, Buick JE, Drennan IR, Lin S, Atkinson PR. CJEM. 2019;21(3):324-329.

Interpreting Observational Data on Adrenaline in Cardiac Arrest is Complicated.
Lin S, Dorian P. Resuscitation. 2019;138:314-315.

Study of the effects of epinephrine on cerebral oxygenation and metabolism during cardiac arrest and resuscitation by hyperspectral near-infrared spectroscopy.
Nosrati R, Lin S, Ramadeen A, Mohindra R, Toronov V, Dorian P. Crit Care Med. 2019;47(4):e349-e357.

Adrenaline for out-of-hospital cardiac arrest resuscitation: a systematic review and meta-analysis of randomised controlled trials.
Lin S, Callaway CW, Shah PS, Wagner JD, Beyene J, Ziegler CP, Morrison LJ. Resuscitation. 2014;85(6):732-40.

Wide variability in drug use in out-of-hospital cardiac arrest: a report from the resuscitation outcomes consortium.
Glover BM, Brown SP, Morrison L, et al. Resuscitation. 2012;83:1324-30.

EpiDOSE at St. Michael’s Hospital

30 Bond Street Toronto, ON, Canada M5B 1W8

Telephone: 416-864-6060

Email: epidose@unityhealth.to

Congrats to @essexwindsorems for enrolling their f Congrats to @essexwindsorems for enrolling their first #EpiDOSE patient! 🎉
Congrats to @essexwindsorems on successfully launc Congrats to @essexwindsorems on successfully launching #EpiDOSE today! 🎉
Congratulations @superiornorthems for officially l Congratulations @superiornorthems for officially launching the #EpiDOSE trial today! 🎉🎉
Congratulations! @london_paramedics_147 joined #Ep Congratulations! @london_paramedics_147 joined #EpiDOSE and officially enrolled their first patient on their first day! 🎉 Way to go!
Congratulations! 🎉 Earlier this year, @haltonpa Congratulations! 🎉 Earlier this year, @haltonparamedicunion @bc_ehs and @ottawa_paramedic_service all successfully transitioned from study drug kits to our new randomization envelopes! #EpiDOSE
As of earlier this year, the #EpiDOSE trial has of As of earlier this year, the #EpiDOSE trial has officially switched over to using randomization kits! Randomization kits no longer include study drug, and medics are asked to use their own clinical supply instead.
EpiDOSE has now enrolled a total of 137 participan EpiDOSE has now enrolled a total of 137 participants! #EpiDOSE
Our #Epi article was one the of 5 most downloaded Our #Epi article was one the of 5 most downloaded articles in the Canadian Journal of Emergency Medicine (CJEM) in 2019! 👏 #epidose #cjem
We’re blowing up on twitter! Make sure to follow We’re blowing up on twitter! Make sure to follow us if you haven’t done so already #EpiDOSE
Thank you to Professor Tom Quinn for his mention o Thank you to Professor Tom Quinn for his mention of #EpiDOSE in his presentation at the #ESCcongress #WCC2019 @europeansocietyofcardiology
Be sure to follow us on twitter for updates about Be sure to follow us on twitter for updates about the #epidose trial!
Heart attack vs. cardiac arrest. Know the differen Heart attack vs. cardiac arrest. Know the difference, it can save a life. #epidose
Wondering what sudden cardiac arrest is? Wonder no Wondering what sudden cardiac arrest is? Wonder no more. #epidose
Each year in Canada, there are over 40,000 people Each year in Canada, there are over 40,000 people who collapse from cardiac arrest. 8 in 10 cardiac arrests occur at home or in public places. However, only 1 in 10 survive cardiac arrests that happen outside of the hospital. #epidose
Hello and welcome to EpiDOSE 👋! The study that Hello and welcome to EpiDOSE 👋! The study that aims to evaluate optimal vs. standard doses of epinephrine in out of hospital cardiac arrest patients. Follow us along on our journey to make patient care better.
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