Table 1.
Study | Country | Year of inclusion | Main inclusion criteria | Patients | Location of cardiac arrest | Age group | Time of exposure | Intervention | Control | Risk of bias |
---|---|---|---|---|---|---|---|---|---|---|
Stueven, 1985 (EMD)1 | USA | 1982–1983 | OHCA patient in refractory EMD at time of randomisation (had adrenaline and bicarbonate). | 90 | OHCA | Adult | Unclear | IV calcium chloride | Saline | High |
Stueven, 1985 (Asystole)2 | USA | 1982–1983 | OHCA patient in asystole at time of randomisation; refractory asystole (had adrenaline, atropine and bicarbonate) | 73 | OHCA | Adult | Unclear | IV calcium chloride | Saline | High |
Vallentin, 20219 | Denmark | 2020–2021 | ≥18 years OHCA adults who received at least 1 dose of epinephrine during cardiac arrest | 391 | OHCA | Adult | During CPR, after first dose of epinephrine | IV or IO calcium chloride | Saline | Low |
Vallentin, 202210 |
EMD: Electromechanical dissociation; OHCA: Out-of-hospital cardiac arrest; VF: Ventricular fibrillation; VT: Ventricular tachycardia.