Point-of-care testing for pre-hospital stratification after out-of-hospital cardiac arrest: the RAPID-MIRACLE study

Key Points

• The study aims to assess the effectiveness of pre-hospital testing for neurological outcomes after out-of-hospital cardiac arrest.
• Evaluated the pre-hospital application of ROSC-MIRACLE2 for neurological risk assessment.
• Compared point-of-care pH testing with the simplified pre-MIRACLE2 score.
• Analyzed feasibility and prognostic precision of the testing methods.
• Point-of-care pH testing improved prognostic precision for neurological outcomes.
• The simplified pre-MIRACLE2 score was found to be more practical with similar performance.
• Integration of these tests into care pathways may enhance patient management but needs further validation.