Remote Ischemic Conditioning to Enhance Resuscitation (RICE) Pilot

You may be eligible if

• Included will be those with:
• 1. Age 18 years or more;
• 2. Defibrillation by laypersons or defibrillation and/or chest compressions by EMS providers dispatched to the scene;
• 3. Non-traumatic etiology of arrest, defined as without concomitant blunt, penetrating, or burn-related injury, or uncontrolled bleeding or exsanguination;
• 4. Spontaneous circulation upon emergency department arrival;
• 5. No response to verbal commands; and
• 6. Ongoing or planned induced hypothermia.
• Excluded will be those with:
• 1. STEMI indicated on first 12-lead ECG obtained after restoration of circulation, defined as ST-elevation of ≥2 mm in two or more contiguous ECG leads;
• 2. Written do not attempt resuscitation (DNAR) reported to providers before randomization;
• 3. Drowning or hypothermia as cause of arrest;
• 4. Known prisoner or pregnant; or
• 5. Dialysis fistula in either upper extremity; or
• 6. Pre-existing amputation of upper extremity.