Live Stream of Prehospital point-of Care Ultrasound by Air Rescue Physicians

NCT ID: NCT04810520

Last Updated: 2023-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2021-11-01

Study Completion Date

2022-12-31

Brief Summary

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Background: Point-of-care ultrasound (POCUS) has been suggested as a useful tool in emergency medicine for diagnosis and treatment of reversible causes. However, in prehospital setting performing ultrasound and the translation of the findings can be challenging. As new prehospital ultrasound devices offer the possibility for remote supervision, the impact of tele-supervision on time to diagnosis of critically ill patients is unclear.

Aims: The aim of this study is to evaluate the impact of tele-supervision on the time of POCUS in prehospital critically ill patients by air rescue physicians.

Methods: In total 100 critically ill patients suffering from acute dyspnoea, circulatory failure or trauma, which are treated by air rescue physicians will be included in this study. Duration of ultrasound performance as well as altered treatment strategies will be analyzed.

Detailed Description

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Conditions

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Echocardiography Telemedicine

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Point-of-care ultrasound with tele-supervision

Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision.

Point-of-care ultrasound with tele-supervision

Intervention Type OTHER

Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision.

Point-of-care ultrasound without tele-supervision

Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed without tele-supervision.

Point-of-care ultrasound without tele-supervision

Intervention Type OTHER

Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision.

Interventions

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Point-of-care ultrasound with tele-supervision

Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision.

Intervention Type OTHER

Point-of-care ultrasound without tele-supervision

Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Critically ill patients suffering from acute dyspnoea, circulatory failure or trauma will be included.

Patients with acute dyspnoea will be included, if they show at least one of the two following signs of respiratory failure:

* Respiratory rate \> 20 breaths per minute
* Peripheral oxygen saturation without oxygen supplementation \< 90%

Patients with acute circulatory failure will be included, if they show at least one of the following signs:

* Hypotension (systolic blood pressure \<90mmHg)
* Altered tissue perfusion (cold, clammy, mottling skin or altered mental status)

Trauma patients will be included, if at least one cause is suspected:

* Intraabdominal fluid
* Intrathoracic free fluid
* Pneumothorax

Exclusion Criteria

* age under 18
* if POCUS will lead to a delay of live-saving treatment or transportation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Christina Hafner

Clinical Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Department of Anaesthesia & General Intensive Care

Role: STUDY_CHAIR

Medical University of Vienna

Locations

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Medical University of Vienna, Department of Anaesthesia & General Intensive Care

Vienna, , Austria

Site Status

Countries

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Austria

Other Identifiers

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1218/2021

Identifier Type: -

Identifier Source: org_study_id

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