Pulse Checks Using Femoral Artery B-Mode Ultrasound With Compressibility Assessment

NCT ID: NCT06491186

Last Updated: 2024-07-09

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

RECRUITING

Total Enrollment

69 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-05-02

Study Completion Date

2024-12-31

Brief Summary

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The goal of this prospective observational study is to investigate B-mode point-of care ultrasound with arterial compressibility assessment on the femoral artery as a method to determine the presence of a pulse and to compare it with concurrently conducted manual pulse checks.

Detailed Description

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In this prospective observational study, a dedicated research team will be dispatched to cardiac arrest patients treated in the prehospital environment by emergency medical services (EMS). The team will use a portable ultrasound device to identify the femoral artery and employ B-mode ultrasound during rhythm checks. These ultrasound pulse checks will be conducted in parallel with the normal treatment of the patient, including manual pulse checks, and will only be conducted if ultrasound is possible without interference in the resuscitation. All treatment decisions will rest with the treating EMS team.

Conditions

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Cardiac Arrest, Out-Of-Hospital

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Included patients

Point of Care Ultrasound

Intervention Type OTHER

Point-of-care ultrasound will be used to image the femoral vessels and to assess the presence or absence of a pulse and the compressibility of the artery during rhythm checks.

Interventions

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Point of Care Ultrasound

Point-of-care ultrasound will be used to image the femoral vessels and to assess the presence or absence of a pulse and the compressibility of the artery during rhythm checks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Out-of-hospital cardiac arrest treated by EMS
* Minimum age of 18 years

Exclusion Criteria

* Pregnancy or suspected pregnancy
* Disapproval of the treating EMS team
* Adults under legal guardianship
* Inability to perform femoral artery doppler ultrasound due to limited access to the patient and possible interference with the treating EMS team
* Inability to perform femoral artery doppler ultrasound due to injuries or anatomic abnormalities in the femoral region or necessary emergent medical interventions in the femoral region
* Decision to transfer the patient to the hospital with ongoing CPR for emergent procedures such as extracorporeal CPR before femoral artery doppler ultrasound could be attempted
* Inability to safely perform femoral artery doppler ultrasound due to environmental hazards
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ludwig Boltzmann Institute Digital Health and Patient Safety

OTHER

Sponsor Role collaborator

Emergency Medical Service of Vienna

UNKNOWN

Sponsor Role collaborator

Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Philipp Metelka

Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Philipp Metelka, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of Vienna

Locations

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Emergency Medical Service of Vienna

Vienna, , Austria

Site Status RECRUITING

Countries

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Austria

Central Contacts

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Philipp Metelka, MD

Role: CONTACT

+43 699 10659528

Christina Hafner, MD, PhD

Role: CONTACT

Facility Contacts

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Daniel Grassmann, MD

Role: primary

+43 664 9138434

Other Identifiers

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1236/2024

Identifier Type: -

Identifier Source: org_study_id

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