Live Stream of Prehospital point-of Care Ultrasound by Air Rescue Physicians
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 1
- 主要终点
- Duration of prehospital ultrasound between POCUS with or without tele-supervision
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •age under 18
- •if POCUS will lead to a delay of live-saving treatment or transportation
结局指标
主要结局
Duration of prehospital ultrasound between POCUS with or without tele-supervision
时间窗: through study completion, an average of 1 year
duration of prehospital ultrasound between POCUS with tele-supervision and POCUS without tele-supervision in critically ill patients (acute dyspnoea, circulatory failure, trauma).
次要结局
- Alteration of treatent strategies(through study completion, an average of 1 year)
研究者
Christina Hafner
Clinical Investigator
Medical University of Vienna