Diagnosing Extremity Fractures and/or Dislocations Using Ultrasound in Adult Patients Presenting to the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 323
- 试验地点
- 2
- 主要终点
- Faster diagnosis and sooner definitive treatment for extremity fractures or dislocations.
研究概览
简要总结
The purpose of this study is to determine the efficacy of ultrasound in diagnosing the presence or absence of extremity fractures or dislocations.
Hypothesis: Can ultrasound be used as an accurate and effective method for determining the presence or absence of extremity fractures or dislocations? Is there a difference in amount of pain experienced prior to and after the ultrasound?
详细描述
This prospective, multicenter cohort study. The sampling method will be a convenience sample of all adult patients presenting to the ED with symptoms concerning a fracture and/or dislocation of an extremity. Once a patient has been deemed an appropriate candidate for the study, written consent will be obtained from one of the Associate Investigators. Once consent has been obtained, a resident physician will perform the ultrasound examination on the affected extremity(s) and note their findings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
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
- •clinical suspicion of a fracture and/or dislocation of an extremity
- •Age Greater than 18 years
- •English speaking
- •able to give consent
排除标准
- •Age less than 18 years, including emancipated minors
- •Unstable patients with B/P below 90mmHg systolic
- •Open, unstable, or suspected compound fracture
- •Physician has reviewed X-Rays and made diagnosis before ultrasound could be done
- •X-Rays will not be ordered
- •Patient is pregnant
- •Patient cannot give own consent
- •English is not the patient's primary language
结局指标
主要结局
Faster diagnosis and sooner definitive treatment for extremity fractures or dislocations.
时间窗: 1 hour
次要结局
- Unnecessary evacuation in the pre hospital combat setting.(2 hours)