Live Stream of Prehospital Emergency Ultrasound in Patients With Acute Dyspnoea
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 350
- 试验地点
- 2
- 主要终点
- Accuracy of prehospital diagnosis after PEU in relation to the (correct) in-hospital diagnosis
研究概览
简要总结
Background: Acute dyspnoea is a common symptom in prehospital emergency medicine. As ultrasound gained in importance for diagnosis in patients with acute respiratory distress, it plays even a role in the prehospital setting. However, prehospital emergency ultrasound (PEU) remains challenging and requires knowledge and skills. New prehospital ultrasound devices offer the possibility for tele-supervision. The impact of tele-supervision of PEU in patients with acute dyspnoea is unclear.
Objective: This prospective observational study aims to evaluate the effect of PEU with tele-supervision on diagnosis, treatment strategies and cognitive load in comparison to PEU without tele-supervision in patients with acute dyspnoea.
Methods: In total 350 prehospital emergency patients with acute dyspnoea will be included in this study. Patients will be observed in two groups. In group 1 PEU will be performed with tele-supervision, whereas in group 2 PEU will be performed without tele-supervision (tele-supervision not available).
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
- •Patients will be included, if they suffer from acute dyspnoea and at least one of the two following signs of respiratory failure:
- •Respiratory rate >20 breaths per minute
- •Peripheral oxygen saturation without oxygen supplementation <90%
排除标准
- •under the age of 18
- •if PEU will lead to a delay of live-saving treatment or transportation
- •if patient rejects the PEU, the patient will be excluded
研究组 & 干预措施
Prehospital emergency ultrasound without tele-supervision
Prehospital emergency ultrasound of patients with acute dyspnea will be performed without tele-supervision.
干预措施: Prehospital emergency ultrasound without tele-supervision (Other)
Prehospital emergency ultrasound with tele-supervision
Prehospital emergency ultrasound of patients with acute dyspnea will be performed with tele-supervision.
干预措施: Prehospital emergency ultrasound with tele-supervision (Other)
结局指标
主要结局
Accuracy of prehospital diagnosis after PEU in relation to the (correct) in-hospital diagnosis
时间窗: through study completion, an average of 1 year
The aim of this study is to compare the accuracy of a prehospital emergency ultrasound (PEU) done with or without tele-supervison in patients suffering from acute dyspnoea and evaluate the accuracy of the diagnosis in relation to the (correct) in-hospital diagnosis.
次要结局
- Duration of prehospital emergency ultrasound (PEU)(through study completion, an average of 1 year)
- Agreement of diagnosis before PEU and after PEU(through study completion, an average of 1 year)
研究者
Christina Hafner
Clinical Investigator
Medical University of Vienna