Live Stream of Prehospital Emergency Ultrasound in Patients With Acute Dyspnoea
Study Details
Study Description
Brief Summary
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).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Prehospital emergency ultrasound with tele-supervision Prehospital emergency ultrasound of patients with acute dyspnea will be performed with tele-supervision. |
Other: Prehospital emergency ultrasound with tele-supervision
Prehospital emergency ultrasound with tele-supervision in patients with acute dyspnoea
|
| Prehospital emergency ultrasound without tele-supervision Prehospital emergency ultrasound of patients with acute dyspnea will be performed without tele-supervision. |
Other: Prehospital emergency ultrasound without tele-supervision
Prehospital emergency ultrasound without tele-supervision in patients with acute dyspnoea
|
Outcome Measures
Primary Outcome Measures
- Accuracy of prehospital diagnosis after PEU in relation to the (correct) in-hospital diagnosis [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.
Secondary Outcome Measures
- Agreement of diagnosis before PEU and after PEU [through study completion, an average of 1 year]
Is there an agreement between the diagnosis before performing the prehospital emergency ultrasound (PEU) and after performing it.
- Duration of prehospital emergency ultrasound (PEU) [through study completion, an average of 1 year]
Duration of prehospital emergency ultrasound (PEU)
Eligibility Criteria
Criteria
Inclusion Criteria:
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%
Exclusion Criteria:
-
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
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Medical University of Vienna, Department of Anaesthesia & General Intensive Care | Vienna | Austria | 1090 |
Sponsors and Collaborators
- Medical University of Vienna
Investigators
- Study Chair: Department of Anaesthesia & General Intensive Care, Medical University of Vienna
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2411/2020