Trials Sponsors Conditions Drugs Pricing

Conditions

Hypotension Point of Care Ultrasound Shock

Keywords

HypotensionEmergency carePoint of care UltrasoundShock

Outcome Measures

Primary Outcomes (1)

Patient Mortality Rates (7-day, 30 Day or Hospital Discharge)
Determine the proportion of patients living at 7-day, 30 Day or Hospital Discharge
7-day, 30 Day or Hospital Discharge

Secondary Outcomes (2)

Time taken to appropriate intervention
Within 8 hours
Unexpected change in diagnosis
First hour

Study Arms (2)

Control

NO INTERVENTION

This arm of the study will NOT receive point of care ultrasound. They will receive all other standard care implemented during their visit to the ED (currently, ultrasound is NOT standard of care). The same blood tests will be done in both groups, as this will offer a means of comparing physiological changes between the two arms.

Ultrasound

EXPERIMENTAL

This group WILL receive point of care ultrasound. The protocol they will receive is the ACES protocol (described above).

Device: Ultrasound (A point of care ultrasound protocol)

Interventions

Ultrasound (A point of care ultrasound protocol)Device

Bedside ultrasound will be used to view any intraperitoneal bleeding, pleural fluid, cardiac abnormalities, or structural abnormalities of major blood vessels. The results of this test will then be used to determine the best course of treatment for the patient.

Ultrasound

Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.

Eligibility Criteria

Age19 Years+

Sexall

Healthy VolunteersYes

Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

years of age or older
Systolic Blood Pressure under 100 OR Systolic BP under pulse (up to 120)

You may not qualify if:

Sponsors & Collaborators

Saint Göran Hospital
Type not reportedcollaborator
University of Michigan
Othercollaborator
Canadian Association of Emergency Physicians

Study Sites (6)

University of Manitoba

Winnipeg, Manitoba, Canada

Saint John Regional Hospital

Saint John, New Brunswick, E2L 4L2, Canada

Saskatoon Health Region

Saskatoon, Saskatchewan, S7K 0M7, Canada

GF Jooste Hospital

Manenberg, Cape Town, 7764, South Africa

Tygerberg Hospital

Cape Town, Western Cape, South Africa

Khayelitsha Hospital

Cape Town, South Africa

Related Publications (1)

Atkinson PR, Milne J, Diegelmann L, Lamprecht H, Stander M, Lussier D, Pham C, Henneberry R, Fraser JM, Howlett MK, Mekwan J, Ramrattan B, Middleton J, van Hoving DJ, Peach M, Taylor L, Dahn T, Hurley S, MacSween K, Richardson LR, Stoica G, Hunter S, Olszynski PA, Lewis DA. Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators. Ann Emerg Med. 2018 Oct;72(4):478-489. doi: 10.1016/j.annemergmed.2018.04.002. Epub 2018 Jun 2.
PMID: 29866583RESULT

MeSH Terms

Conditions

HypotensionShock

Interventions

Ultrasonography

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diagnostic ImagingDiagnostic Techniques and ProceduresDiagnosis

Study Officials

James D Milne, MD (Student)
Dalhousie Medical School
PRINCIPAL INVESTIGATOR
Paul Atkinson, MD
Saint John Regional Hospital, Horizon Health Network
PRINCIPAL INVESTIGATOR
Jacqueline Fraser, BN
Saint John Regional Hospital, Horizon Health Network
STUDY DIRECTOR

Enrollment

273 participants (actual enrollment reported by the registry).

Study Design

Study Type: interventional
Phase: not applicable
Allocation: RANDOMIZED
Masking: SINGLE
Who Masked: OUTCOMES ASSESSOR
Purpose: DIAGNOSTIC
Intervention Model: PARALLEL
Sponsor Type: OTHER
Responsible Party: PRINCIPAL INVESTIGATOR
PI Title: Dr. Paul Atkinson, Professor, Department of Emergency Medicine

Study Record Dates

First Submitted

August 15, 2011

First Posted

August 17, 2011

Study Start

August 2011

Actual (reported)

Sonography in Hypotension and Cardiac Arrest in the Emergency Department.

Brief Summary

Registry Overview

Trial Relationships

Study Timeline

Study Start

First Submitted

First Posted

Primary Completion

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (2)

Study Arms (2)

Control

Ultrasound

Interventions

Eligibility Criteria

You may qualify if:

You may not qualify if:

Sponsors & Collaborators

Study Sites (6)

Related Publications (1)

MeSH Terms

Conditions

Interventions

Condition Hierarchy (Ancestors)

Intervention Hierarchy (Ancestors)

Study Officials

Enrollment

Study Design

Study Record Dates

Source record

Locations

Brief Summary

Registry Overview

Trial Relationships

Related Scientific Literature

Study Timeline

Study Start

First Submitted

First Posted

Primary Completion

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (2)

Study Arms (2)

Control

Ultrasound

Interventions

Eligibility Criteria

You may qualify if:

You may not qualify if:

Sponsors & Collaborators

Study Sites (6)

Related Publications (1)

MeSH Terms

Conditions

Interventions

Condition Hierarchy (Ancestors)

Intervention Hierarchy (Ancestors)

Study Officials

Enrollment

Study Design

Study Record Dates

Source record

Locations