Live Stream of Ultrasound in Prehospital Medical Care

NCT04612816 | Completed

• 1 other identifier: Prehospital Ultrasound LBI/MUV
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Prehospital emergency ultrasound (PEU) is being increasingly used in different preclinical emergency systems across the world. Ultrasound examinations in emergency situations, however, remain challenging even in the hospital setting despite the availability of standardized approaches such as Focused Assessment with Sonography for Trauma (FAST). Preclinical circumstances further complicate the adequate execution of an additional diagnostic tool such as PEU on the scene or inside a medical emergency vehicle. Furthermore, rapid translation of ultrasound findings into meaningful therapeutic consequences is considerably demanding in an environment of limited resources. If focused PEU is correctly used and patients' condition allows emergency doctors a careful ultrasound examination, it is possible to differentiate life-threatening diagnoses. PEU should be implemented in the management of emergency patients affected by trauma, cardiac arrest/shock or respiratory problems. To date it is unclear whether PEU results in improved outcome. Some emergency cases present difficult challenges in the prehospital ultrasound examination. Portable devices designed for PEU suggest the possibility of increasing the use of ultrasound "in the field". However, to the investigator's knowledge, opportunities for real-time consultation with a second specialist including live transmission of the ultrasound picture are not being provided at any preclinical emergency facility.

Conditions

Ultrasound

Keywords

echocardiography; emergency medicine; telemedicine

Outcome Measures

Primary Outcomes (1)

• Quality of PEU live stream.

  Numerical scale (1-10; 1 = best, 10 = poor)

  3 Months

Secondary Outcomes (6)

• Identify obstacles for PEU transmission including a real time consultation of an ultrasound expert.

  3 Months

• Identify obstacles for PEU transmission including a real time consultation of an ultrasound expert.

  3 Months

• Identify obstacles for PEU transmission including a real time consultation of an ultrasound expert.

  3 Months

• Identify obstacles for PEU transmission including a real time consultation of an ultrasound expert.

  3 Months

• Identify obstacles for PEU transmission including a real time consultation of an ultrasound expert.

  3 Months

Interventions

Prehospital ultrasound OTHER

Feasibility of real time PEU transmission in a university affiliated preclinical emergency system.

Eligibility Criteria

• Age: 18 Years - 116 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

PEU should be implemented in the management of emergency patients affected by trauma, cardiac arrest/shock or respiratory problems.

You may qualify if:

• Emergency patients affected by:
• trauma
• cardiac arrest/shock
• respiratory problems

You may not qualify if:

• Patients rejection.
• Legal representative's rejection.

Sponsors & Collaborators

• Medical University of Vienna: lead

Study Sites (1)

Medical University of Vienna - Division of General Anaesthesia and Intensive Care Medicine

Vienna, 1090, Austria

Location

Related Publications (7)

• Botker MT, Jacobsen L, Rudolph SS, Knudsen L. The role of point of care ultrasound in prehospital critical care: a systematic review. Scand J Trauma Resusc Emerg Med. 2018 Jun 26;26(1):51. doi: 10.1186/s13049-018-0518-x.

  PMID: 29940990 BACKGROUND

• van der Weide L, Popal Z, Terra M, Schwarte LA, Ket JCF, Kooij FO, Exadaktylos AK, Zuidema WP, Giannakopoulos GF. Prehospital ultrasound in the management of trauma patients: Systematic review of the literature. Injury. 2019 Dec;50(12):2167-2175. doi: 10.1016/j.injury.2019.09.034. Epub 2019 Sep 28.

  PMID: 31627899 BACKGROUND

• Scharonow M, Weilbach C. Prehospital point-of-care emergency ultrasound: a cohort study. Scand J Trauma Resusc Emerg Med. 2018 Jun 18;26(1):49. doi: 10.1186/s13049-018-0519-9.

  PMID: 29914554 BACKGROUND

• Ketelaars R, Reijnders G, van Geffen GJ, Scheffer GJ, Hoogerwerf N. ABCDE of prehospital ultrasonography: a narrative review. Crit Ultrasound J. 2018 Aug 8;10(1):17. doi: 10.1186/s13089-018-0099-y.

  PMID: 30088160 BACKGROUND

• Marsh-Feiley G, Eadie L, Wilson P. Telesonography in emergency medicine: A systematic review. PLoS One. 2018 May 3;13(5):e0194840. doi: 10.1371/journal.pone.0194840. eCollection 2018.

  PMID: 29723198 BACKGROUND

• Schmid M, Dodt C. [Emergency lung ultrasound]. Med Klin Intensivmed Notfmed. 2018 Nov;113(8):616-624. doi: 10.1007/s00063-018-0485-z. Epub 2018 Oct 10. German.

  PMID: 30306189 BACKGROUND

• Hermann M, Hafner C, Scharner V, Hribersek M, Maleczek M, Schmid A, Schaden E, Willschke H, Hamp T. Remote real-time supervision of prehospital point-of-care ultrasound: a feasibility study. Scand J Trauma Resusc Emerg Med. 2022 Mar 24;30(1):23. doi: 10.1186/s13049-021-00985-0.

  PMID: 35331304 DERIVED

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Study Record Dates

• First Submitted: October 20, 2020
• First Posted: November 3, 2020
• Study Start: October 19, 2020
• Primary Completion: August 31, 2021
• Study Completion: August 31, 2021
• Last Updated: September 14, 2021

Record last verified: 2021-09

Locations

AU (1)