Clinical trials: EMERGENCY MEDICINE
Sepsis, Septic Shock
Impact of the Introduction of a Performance Improvement Program on the Initial Management of Sepsis and Septic Shock in Adults in the Emergency Department: a Before-and-after Study (IPA-SOS)
The goal of this observational study is to evaluate if a performance improvement program can improve the initial management of sepsis and septic shock in adults at Brest University Hospital.
- Conditions
- Sepsis, Septic Shock, Critical Illness, Emergency Medicine
- Trial name
- IPA-SOS (NCT06657625)
- Testing
- Sepsis Performance Improvement Program
- Where
- France
- Volunteers
- 600 people
- Sponsor
- University Hospital, Brest
Telemedicine, Disaster Medicine
Feasibility of Telemedicine Under Ambulance Station Conditions
Our aim is to evaluate the feasibility of telemedicine in context of medical service in an ambulance station and in a further step in context of civil defense situations.
- Conditions
- Telemedicine, Disaster Medicine, Emergency Medicine
- Trial name
- NCT05388071
- Testing
- Usage of telemedicine and tele-consultation for treatment
- Where
- Germany
- Volunteers
- 404 people, healthy volunteers welcome
- Sponsor
- RWTH Aachen University
Aging, Polypharmacy
Biological Aging, Medication, Malnutrition and Inflammation Among Acutely Ill and Healthy Elderly.
In this study, the investigators will investigate and characterize acute medical patients in order to optimize patient courses in the acute care departments, especially with regard to polypharmacy and undernourishment.
- Conditions
- Aging, Polypharmacy, Malnutrition, Inflammation
- Trial name
- FAM-CPH (NCT03052192)
- Where
- Denmark
- Volunteers
- 212 people, healthy volunteers welcome
- Sponsor
- Hvidovre University Hospital
Lipid Disorder, Hypercholesterolemia
Emergency Medicine Cardiovascular Risk Assessment for Lipid Disorders Trial
Emergency Medicine Cardiovascular Risk Assessment for Lipid Disorders (EMERALD) is a protocolized intervention based on American College of Cardiology/American Heart Association and US Preventive Services Task Force guidelines…
- Conditions
- Lipid Disorder, Hypercholesterolemia, Cardiovascular Diseases, Atherosclerosis
- Trial name
- EMERALD RCT (NCT06488105)
- Testing
- Statin (rosuvastatin 10 or 40 mg daily, depending on risk), Healthy Lifestyle Counseling, Outpatient Followup
- Where
- United States
- Volunteers
- 130 people
- Sponsor
- Wake Forest University Health Sciences
Echocardiography, Medicine, Emergency
Concordance AUTOFEVG
Clinical ultrasound has become essential in emergency medicine. The guidelines are to use of echocardiography in specific contexts: dyspnea, hypotension or chest pain.
- Conditions
- Echocardiography, Medicine, Emergency, Technology Assessment, Biomedical, Heart Diseases
- Trial name
- CONCORDANCEVEF (NCT04641169)
- Testing
- echocardiography
- Where
- France
- Volunteers
- 60 people
- Sponsor
- Centre Hospitalier Universitaire de Nīmes
Emergencies, Orthopedics
Comparison of Supination/Flexion Maneuver to Hyperpronation Maneuver
This study is designed as a randomized controlled study. The investigators aim to compare the success of supination-flexion and hyperpronation maneuvers in the treatment of preschool children presenting to the emergency…
- Conditions
- Emergencies, Orthopedics, Radial Head Subluxation
- Trial name
- NCT05828641
- Testing
- Supination-flexion maneuver, Hyperpronation maneuver
- Where
- Turkey (Türkiye)
- Volunteers
- 119 people
- Sponsor
- Umraniye Education and Research Hospital
Low Back Pain, Headache
Safe Harbors in Emergency Medicine, Specific Aim 3
Many patients who present to the emergency department (ED) receive a vast array of diagnostic tests, some of which might not be useful.
- Conditions
- Low Back Pain, Headache, Head Injury, Minor
- Trial name
- NCT05410366
- Testing
- Safe harbor clinical practice guideline
- Where
- United States
- Sponsor
- Vanderbilt University Medical Center
Out of Hospital Cardiac Arrest
Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation
The hypothesis of this study is Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation (NAD-CPR) would improve survival of out-of-hospital cardiac arrest (OHCA).
- Trial name
- NCT02010151
- Testing
- NAD-CPR
- Where
- South Korea
- Volunteers
- 3,194 people
- Sponsor
- Seoul National University Hospital
Blood Loss
The MAR Method Versus the Visual Estimation Method in Predicting External Blood Loss
The goal of this educational clinical trial is to determine whether the MAR method is more effective than the Visual Estimation method for estimating blood loss.
- Trial name
- NCT06855472
- Testing
- The MAR method
- Where
- 2 sites in Turkey (Türkiye)
- Volunteers
- 237 people, healthy volunteers welcome
- Sponsor
- Betül Akbuğa Özel
Fevers, Pain
Lidocaine Lubricant in Pediatric Urethral Catheterization
In Emergency Departments (ED) across the nation there is renewed interest in finding ways to alleviate the pain and discomfort associated with many of the procedures that children must undergo.
- Trial name
- NCT00596375
- Testing
- Lubricant Instillation, Lidocaine Lubricant
- Where
- United States
- Volunteers
- 47 people
- Sponsor
- Children's Healthcare of Atlanta
Status Epilepticus
Improving Emergency Management of Status Epilepticus
In the trial the effectiveness of pre-briefing physicians with the current guideline on Status epilepticus (SE) treatment or a consolidated "one page" guideline regarding quality enhancement of the physician's clinical…
- Trial name
- SESIM (NCT03883516)
- Testing
- Pre-briefing with the current SE treatment guidelines, Pre-briefing with a consolidated "one page" SE treatment guide, No Pre-briefing
- Where
- Switzerland
- Volunteers
- 124 people, healthy volunteers welcome
- Sponsor
- University Hospital, Basel, Switzerland
Medical Education, Clinical Competence
Emergency Structured Clinical Examination Training bOX
This study assessed whether a training toolbox called ECOX could help medical students prepare for their objective structured clinical examination (OSCE) during an emergency medicine clerkship.
- Conditions
- Medical Education, Clinical Competence, Examination-Related Anxiety
- Trial name
- ECOX (NCT06124430)
- Testing
- ECOX workplace-based training toolbox
- Where
- France
- Volunteers
- 310 people, healthy volunteers welcome
- Sponsor
- University Hospital, Angers
Cardiopulmonary Arrest, Respiratory Arrest
Etomidate Versus Ketamine for Emergency Endotracheal Intubation: a Prospective Randomized Clinical Trial
Patients who are having problems breathing sometimes require placement of a breathing tube in their mouth and windpipe. The purpose of this breathing tube is to save the patient's life.
- Trial name
- EvK (NCT02643381)
- Testing
- Etomidate, Ketamine, Emergency Endotracheal Intubation
- Where
- United States
- Volunteers
- 801 people
- Sponsor
- University of Texas Southwestern Medical Center
Housing Problems, Drug Use
ED-Home Pilot Study
This is a single-arm pilot study to test the feasibility of homelessness prevention and substance use interventions to be delivered to at-risk patients in the Bellevue Hospital emergency department (ED).
- Conditions
- Housing Problems, Drug Use, Alcohol; Use, Problem
- Trial name
- NCT03864341
- Testing
- Referral to homelessness prevention services, Substance use services, Follow-up
- Where
- United States
- Volunteers
- 40 people
- Sponsor
- NYU Langone Health
Social Isolation, Loneliness
COVID-19 and Social Isolation and Loneliness Trial
Social isolation and loneliness worsen older peoples' quality of life, risk of dementia, and contributes to 45,000 deaths/year in Canada - as much as smoking.
- Conditions
- Social Isolation, Loneliness, Geriatric
- Trial name
- SIL (NCT05228782)
- Testing
- HOW R U? Intervention
- Where
- Canada
- Volunteers
- 141 people, healthy volunteers welcome
- Sponsor
- Mount Sinai Hospital, Canada
Opioids; Harmful Use
Piloting a Naloxone Intervention in Philadelphia
The escalating opioid overdose epidemic is one of the most serious public health problems confronting the U.S. Death due to drug overdose is a significant and rising cause of mortality and morbidity in Philadelphia.
- Trial name
- NCT03305497
- Testing
- Mobile Phone Application
- Where
- United States
- Volunteers
- 110 people, healthy volunteers welcome
- Sponsor
- Drexel University
Emergency Medicine, Well-Being, Psychological
ED Adaptive Staffing Study
Emergency Departments (EDs) across Ontario are being inundated with unprecedented high patient volumes and a staffing shortage that directly impacts patient care and flow.
- Trial name
- FAST-ED (NCT05937763)
- Testing
- Staffing model
- Where
- Canada
- Volunteers
- 5,917 people
- Sponsor
- Oak Valley Health
Emergency Medicine
Propensity to Hospitalize Patients From the ED in European Centers.
The peer-to-peer comparison means center-to-center comparison, which requires adjusting for possible differences among centers to be fair and convincing.
- Trial name
- eCREAM-UC1 (NCT06354764)
- Testing
- no intervention
- Where
- 2 sites in Italy
- Volunteers
- 162,000 people
- Sponsor
- Mario Negri Institute for Pharmacological Research
Hypertension, Self-Care Practices
Telemedicine-Based Behavioral Intervention to Improve Self-Care Among Hypertensive Patients
The goal of this quasi-experimental clinical study is to learn whether a telemedicine-based behavioral intervention can improve self-care practices among adult patients with hypertension receiving care at teaching hospitals in…
- Conditions
- Hypertension, Self-Care Practices, Medication Adherence, Hospital Admission
- Trial name
- NCT07412106
- Testing
- Telemedicine-Based Behavioral Counseling
- Volunteers
- 320 people
- Sponsor
- Bahir Dar University
Polypharmacy, Adverse Drug Reaction
Educational Intervention to Reduce Drug-related Hospitalizations in Elderly Primary Health Care Patients
The purpose of this study is to determine whether an educational intervention given towards health care providers working in primary health care centers can reduce inappropriate prescribing in the elderly patient and thus reduce…
- Trial name
- NCT01732302
- Testing
- Educational intervention
- Where
- Sweden
- Volunteers
- 69 people
- Sponsor
- Karolinska Institutet