Clinical trials: Prehospital Emergency
Ultrasound
Live Stream of Ultrasound in Prehospital Medical Care
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…
- Trial name
- NCT04612816
- Testing
- Prehospital ultrasound
- Where
- Austria
- Volunteers
- 25 people
- Sponsor
- Medical University of Vienna
Cardiac Arrest
Laryngeal Tube vs Laryngeal Mask Airway
Introduction: The laryngeal mask airway (LMA) is used as the primary airway by paramedics in Singapore Civil Defense Force's Emergency Ambulance Service (SCDF's EAS) in the management of out-of-hospital cardiac arrest, because…
- Trial name
- NCT02607644
- Testing
- Laryngeal Mask Airway (LMA), Laryngeal Tube (LT)
- Where
- Singapore
- Volunteers
- 965 people
- Sponsor
- Singapore General Hospital
Trauma, Craniocerebral Trauma
Early Versus Late Intubation Trial in Physician Manned Emergency Medical Services
This study looks at advanced airway management in critically ill or injured patients treated by physician manned emergency medical services, comparing early (on-scene) intubation to late (emergency department) intubation.
- Conditions
- Trauma, Craniocerebral Trauma, Intracerebral Hemorrhage, Seizures
- Trial name
- ELITE (NCT01730001)
- Testing
- Early Intubation, Late intubation
- Where
- 2 sites in Norway
- Sponsor
- Norwegian Air Ambulance Foundation
Brain Injuries
Feasibility Trial of Traumatic Brain Injured Patients Randomized in the Prehospital Setting to Either Hypertonic Saline and Dextran Versus Normal Saline
This clinical trial will evaluate the ease of conducting a randomized trial on patients with severe head injury who are cared for by paramedics in the out of hospital setting.
- Trial name
- TOPHR HIT (NCT00878631)
- Testing
- hypertonic saline mixed with dextran, Normal Saline
- Where
- 2 sites in Canada
- Volunteers
- 113 people
- Sponsor
- Unity Health Toronto
Acute Coronary Syndromes, ST Elevation Myocardial Infarction
Smartphone AI Assistance for Prehospital ECG Interpretation
Prehospital providers interpret 12-lead electrocardiograms (ECGs) under time pressure and without immediate expert support. Missed acute coronary occlusion - occlusion myocardial infarction (OMI) - delays reperfusion, while false…
- Conditions
- Acute Coronary Syndromes, ST Elevation Myocardial Infarction, Non-ST Elevated Myocardial Infarction, Myocardial Infarction (MI)
- Trial name
- ECG-IA (NCT07810686)
- Testing
- Smartphone large language model assistance (GPT-4o, version-locked)
- Where
- Switzerland
- Volunteers
- 144 people, healthy volunteers welcome
- Sponsor
- École Supérieure de Soins Ambulanciers - College of Higher Education in Prehospital Care
Cardiac Arrest
Basic Life Support Termination of Resuscitation Implementation Study
In Ontario, most people who experience a cardiac arrest at home (when their heart stops beating) only receive basic life support from Primary Care Paramedics (PCPs) and all are transported to the hospital.
- Trial name
- NCT00370461
- Where
- 7 sites in Canada
- Volunteers
- 350 people
- Sponsor
- Sunnybrook Health Sciences Centre
Emergency Medical Services, Airway Management
The Evaluation of Training an Emergency Reflex Action Drill in the Emergency Surgical Airway in Dutch Paramedics
The goal of this observational study is to learn about the effects of training an Emergency Reflex Action Drill (ERAD) for Emergency Surgical Airway (ESA) in Dutch paramedics.
- Conditions
- Emergency Medical Services, Airway Management, Cricothyroidotomy, Prehospital
- Trial name
- ERAD-ESA (NCT06645288)
- Testing
- Emergency Reflex Action Drill
- Where
- Netherlands
- Volunteers
- 84 people
- Sponsor
- Erasmus Medical Center
Congestive Heart Failure(CHF), Pulmonary Edema
Evaluating the Use of Prehospital Lung Ultrasound in EMS: A Multicenter Pilot Study
The goal of this prospective nonrandomized study is to determine if prehospital lung ultrasound findings result in a change in patient management.
- Trial name
- NCT07549334
- Testing
- Pulmonary ultrasound
- Where
- 2 sites in United States
- Volunteers
- 1,000 people
- Sponsor
- Rutgers, The State University of New Jersey
Acute Coronary Syndrome
Medical Telephone Triage of Emergency Calls for Thoracic Pain
Thoracic pain is the main symptom of acute coronary syndrome (ACS), urgent and serious illness. Whereas hospital mortality decreased until reaching 10%, out-of-hospital mortality remains high: half of the deaths occur during the…
- Trial name
- DOREMI2 (NCT02042209)
- Where
- 3 sites in France
- Volunteers
- 4,205 people
- Sponsor
- University Hospital, Toulouse
Trauma Injury, Pain
Sufentanil Used by Paramedics to Treat Pain in Acute Trauma
The new competence of paramedics to administer opioid analgesics in acute trauma patients without presence or phone-call consult with an emergency medical doctor will be assessed in this study.
- Trial name
- NCT04913402
- Testing
- Sufentanil administered by paramedics after the phone call consultation of medical doctor., Sufentanil administered by paramedics based on their competency, without consultation of medical doctor.
- Where
- Czechia
- Volunteers
- 158 people
- Sponsor
- Zdravotnicka Zachranna Sluzba Karlovarskeho Kraje, P.O.
Rhabdomyolysis, Virtual Reality
Evaluation of the Effectiveness of Using Virtual Reality Glasses in Prehospital Intervention Training for Crush Syndrome
This research is a randomized controlled study designed to develop and evaluate the effectiveness of a video-based virtual reality (VR) simulation for prehospital intervention training of crush syndrome for paramedic students.
- Conditions
- Rhabdomyolysis, Virtual Reality, Emergency Medical Services, Disaster Medicine
- Trial name
- NCT07361835
- Testing
- Virtual reality-based crush syndrome training, Traditional theoretical lecture
- Where
- Turkey (Türkiye)
- Volunteers
- 61 people, healthy volunteers welcome
- Sponsor
- Ege University
Intubation, Prehospital
Video Analysis of Prehospital Emergency Intubations
The Investigators' knowledge about pre-hospital emergency intubations is still limited. Various factors such as the average and the normal range of intubation time are still unknown.
- Conditions
- Intubation, Prehospital, Videolaryngoscopy
- Trial name
- NCT03929796
- Where
- Switzerland
- Volunteers
- 422 people
- Sponsor
- Insel Gruppe AG, University Hospital Bern
Echocardiography, Acute Dyspnea
Live Stream of Prehospital Emergency Ultrasound in Patients With Acute Dyspnoea
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.
- Trial name
- NCT04817488
- Testing
- Prehospital emergency ultrasound with tele-supervision, Prehospital emergency ultrasound without tele-supervision
- Where
- Austria
- Volunteers
- 350 people
- Sponsor
- Medical University of Vienna
Subarachnoid Hemorrhage
Prehospital Deaths From Spontaneous Subarachnoid Haemorrhages
In this study we aim to determine the incidence of fatal spontaneous subarachnoid haemorrhage outside hospital. Also, we aim to investigate these patient´s pattern of contact to the health care system immediately before their…
- Trial name
- NCT04052646
- Testing
- Medical condition: Subarachnoid hemorrhage
- Where
- Denmark
- Volunteers
- 58 people
- Sponsor
- Copenhagen University Hospital, Rigshospitalet
Respiratory Insufficiency, Intubation
Retrospective Data Analysis With the Aim to Determine the Success Rate of Endotracheal Intubation in the First Attempt in the Zug Rescue Service With Various Airway Devices Already in Everyday Use
Airway management is a critical procedure in emergency medicine, especially endotracheal intubation, which can be life-saving. Various techniques, such as video laryngoscopes and conventional laryngoscopes, are used, with success…
- Conditions
- Respiratory Insufficiency, Intubation, Airway Management, Prehospital Airway Management in Patients With Cardiac Arrest
- Trial name
- AWARE (NCT06653166)
- Testing
- bougie (S Guide), videolaryngoscopy
- Where
- Switzerland
- Volunteers
- 200 people
- Sponsor
- Rettungsdienst Zug
Sepsis, Sepsis Syndrome
Predict Sepsis; the Predictive Value of Bedside Measures in the Ambulance
Sepsis is a condition with a high mortality. Septic patients are frequently difficult to identify because of their non-specific presentations.
- Conditions
- Sepsis, Sepsis Syndrome, Sepsis, Severe
- Trial name
- NCT03249597
- Testing
- Blood test: Glukos, SuPAR, Laktat and HBP
- Where
- Sweden
- Volunteers
- 956 people
- Sponsor
- Karolinska Institutet
One-year Outcome After Prehospital Intubation
One-year Outcome After Prehospital Intubation
The primary aim of this study was to describe the long-term outcome of critically ill or severely injured patients not in cardiac arrest treated by an EMS physician.
- Trial name
- NCT02307123
- Testing
- Intubation
- Volunteers
- 483 people
- Sponsor
- Tampere University Hospital
Critically Ill, Major Trauma
Brain Oxygenation During Prehospital Anesthesia: an Observational Study
Brain oxygenation of adult patients undergoing prehospital emergency anesthesia is monitored using noninvasive near-infrared spectroscopy.
- Conditions
- Critically Ill, Major Trauma, Anesthesia, Emergencies
- Trial name
- BOPRA (NCT04144803)
- Testing
- Cerebral near-infrared spectroscopy
- Where
- 6 sites in Finland
- Volunteers
- 1,300 people
- Sponsor
- Helsinki University Central Hospital
End-of-life Care, Palliative Care
Prehospital Care of End-of-Life Patients by the Strasbourg Mobile Emergency and Resuscitation Service: A Qualitative Study of Healthcare Professionals' Experiences and Use of a Comfort Care Booklet
Prehospital end-of-life care presents complex clinical, ethical, relational, and organizational challenges for healthcare professionals working in the Strasbourg Mobile Emergency and Resuscitation Service (SMUR).
- Conditions
- End-of-life Care, Palliative Care, Prehospital Emergency Care, Healthcare Professionals' Experiences and Perceptions
- Trial name
- PALLI-SMUR1 (NCT07895940)
- Where
- France
- Volunteers
- 20 people
- Sponsor
- University Hospital, Strasbourg, France
Out-of-hospital Cardiac Arrest (OHCA)
Out-of-hospital Cardiac Arrest Epidemiology and Outcomes in Western Lithuania 2022-2028
Out-of-hospital cardiac arrest rate is common problem, because of high mortality rate. It is not clear incidence rate, epidemiology and outcomes in Lithuania
- Trial name
- NCT07622082
- Testing
- Protocol based
- Volunteers
- 4,000 people
- Sponsor
- Lithuanian University of Health Sciences