Clinical trials: Prehospital Emergency Medical Services
Recognition of Thrombectomy Candidate
Implementation of Finnish Prehospital Stroke Scale to Emergency Medical Services
The investigators have developed a simple prehospital stroke scale (FPSS), containing 5 dichotomized items to recognize both large and small artery thrombi of the brain.
- Trial name
- NCT03520335
- Where
- Finland
- Volunteers
- 200 people
- Sponsor
- Tampere University Hospital
Emergencies
Improvement of Ambulance Response Times in Karachi, Pakistan
The investigators hypothesize that spatial analysis of the location data of ambulance calls can improve prehospital care provided by Aman Foundation in Karachi, Pakistan by decreasing ambulance response times for high acuity…
- Trial name
- NCT02743169
- Testing
- Spatially-Optimized
- Where
- Pakistan
- Volunteers
- healthy volunteers welcome
- Sponsor
- Johns Hopkins University
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
Pain, Acute Pain
Prehospital Analgesia With Intra-Nasal Ketamine
Acute painful conditions make-up a large proportion of pre-hospital transports in British Columbia (BC) yet Basic Life Support (BLS) paramedics have limited options to provide analgesia and therefore adequate and timely pain…
- Trial name
- PAIN-K (NCT02753114)
- Testing
- Ketamine, Normal Saline
- Where
- Canada
- Volunteers
- 120 people
- Sponsor
- University of British Columbia
Emergency Medical Dispatch Centre, Video Streaming
Dispatch of Emergency Call Using Video Streaming Compared With Traditional Telephone Communication
In the Emergency Medical Dispatch Center, all EMS dispatchers were divided into one of two clusters with 11 EMS dispatchers in each cluster.
- Conditions
- Emergency Medical Dispatch Centre, Video Streaming, Emergency Call, Prehospital Emergency Medical Services
- Trial name
- CAM-VISION (NCT05742412)
- Testing
- Video streaming (smartphone camera), Telephone (telephone microphone)
- Where
- Denmark
- Volunteers
- 20,539 people
- Sponsor
- Central Denmark Region
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.
Asthma, COPD
Prehospital Emergency Care of Obstructive Respiratory Emergencies With the Use of Teleconsultation
The aim of the study is to investigate the quality of prehospital emergency care in acute respiratory emergencies, when paramedics are supported telemedically by an EMS physician.
- Trial name
- NCT01644045
- Testing
- Teleconsultation
- Where
- Germany
- Volunteers
- 17 people
- Sponsor
- RWTH Aachen University
Acute Pain
A Randomized, Double-blind Comparison of Morphine and Sufentanil for Prehospital Traumatic Severe Acute Pain
Obtaining high-quality analgesia in prehospital patients with severe pain is an important treatment objective for medical team. Opioids are recognized as the treatment of choice for relief of severe acute pain.
- Trial name
- NCT00656773
- Testing
- Sufentanil, Morphine
- Where
- France
- Volunteers
- 108 people
- Sponsor
- University Hospital, Toulouse
Wounds and Injuries, Acute Coagulopathy
Rapid Administration of Blood by HEMS in Trauma
Trauma is a leading cause of death among people younger than 44 years. Five million people worldwide die from trauma annually. Uncontrolled haemorrhage causing traumatic-haemorrhagic shock (THS) is the leading cause of…
- Conditions
- Wounds and Injuries, Acute Coagulopathy, Trauma
- Trial name
- RABBIT (NCT03522636)
- Where
- 2 sites in Czechia
- Volunteers
- 100 people
- Sponsor
- Zdravotnicka Zachranna Sluzba Kralovehradeckeho Kraje
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
Brain Injuries, Traumatic, Brain Injuries, Acute
Critical Hyperacute Assessment Research On Neurobiomarker Kinetics in Acute Brain Injury
Traumatic brain injury (TBI) and other conditions that reduce blood flow to the brain - such as cardiac arrest (CA) - are life-threatening medical emergencies.
- Conditions
- Brain Injuries, Traumatic, Brain Injuries, Acute, Hypoxia, Brain, Cardiac Arrest (CA)
- Trial name
- CHARON (NCT07782216)
- Where
- 4 sites in Hungary
- Volunteers
- 477 people
- Sponsor
- University of Pecs
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
Acute Stroke
Smartphone-App Based Prediction of Large Vessel Occlusion
The aim of this non-interventional study is to evaluate a German version of the triage stroke-score FAST-ED performed by ambulance service personnel in a pre-hospital setting using a smartphone app (Join-Triage, Allm).
- Trial name
- NCT04404504
- Where
- Germany
- Volunteers
- 200 people
- Sponsor
- University Hospital, Essen
Epilepsy, Status Epilepticus
Diagnostic Value of Prehospital EEG in Non-convulsive Status Epilepticus
A large proportion of patients (up to 20%) who suffer from an epileptic seizure and remain unconscious suffer from a non-convulsive epileptic seizure.
- Trial name
- NCT02344706
- Testing
- Registration of EEG
- Volunteers
- 30 people
- Sponsor
- Helsinki University Central Hospital
Telemedicine, Triage
Mobile Transmission of Prehospital Vital Signs to the Emergency Department
The purpose of this study is to examine if real time transmission of vital signs, ECG and chat communication between the prehospital ambulances and the emergency department has an effect on patient mortality, ICU admission…
- Conditions
- Telemedicine, Triage, Emergency Medical Service
- Trial name
- NCT02090452
- Testing
- Real time transmission of patient related data. Device used: MobiMed 3.1, manufactured by Ortivus AB Sweden
- Where
- 3 sites in Denmark
- Volunteers
- 250 people
- Sponsor
- University of Aarhus
Wounds and Injuries, Respiratory Failure
Prehospital Ventilator-Associated Pneumonia Prevention Trial
Traumatic injury in rural America is a significant cause of morbidity and mortality, and the challenges of a rural trauma system can put patients at unique risk.
- Conditions
- Wounds and Injuries, Respiratory Failure, Pneumonia, Ventilator-Associated
- Trial name
- P-VAPP (NCT01902446)
- Testing
- Chlorhexidine gluconate
- Where
- United States
- Volunteers
- 70 people
- Sponsor
- Nicholas M Mohr
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
Stroke
Prehospital Management of Stroke Patients by Emergency Medical Services
Annually 12.000 people i Denmark suffer from a stroke. Treatment for ischemic stroke is available, but only 12% of stroke patients receive it.
- Trial name
- NCT02191514
- Where
- Denmark
- Volunteers
- 2,653 people
- Sponsor
- Emergency Medical Services, Capital Region, Denmark
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
Respiratory Failure, Status Epilepticus
Pilot Simulation RCT of Telemedical Support for Paramedics
This study evaluates the impact of video communication via telemedicine on the quality of emergency care provided to children by paramedic teams supported by a remote physician in a simulated out-of-hospital setting.
- Conditions
- Respiratory Failure, Status Epilepticus, Status Asthmaticus, Cardiopulmonary Arrest
- Trial name
- NCT03742167
- Testing
- Telemedicine
- Where
- United States
- Volunteers
- 72 people
- Sponsor
- Boston Medical Center