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The goal of this study is to assess decision making skills of emergency physicians when dealing with hypotensive patients. The hypothesis is that decisions made based on physical exam and vital signs regarding fluid resuscitation by emergency physicians are not statistically equivalent to those that would be made based on the use of a non-invasive CVP measurement
If physicians can make appropriate decisions about the need for fluid resuscitation without CVP measurement, then this skill is worth being passed to physicians in training. Previously it was not possible gather enough information about the response of patients' because of the risk of using indwelling CVP sensors. But now because there is a low risk tool (Venus 1000 System), this study is now practical and safe.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients brought to Hahnemann Hospital ED |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mespere Venus 1000 CVP System | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| The correspondence of resuscitation decision and CVP value | The non-invasive CVP will be measured at the time of initial ordering decision by the ED physician. Afterwards, its relationship to the decision about whether to start intravenous fluid resuscitation will be analyzed. | At patient admission to ED |
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Inclusion Criteria:
Exclusion Criteria:
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Patients brough to Hahnemann Hospital ED
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| Name | Affiliation | Role |
|---|---|---|
| Neal Handly, MD | Drexel University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hahnemann Hospital | Philadelphia | Pennsylvania | United States |
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| ID | Term |
|---|---|
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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