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In the anesthesiologist-manned mobile emergency car unit an analyzing device for blood gas testing is present since 2014. This study will determine if a prehospital arterial blood gas helps the doctor to make more precise diagnosis prehospitally. Furthermore it will be determined if the doctors find this device helpful in assessing and treating patients with affected consciousness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Take arterial blood gas | Patients with impaired consciousness are randomised into having analysed a arterial blood gas. |
| |
| Do not take arterial blood gas | Patients with impaired consciousness are randomised into not having analysed a arterial blood gas. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| With arterial blood gas, parameters not being normal can be corrected | Other | If arterial blood gas is analysed answers provide the possibility to make more accurate diagnosis and treat specific abnormal parameters (e.g. electrolytes, oxygenation and so forth). |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic accuracy | Will there be fewer observational diagnosis | 220 patients in 1.5 year |
| Measure | Description | Time Frame |
|---|---|---|
| Doctor satisfaction | Did the doctor find the arterial gas or lack of it affected the treatment and diagnosis | 220 patients in 1.5 year |
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Inclusion Criteria:
Exclusion Criteria:
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220 patients seen prehospital by the mobile emergency care unit in Odense, Denmark. Patients have to have impaired consciousness (Glasgow Coma Scale < 13).
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Odense University Hospital | Odense C | Odense | DK-5000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30885262 | Derived | Zwisler ST, Zincuk Y, Bering CB, Zincuk A, Nybo M, Mikkelsen S. Diagnostic value of prehospital arterial blood gas measurements - a randomised controlled trial. Scand J Trauma Resusc Emerg Med. 2019 Mar 18;27(1):32. doi: 10.1186/s13049-019-0612-8. |
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| ID | Term |
|---|---|
| D014474 | Unconsciousness |
| ID | Term |
|---|---|
| D003244 | Consciousness Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D001784 | Blood Gas Analysis |
| ID | Term |
|---|---|
| D001774 | Blood Chemical Analysis |
| D019963 | Clinical Chemistry Tests |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
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| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003933 | Diagnosis |
| D012129 | Respiratory Function Tests |
| D003948 | Diagnostic Techniques, Respiratory System |
| D008919 | Investigative Techniques |