Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
No participants enrolled due to organizational problems
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Background: Point-of-care ultrasound (POCUS) has been suggested as a useful tool in emergency medicine for diagnosis and treatment of reversible causes. However, in prehospital setting performing ultrasound and the translation of the findings can be challenging. As new prehospital ultrasound devices offer the possibility for remote supervision, the impact of tele-supervision on time to diagnosis of critically ill patients is unclear.
Aims: The aim of this study is to evaluate the impact of tele-supervision on the time of POCUS in prehospital critically ill patients by air rescue physicians.
Methods: In total 100 critically ill patients suffering from acute dyspnoea, circulatory failure or trauma, which are treated by air rescue physicians will be included in this study. Duration of ultrasound performance as well as altered treatment strategies will be analyzed.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Point-of-care ultrasound with tele-supervision | Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision. |
| |
| Point-of-care ultrasound without tele-supervision | Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed without tele-supervision. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Point-of-care ultrasound with tele-supervision | Other | Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision. |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of prehospital ultrasound between POCUS with or without tele-supervision | duration of prehospital ultrasound between POCUS with tele-supervision and POCUS without tele-supervision in critically ill patients (acute dyspnoea, circulatory failure, trauma). | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Alteration of treatent strategies | Investigating the impact of POCUS with tele-supervision in comparison to POCUS without tele-supervision on alteration of treatment strategies. | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Accuracy of suspected diagnosis in comparison to clinical findings | Investigating the impact of POCUS with tele-supervision in comparison to POCUS without tele-supervision on accuracy of suspected diagnosis in comparison to clinical findings. | through study completion, an average of 1 year |
Inclusion Criteria:
Critically ill patients suffering from acute dyspnoea, circulatory failure or trauma will be included.
Patients with acute dyspnoea will be included, if they show at least one of the two following signs of respiratory failure:
Patients with acute circulatory failure will be included, if they show at least one of the following signs:
Trauma patients will be included, if at least one cause is suspected:
Exclusion Criteria:
Not provided
Not provided
Not provided
100 critically ill patients with acute dyspnoea, circulatory failure or trauma, will be included in this study. In 50 patients POCUS with tele-supervision and in 50 patients POCUS without tele-supervision will be performed. Tele-supervision is available in 50% of the time. Allocation to one of the two groups depends on the availability of tele-supervision.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Department of Anaesthesia & General Intensive Care | Medical University of Vienna | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna, Department of Anaesthesia & General Intensive Care | Vienna | 1090 | Austria |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Point-of-care ultrasound without tele-supervision | Other | Point-of-care ultrasound of critically ill patients (acute dyspnoea, circulatory failure, trauma) will be performed with tele-supervision. |
|