Hypotension
Conditions
Keywords
Systolic Blood pressure < 100 mm Hg
Brief summary
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
Detailed description
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.
Interventions
Sponsors
Mespere Lifesciences Inc.
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients \>=18 years of age who enter the Emergency Department at Hahnemann Hospital with Systolic Blood pressure \< 100 mm Hg
Exclusion criteria
* Those patients who are suffering from traumatic injury requiring Level I or Level II trauma evaluations. Example conditions include penetrating injuries to head, torso and proximal extremities. * Additional
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The correspondence of resuscitation decision and CVP value | At patient admission to ED | 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. |
Countries
United States
Outcome results
None listed