Acute Dyspnea, Echocardiography
Conditions
Keywords
Ultrasound diagnostics, Prehospital emergency medicine
Brief summary
Background: Acute dyspnoea is a common symptom in prehospital emergency medicine. As ultrasound gained in importance for diagnosis in patients with acute respiratory distress, it plays even a role in the prehospital setting. However, prehospital emergency ultrasound (PEU) remains challenging and requires knowledge and skills. New prehospital ultrasound devices offer the possibility for tele-supervision. The impact of tele-supervision of PEU in patients with acute dyspnoea is unclear. Objective: This prospective observational study aims to evaluate the effect of PEU with tele-supervision on diagnosis, treatment strategies and cognitive load in comparison to PEU without tele-supervision in patients with acute dyspnoea. Methods: In total 350 prehospital emergency patients with acute dyspnoea will be included in this study. Patients will be observed in two groups. In group 1 PEU will be performed with tele-supervision, whereas in group 2 PEU will be performed without tele-supervision (tele-supervision not available).
Interventions
Prehospital emergency ultrasound with tele-supervision in patients with acute dyspnoea
Prehospital emergency ultrasound without tele-supervision in patients with acute dyspnoea
Sponsors
Study design
Eligibility
Inclusion criteria
Patients will be included, if they suffer from acute dyspnoea and at least one of the two following signs of respiratory failure: * Respiratory rate \>20 breaths per minute * Peripheral oxygen saturation without oxygen supplementation \<90%
Exclusion criteria
* under the age of 18 * if PEU will lead to a delay of live-saving treatment or transportation * if patient rejects the PEU, the patient will be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy of prehospital diagnosis after PEU in relation to the (correct) in-hospital diagnosis | through study completion, an average of 1 year | The aim of this study is to compare the accuracy of a prehospital emergency ultrasound (PEU) done with or without tele-supervison in patients suffering from acute dyspnoea and evaluate the accuracy of the diagnosis in relation to the (correct) in-hospital diagnosis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Agreement of diagnosis before PEU and after PEU | through study completion, an average of 1 year | Is there an agreement between the diagnosis before performing the prehospital emergency ultrasound (PEU) and after performing it. |
| Duration of prehospital emergency ultrasound (PEU) | through study completion, an average of 1 year | Duration of prehospital emergency ultrasound (PEU) |
Countries
Austria
Contacts
Medical University of Vienna