Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department

Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department - Retrospective Descriptive Analysis

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06573541

Enrollment

200

Registered

2024-08-27

Start date

2023-01-01

Completion date

2025-10-31

Last updated

2024-08-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Shock

Keywords

shock, ultrasound, emergency department

Brief summary

Context: shock is a serious pathology where diagnostic and therapeutic speed determines the prognosis, ultrasound can be a valuable aid for the emergency physician to differentiate the different types of shock and allow appropriate treatment. Hypothesis: what are the uses of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Emergency Department of Nancy? Main outcome: Describe the use of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Nancy Emergency Department Secondary outcome: Study the contribution of the use of different ultrasound techniques in the initial diagnostic and therapeutic management of patients depending on the type of shock state

Interventions

DEVICEUse of ultrasound

Use of ultrasound in the initial management of patients in shock

Study design

Observational model

CASE_ONLY

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* Age ≥ 18 years old * Shock (MAP \< 65 mmHg + lactate ≥ 2 mmol/l) * Admission to the Nancy ED between 01/01/2023 and 12/31/2023 * ICD-10 output coding: R57: shock, not elsewhere classified; R570: cardiogenic shock; R571: hypovolemic shock; R572: septic shock; R578: other shocks; R579: shock, unspecified; T794: traumatic shock; T782: anaphylactic shock, unspecified; or diagnosis of entry into intensive care including the word shock

Exclusion criteria

* Age \< 18 years old * Absence of shock * No passage through the Nancy ED * Patient whose initial treatment was carried out in another emergency department * State of shock occurring after going to the emergency department

Design outcomes

Primary

Measure	Time frame	Description
rate of ultrasound use	Day 0	use of different types of ultrasound or not for diagnostic and therapeutic purposes depending on the type of shock state

Secondary

Measure	Time frame	Description
rate of patients with care changes	Day 0	changes in initial diagnostic and therapeutic management when an ultrasound technique is used compared to patients who did not benefit from it (duration of passage to ED and treatment, time until diagnosis, vascular filling rate, catecholamine utilization rate)

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026