Keller Prehospital Ultrasound Study
The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2010 by Keller Fire Rescue.
Recruitment status was Not yet recruiting
Recruitment status was Not yet recruiting
Sponsor:
Keller Fire Rescue
Information provided by:
Keller Fire Rescue
ClinicalTrials.gov Identifier:
NCT01074112
First received: February 22, 2010
Last updated: February 23, 2010
Last verified: February 2010
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Purpose
The study is based on the premise that ultrasound is not commonly used in an ambulance. There are some departments that do deploy it into the field, but of those departments there is almost no data collected about its use. Currently Paramedics are not recognized by insurance companies as health care providers capable of performing ultrasound. If there were more data on the subject that may eventually change. We are hoping to prove that not only is ultrasound useful in an ambulance, but that paramedics are good at interpreting the results. We will save images, the paramedic's diagnosis and some basic information about the call. We will not save any protected health information (PHI) or any information linking the subject to the study. The data collected will be sent to a non-biased ultrasound reviewer to grade the images for the accuracy of diagnosis and the quality of the view obtained. This data will be used to formulate a report and statistics on paramedic's ability to perform ultrasound in the field.
| Condition | Intervention |
|---|---|
|
Ultrasonography Multiple Trauma Kidney Calculi Aortic Aneurysm, Abdominal Pregnancy Catheterization, Venous |
Device: EFAST exam Device: Pelvic Ultrasound Procedure: Ultrasound Guided Vascular Access Device: Focused Ultrasound Scan Device: Cardiac Ultrasound |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Cross-Sectional |
| Official Title: | Keller Fire Rescue Study of Prehospital Ultrasound Use |
Resource links provided by NLM:
Further study details as provided by Keller Fire Rescue:
Primary Outcome Measures:
- The Paramedic's ability to read an ultrasound will be determined [ Time Frame: After all study data has been collected ] [ Designated as safety issue: No ]Electronic images will be saved for each scan, and an interpretation log sheet will be filled out. Scans will be over-read in a blinded fashion by a certified emergency medical ultrasound physician. Studies will be scored on technical adequacy as well as image quality.
Secondary Outcome Measures:
- The frequency of ultrasound use in the prehospital environment will be determined [ Time Frame: After all study data has been collected ] [ Designated as safety issue: No ]The number and types of usage as well as basic call data will be recorded. By determining the call type and the field diagnosis we can determine not only the number of uses but whether they positively affected the clinical outcome whether in the hospital or prehospital environment.
| Estimated Enrollment: | 30 |
| Study Start Date: | March 2010 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Abdominal Trauma
Patients with mechanism of injury that could produce abdominal bleeding
|
Device: EFAST exam
Ultrasound of the heart, morisons pouch, pelvis, spleen and both lungs
Other Names:
Device: Cardiac Ultrasound
Ultrasound views of the heart
Other Name: Echocardiography, echocardiogram
|
|
Female Abdominal Pain
Female patients of child bearing age complaining of abdominal pain
|
Device: Pelvic Ultrasound
Ultrasound view of the pelvis. including the bladder and uterus
|
|
Difficult Vascular Access
Patients whom vascular access is needed but difficult
|
Procedure: Ultrasound Guided Vascular Access
Use of the ultrasound machine to identify a usable vein and guide the needle into the vein. After cannulation ultrasound is used to determine correct placement and identify extravasation.
|
|
Abdominal Aortic Anuerysm
Patients who complain of or are suspected of having an abdominal aortic aneurysm
|
Device: Focused Ultrasound Scan
Use of ultrasound to identify and measure structures in the abdomen, thorax, retroperitoneum, or other necessary places.
|
|
Pulseless Electrical Activity
Patients whom are in cardiac arrest and no pulse can be determined yet they show an electrical rhythm on the monitor
|
Device: Cardiac Ultrasound
Ultrasound views of the heart
Other Name: Echocardiography, echocardiogram
|
|
Kidney Stones (Hydronephrosis)
Patients who complain of flank pain
|
Device: Focused Ultrasound Scan
Use of ultrasound to identify and measure structures in the abdomen, thorax, retroperitoneum, or other necessary places.
|
|
Plueral Effusion
Patients with a history of renal or hepatic problems and complain of difficulty breathing of an unknown etiology
|
|
|
ETT placement
field intubated patients who need another means of verifying tube placement
|
Device: Focused Ultrasound Scan
Use of ultrasound to identify and measure structures in the abdomen, thorax, retroperitoneum, or other necessary places.
|
|
Transcutaneous Pacing
Patients who are being externally paced and need a method of determining mechanical capture
|
Device: Cardiac Ultrasound
Ultrasound views of the heart
Other Name: Echocardiography, echocardiogram
|
|
Paramedic Discretion
Patients in whom the paramedic feels that an ultrasound study would provide useful data in their treatment
|
Device: Focused Ultrasound Scan
Use of ultrasound to identify and measure structures in the abdomen, thorax, retroperitoneum, or other necessary places.
Device: Cardiac Ultrasound
Ultrasound views of the heart
Other Name: Echocardiography, echocardiogram
|
Show Detailed Description Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Study Population
Residents and visitors of Keller,TX and the cities that Keller Fire Rescue provides mutual aide services to
Criteria
Inclusion Criteria:
- Activation of the Keller Fire Rescue Emergency Medical Service
- Meets disease process criteria described earlier
Exclusion Criteria:
- Does not meet the disease process criteria
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01074112
Contacts
| Contact: Jason P Bowman, EMT-P | 817-992-1410 | jbowman@cityofkeller.com |
Locations
| United States, Texas | |
| Keller Fire Rescue | Not yet recruiting |
| Keller, Texas, United States, 76248 | |
| Contact: Jason P Bowman, EMT-P 817-992-1410 jbowman@cityofkeller.com | |
| Principal Investigator: Jason P Bowman, CCEMT-P | |
Sponsors and Collaborators
Keller Fire Rescue
More Information
Additional Information:
No publications provided
| Responsible Party: | Jason Bowman, FF/EMTP, Keller Fire Rescue |
| ClinicalTrials.gov Identifier: | NCT01074112 History of Changes |
| Other Study ID Numbers: | KFR-US-01 |
| Study First Received: | February 22, 2010 |
| Last Updated: | February 23, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Keller Fire Rescue:
|
Ultrasound Prehospital Trauma EMS Paramedics |
Sonography Ultrasonography Ambulance FAST EFAST |
Additional relevant MeSH terms:
|
Aneurysm Aortic Aneurysm Calculi Kidney Calculi Multiple Trauma Aortic Aneurysm, Abdominal Vascular Diseases Cardiovascular Diseases |
Aortic Diseases Pathological Conditions, Anatomical Nephrolithiasis Kidney Diseases Urologic Diseases Urolithiasis Urinary Calculi Wounds and Injuries |
ClinicalTrials.gov processed this record on May 22, 2013