Status:
COMPLETED
SatCare: Remote Support for Ambulance Clinicians in Medical Emergencies
Lead Sponsor:
University of Aberdeen
Collaborating Sponsors:
Scottish Ambulance Service
NHS Highland
Conditions:
Emergency Medical Services
Emergency Service, Hospital
Eligibility:
All Genders
16+ years
Phase:
NA
Brief Summary
SatCare is a randomised controlled trial involving rapid standardised ultrasound assessment of patients with shock, major trauma, abdominal pain, chest pain or breathlessness in emergency ambulances. ...
Detailed Description
Research objectives: * To assess the patient health impact of enhanced telecommunications and remotely-supported point-of-care ultrasound scanning (RS-POCUS) in prehospital situations * To assess the...
Eligibility Criteria
Inclusion
- Patients with:
- significant trauma: any case where the mechanism of injury, anatomical defect or physiological upset triggers the paramedic to pre-alert a 'trauma call' to the receiving Emergency Department
- chest pain: pain felt below the clavicles and above the costal margin, whether anterior or posterior
- shortness of breath: any patient complaining of 'shortness of breath' or with paramedic examination positive for 'respiratory distress' whether by increased respiratory rate, effort or both
- abdominal pain: any pain felt below the costal margin and above the bony pelvis
- cardiovascular shock of unknown origin: either a systolic blood pressure below 100 mmHg or any symptoms or signs of syncope on elevation of the head, cool peripheries or extended capillary refill time
- Attended by a study ambulance
- Recruitment occurs within the hours supported by the Emergency Department: Monday to Friday, 09:00 to 17:00
Exclusion
- Non-emergency ambulance transfers
- General practitioner requested emergency ambulances
- Patients under arrest or held in prison
- No potential value in performing ultrasound (e.g., none of the diagnoses listed above)
- Lack of consent for scan (if in intervention arm)
- Lack of capacity to consent to scan / no patient representative to provide consent
- Evidence of any condition leading to lack of capacity to give informed consent prior to the commencement of the study, as documented on the patient's electronic patient record
- Non-English speakers
- Outside the emergency department supported hours (Monday to Friday, 09:00 to 17:00)
- Paramedic decision to exclude patient, for reasons such as urgency of transport (i.e., where thorough on-scene evaluation would not normally be offered) or other lack of suitability
Key Trial Info
Start Date :
December 1 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 31 2019
Estimated Enrollment :
57 Patients enrolled
Trial Details
Trial ID
NCT03323229
Start Date
December 1 2017
End Date
January 31 2019
Last Update
February 21 2021
Active Locations (3)
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1
Centre for Rural Health
Inverness, Scotland, United Kingdom, IV2 3JH
2
NHS Highland: Raigmore Hospital
Inverness, Scotland, United Kingdom
3
Scottish Ambulance Service
Inverness, Scotland, United Kingdom