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Emergencies clinical trials

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NCT ID: NCT06069011 Completed - Clinical trials for Musculoskeletal Pain

Direct Access Physiotherapy in the Pediatric Emergency Department

PedEDmsk
Start date: September 18, 2023
Phase: N/A
Study type: Interventional

The goal of this clinical trial is to compare two methods of managing low acuity musculoskeletal complaints in children and adolescents ages 6 to 17.99 years in the pediatric emergency department. The main question it aims to answer is whether delivering care in two methods is feasible. Participants will receive care while in the emergency department and will be followed for a period of 1-month post-presentation.

NCT ID: NCT06064175 Completed - Analgesia Clinical Trials

"Management of Low Back Pain in the Emergency Department With Different Analgesic Dosages"

Start date: January 1, 2022
Phase: Phase 4
Study type: Interventional

The Management of Low Back Pain in the Emergency Department Worldwide, low back pain is one of the most prevalent musculoskeletal disorders, and it constitutes one of the primary complaints in emergency departments. A review of the literature reveals studies comparing ibuprofen to various agents (such as paracetamol, nimesulide, acetaminophen), and these studies suggest the use of ibuprofen due to its similar or superior efficacy and its safety profile. However, there is a lack of randomized controlled double-blind comparisons between the commonly recommended single doses of ibuprofen, which are 400 mg and 800 mg. Therefore, the objective of our planned study is to compare the analgesic efficacy of ibuprofen in the forms of 400 mg and 800 mg, which can be administered as a single dose, in the treatment of acute mechanical low back pain, as recommended in all guidelines.

NCT ID: NCT06041737 Completed - Renal Failure Clinical Trials

Determination of a Profile of Patients With Renal Failure to be Supported as a Priority in the Care Pathway in Order to Avoid Emergency Hospitalizations.

DETERPROFIPA
Start date: October 9, 2023
Phase:
Study type: Observational

The purpose of this study is to map the population of stage 4 and 5 kidney failure patients followed in consultation by the CHSF nephrology team and to determine the factors associated with recurrent hospitalizations.

NCT ID: NCT06011655 Completed - Suicide Clinical Trials

Attitudes and Stigma Towards Suicidal Behavior in Intensive Care and Emergency Service Nurses

Start date: November 1, 2022
Phase:
Study type: Observational [Patient Registry]

The aim of this study is to determine the attitudes and stigmatization levels of nurses working in the intensive care and emergency departments towards suicidal behavior.

NCT ID: NCT05996757 Completed - Emergencies Clinical Trials

Effect of Wet Clothing Removal Compared to Use of a Vapor Barrier in Accidental Hypothermia

Start date: March 20, 2017
Phase: N/A
Study type: Interventional

The optimal method of prehospital insulation and rewarming of hypothermic patients have been subject of debate, and there is a substantial lack og high-quality evidence to guide providers. One question concerns whether or not the patients clothing should be removed prior to being wrapped in an insulating model with a vapor barrier. Evaporative heat loss is one of four mechanisms of heat loss, and preventing evaporative heat loss should be a prioritized task for providers. Removal of wet clothing usually means subjecting the patient to the environment, but will reduce the evaporative heat loss considerably. An other alternative is to encapsulate the patient in a vapor barrier. Evaporative heat loss will stop when the humidity inside the vapor barrier reaches 100%. We aim to investigate whether it is recommended to removed wet clothing or encase the patient in a vapor barrier.

NCT ID: NCT05996315 Completed - Clinical trials for Adults >18 Years With Distal End Radius Fracture Requiring Closed Reduction in Emergency Department

Ultrasound Guided Supracondylar Nerve Block & Hematoma Block for Closed Reduction of Distal End Radius Fractures

Start date: September 15, 2022
Phase:
Study type: Observational

Comparison of analgesia between ultrasound guided supracondylar radial nerve block and hematoma block for closed reduction of distal end radius fractures- an observational study

NCT ID: NCT05994196 Completed - Length of Stay Clinical Trials

Evaluation of a Software for the Secondary Prioritization of Patients in the Pediatric Emergency Department

OPTIMUM
Start date: March 15, 2021
Phase: N/A
Study type: Interventional

The goal of this randomized, controlled, open-label trial is to test the use of secondary prioritization software (Optimum®) in the pediatric emergency department (PED). The aim of this study is to determine: 1. whether the use of this secondary prioritization software (Optimum®) reduces the patients' median length of stay (LOS) in the PED 2. how this software is accepted by the staff. The PED staff will be asked to manage the patients according to the Optimum® software indications (intervention) or according to the standard dashboard (control).

NCT ID: NCT05992961 Completed - Myocardial Injury Clinical Trials

The Effects of Troponin I Surveillance Among Patients Undergoing Acute High-risk Abdominal Surgery

Start date: February 1, 2018
Phase:
Study type: Observational

Treatment of disorders such as gastrointestinal tract (GI) perforation, ischemia and obstruction often require acute high-risk abdominal surgery, which is associated with a high risk of complications such as myocardial injury after non-cardiac surgery (MINS) and mortality. The majority of patients with MINS will not experience any symptoms, and thus MINS remains undetected without routine troponin measurements. The investigators hypothesized that implementing surveillance with troponin I as a standard care might be useful as risk stratification, and that increased surveillance, examinations, and subsequent individually based medical interventions, might improve the outcomes for patients with MINS.

NCT ID: NCT05971615 Completed - Critical Illness Clinical Trials

Evaluate the Relevance of the Use of Peripheral Venous Blood Gases for the Care of Patients in the S.A.U.V (Vital Emergency Rooms) of the CHU de Caen

GDS
Start date: January 15, 2020
Phase: N/A
Study type: Interventional

concordance between the lactate values on peripheral venous and arterial blood gases in all patients receiving an arterial sample on their arrival in the S.A.U.V.

NCT ID: NCT05961137 Completed - Sepsis Clinical Trials

Orange Park Out-of-Hospital Quality Improvement Study for Improving CMS Sepsis Core Measures

Start date: April 1, 2021
Phase: N/A
Study type: Interventional

The goal of this quality improvement study is to measure the impact of incorporation of a manual rapid fluid infuser (RFI) for intravenous crystalloid infusion in patients with suspected sepsis in the prehospital interval. The main question[s] it aims to answer are: - Does the intervention affect the timeliness of fluid administration? - Does the intervention affect CMS sepsis bundle care measure compliance? - Does the intervention affect processes and outcomes of care? - Are there any adverse effects? Researchers will compare this intervention to use of more conventional gravity or pressure-infusion bag crystalloid infusion.