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Emergencies clinical trials

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NCT ID: NCT06302764 Recruiting - Stress Clinical Trials

Emergency Medical Staff Workload Analysis

Start date: October 1, 2023
Phase:
Study type: Observational

The aim of this study is to identify trauma determinants and leverage this understanding to develop solutions applicable to the prevention and treatment of PTSD among emergency medical personnel. By categorizing stimuli associated with traumatic professional experiences, the study aims to enhance existing therapeutic protocols through exposure therapy. The specific objectives are as follows: 1. Analysis and characterization of occupational workloads among doctors and emergency medical personnel, focusing on the scale of burdens associated with PTSD symptoms. 2. Development of categories for aggravating and potentially traumatizing stimuli within the medical staff of rescue teams. 3. Examination of the feasibility of incorporating the obtained results into cognitive-behavioral therapy protocols. 4. Assessment of the potential for implementing the results in solutions utilizing virtual reality technology. 5. Formation of an interdisciplinary international research team.

NCT ID: NCT06301919 Recruiting - Clinical trials for Haemostasis Embolisation

Use of N-Butyl Cyanoacrylate in Transarterial Emergency Embolization

Start date: March 1, 2024
Phase:
Study type: Observational

NBCA is a synthetic biodegradable cyanoacrylate basis glue, modified by the addition of a monomer with adhesive, hemostatic, and antiseptic properties. Its use requires a steep learning curve to control emulsification of the NBCA/lipiodol mixture, and injection, to avoid non-target embolization. The aim of this retrospective monocentric study was to evaluate safety and efficacy of use of NBCA as embolic agent in emergency setting.

NCT ID: NCT06299774 Recruiting - Clinical trials for Emergency Medical Services

Emergency Care at Home

Start date: February 2, 2024
Phase: N/A
Study type: Interventional

This study will assess the efficacy of receiving emergency care at home versus in the brick-and-mortar emergency department.

NCT ID: NCT06292676 Recruiting - Home Birth Delivery Clinical Trials

Emergency Home Delivery. Learning Skills for Medical Doctors and Nurses. Kirkpatrick Levels of Learning

ERdeliv
Start date: January 1, 2024
Phase:
Study type: Observational [Patient Registry]

Mannequin training for emergency home delivery on medical doctors and nurses

NCT ID: NCT06271655 Recruiting - Clinical trials for Acute Respiratory Infection

Rapid Diagnosis of Viral Acute Respiratory Infection to Decrease Unnecessary Antibiotic Utilization in the Emergency Department (RADIATE)

RADIATE
Start date: March 12, 2024
Phase: N/A
Study type: Interventional

The study titled " The Effect of Definitive Identification of Viral Etiology in Emergency Department Patients with Acute Respiratory Infection on Antibiotic Utilization (RADIATE)" aims to investigate the effectiveness of a rapid diagnostic approach in reducing unnecessary antibiotic use in the emergency department (ED) for patients presenting with acute respiratory illness (ARI) due to a virus. Using a prospective design, eligible participants are individuals who visit the ED with complaints related to acute respiratory illness. The study will employ a single-arm consecutive enrollment approach. The intervention involves the implementation of a rapid point-of-care multiplex polymerase chain reaction (PCR) test to promptly identify the viral cause of the infection. By utilizing a rapid diagnostic tool to identify viral etiology, the study aims to provide healthcare professionals in the ED with more accurate information to guide treatment decisions. Ultimately, the goal is to decrease the unnecessary use of antibiotics for ARI's due to a virus, which has several negative outcomes including promotion of antibiotic resistance, exacerbating ED length of stay and encouraging unnecessary additional diagnostic tests.

NCT ID: NCT06257784 Recruiting - Clinical trials for Acute Respiratory Failure

Single Breath Counting Test for Acute Respiratory Failure in Emergency Department

STARED
Start date: March 30, 2022
Phase:
Study type: Observational

The purpose of the study is to determine whether SBCT is a useful tool for diagnosing the main form of failure respiratory acute and to define the SBCT limit associated with insufficiency respiratory in this population, the requirement for NIV or invasive ventilation. Furthermore, the correlation with the most common scores and indices used in the emergency room will be studied, such as: HACOR, MEW, REMS SCORE, ROS, CURB-65, qSOFA, SEVERITY INDEX OF PNEUMONIA, GWTG HF, LUNG ULTRASOUND SCORE, SINGLE BREATH COUNT

NCT ID: NCT06247982 Recruiting - De Novo Stenosis Clinical Trials

Bail-Out Stenting and Target-vessel Failure After Drug Coated Balloon Coronary percutaneouS Angioplasty for de Novo Lesions

BOSS
Start date: November 6, 2023
Phase:
Study type: Observational

The goal of this observational retrospective and prospective multicentric trial is to learn about the impact of bail-out stenting (BOS) after drug coated balloon (DCB) percutaneous coronary angioplasty (PCI) in de novo coronary stenosis.The main question to answer is: - if BOS PCI leads to an higher rate of 1-year target vessel failure that DCB-only PCI. Partecipants will recieve DCB PCI in de novo coronary stenosis. Treatments they'll be given should be: - DCB-only PCI - BOS PCI Reaserchers will compare DCB-only and BOS group to see if addictive stent implantation for DCB-PCI complication is relate to an higher rate of target vessel failure. Target vessel is the primary endpoint, defined as: - cardiovascular death - target vessel myocardial infarction - clinical driven target vessel revascularization - angiographic restenosis

NCT ID: NCT06245694 Recruiting - Clinical trials for Artificial Intelligence

Predictive and Advanced Analytics in Emergency Medicine - Neurological Deficits

PAN-EM-NEURO
Start date: January 1, 2022
Phase:
Study type: Observational

Future predictive modeling in emergency medicine will likely combine the use of a wide range of data points such as continuous documentation, monitoring using wearables, imaging, biomarkers, and real-time administrative data from all health care providers involved. Subsequent extensive data sets could feed advanced deep learning and neural network algorithms to accurately predict the risk of specific health conditions. Moreover, predictive analytics steers towards the development of clinical pathways that are adaptive and continuously updated, and in which healthcare decision-making is supported by sophisticated algorithms to provide the best course of action effectively and safely. The potential for predictive analytics to revolutionize many aspects of healthcare seems clear in the horizon. Information on the use in emergency medicine is scarce. Aim of the study is to evaluate the performance of using routine-data to predict resource usage in emergency medicine using the commonly encountered symptom of acute neurologic deficit. As an outlook, this might serve as a prototype for other, similar projects using routine medical data for predictive analytics in emergency medicine.

NCT ID: NCT06244238 Recruiting - Clinical trials for A Study on the Relationship Between Job Satisfaction and Retention Intentions of Emergency Room Nurses

A Study on the Relationship Between Job Satisfaction and Retention Intentions of Emergency Room Nurses

Start date: March 3, 2024
Phase:
Study type: Observational

Based on a survey conducted by the Nursing and Health Care Bureau of the Ministry of Health and Welfare in 2023, which investigated the recruitment and turnover rates of nursing personnel in 479 hospitals of different levels, the results revealed that the recruitment of nursing personnel was exceedingly challenging. The difficulty levels varied, with medical centers at 80%, regional hospitals at 67.9%, and district hospitals at 43.37%. Additionally, the turnover rates of nursing personnel were notably high, with medical centers at 10.21%, regional hospitals at 11.17%, and district hospitals at 14.52%. These rates all exceeded 10%, which means that, on average, one out of every ten nursing personnel resigned (Nursing and Health Care Bureau, Ministry of Health and Welfare, 2023). This study aims to investigate the relationship between job satisfaction and retention intention among emergency room nursing personnel in a regional teaching hospital in Yunlin County. In the fiscal year 2023, the unit experienced an alarming turnover rate of approximately 82% among newly hired personnel. Therefore, the study intends to conduct further research and exploration into the job satisfaction and retention intention of emergency room nursing personnel. The primary objectives of the research include examining the correlation between the demographic characteristics of emergency room nurses and their job satisfaction, the correlation between the demographic characteristics of emergency room nurses and their retention intention, and the correlation between job satisfaction and retention intention among emergency room nurses. The study's subjects are nurses or nursing staff employed in the emergency department. The research is conducted through the distribution of questionnaires, and all responses are collected anonymously. The questionnaire is structured into three main sections: the first section covers demographic characteristics, the second section addresses job satisfaction items, and the third section focuses on retention intention items. Upon collecting and encoding the data, the information will be compiled, and statistical analysis will be performed using Excel and SPSS version 25.0 statistical software to validate various research hypotheses. The expected outcome of the study is a positive relationship between job satisfaction and retention intention among emergency room nurses, indicating that job satisfaction influences retention intention.

NCT ID: NCT06233747 Recruiting - Suicidal Ideation Clinical Trials

Improving Care, Accelerating Recovery and Education

I-CARE
Start date: February 29, 2024
Phase: N/A
Study type: Interventional

The goal of this clinical trial is to test the I-CARE program in children who are in a medical hospital awaiting inpatient mental health treatment. The main questions it aims to answer are: - Can the I-CARE program be used at the medical hospitals and do the patients and hospital staff like the program? - Does the I-CARE program lower patients' emotional distress, thoughts about suicide or suicide attempts? Patients will complete as many of the 7 I-CARE videos as possible during their stay at the medical hospital and fill out online surveys. There are workbook activities that go with each I-CARE video. A hospital staff member will help the patient do the videos and workbook activities.