[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"emergency-medical-services\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:emergency-medical-services":31},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,9,0,[8,45,78,105,135,163,197,226,260],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":4,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":33,"lastUpdatePostDateStruct":34,"startDateStruct":37,"completionDateStruct":39,"leadSponsor":41,"locationsCount":44},"100591703","ipstrauc--impact-on-care-pathways-of-a-new-management-of-cervical-trauma-in-conscious-patients-stable-in-pre-hospital-care-100591703",false,"NCT06983873","IPSTRAUC : Impact on Care Pathways of a New Management of Cervical Trauma in Conscious Patients Stable in Pre-hospital Care","Impact on Care Pathways of a New Management of Cervical Trauma in Conscious Patients Stable in Pre-hospital Care","IPSTRAUC","Inclusion Criteria:\n\nPATIENTS\n\n* GCS 15\n* Stable (no organ failure, SBP ≥ 90 mmHg, DBP ≥ 65 mmHg, RF between 10 and 24 cycles\u002Fmin)\n* Cooperative (calm and obedient to instructions)\n* Victim of a closed cervical spine trauma treated in the pre-hospital setting (fire brigade and\u002For Mobile Emergency and Resuscitation Service (SMUR)).\n* Recent trauma (\\\u003C 48 hours).\n* Care regulated by the Emergency Medical Service (SAMU).\n* Beneficiary of a social security scheme.\n* Who can be contacted by telephone\n* Have received oral and written information and have not objected to taking part in the study.\n\nPROFESSIONAL\n\n* Age ≥ 18 years\n* Professional firefighter or EMS regulating doctor\n* Professional who has received training in the protocol and, in the case of the experimental group, in the CCRa rules\n* Fluency in French\n* Having received oral and written information and not having objected to their participation in the study.\n\nExclusion Criteria:\n\nPATIENTS\n\n* Life-threatening organ damage\n* Cardiorespiratory arrest since the traumatic event in question\n* Polytrauma patient\n* Penetrating trauma or a supra-clavicular wound following a knife or firearm injury\n* Known spinal disease or previous spinal surgery (ankylosing spondylitis, rheumatic fever, spinal stenosis, cervical spine surgery).\n* Acute paralysis (paraplegia, tetraplegia, hemiplegia, hemiparesis or documented sensory or motor deficit)\n* Diagnosed osteogenesis imperfecta.\n* Patients not regulated by EMS or transported to a hospital not participating in the study\n* Pregnant or breast-feeding women\n* Known situation of deprivation of liberty (safeguard of justice), guardianship or curatorship\n\nPROFESSIONALS\n\n\\- Persons referred to in articles L. 1121-5 to L. 1121-8 and L. 1122-1-2 of the Public Health Code (e.g. minors, protected adults, persons deprived of their liberty, persons under guardianship, curatorship, etc.).","ALL","18 Years","65 Years",{"count":21,"type":22},840,"ESTIMATED","INTERVENTIONAL",[25],"NA","The aim of the study is to evaluate the application of Canadian C-Spine rules adapted to pre-hospital settings in France in order to improve the appropriateness of cervical spine immobilisation, reduce unnecessary imaging examinations and optimise patient care pathways.",[28,29,30,31],"Prehospital Emergency","Neck Injury","Neck Trauma","Emergency Medical Services","RECRUITING","2026-06-29",{"date":35,"type":36},"2026-06-30","ACTUAL",{"date":38,"type":36},"2026-06-17",{"date":40,"type":22},"2030-06",{"name":42,"class":43},"Rennes University Hospital","OTHER",14,{"id":46,"slug":47,"hasResults":11,"nctId":48,"briefTitle":49,"officialTitle":49,"acronym":4,"eligibilityCriteria":50,"healthyVolunteers":11,"sex":17,"minAge":51,"maxAge":4,"enrollmentInfo":52,"targetDuration":4,"studyType":54,"phases":4,"briefSummary":55,"conditions":56,"keywords":4,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":77},"100629258","home-based-acute-care-for-older-persons-initiated-by-the-emergency-medical-and-ambulance-services---a-retrospective-observation-of-effects-on-healthcare-utilisation-and-mortality-100629258","NCT07472335","Home-based Acute Care for Older Persons Initiated by the Emergency Medical and Ambulance Services - a Retrospective Observation of Effects on Healthcare Utilisation and Mortality","Inclusion Criteria:\n\n* Contact with the emergency number (112), followed by either a telephone assessment by the Emergency Medical Dispatch Centre or an in-home assessment by an ambulance nurse\n* Home-based acute care a weekday between 8 AM - 4 PM\n* Emergency-department care weeknight 4 PM - 8 AM or weekends\n* Registered residence in one of the municipalities of Gothenburg, Mölndal, Partille, or Härryda\n\nExclusion Criteria:\n\n* Immediate conditions requiring hospital care\n* Care at the emergency department or by a mobile primary care team occurring more than 24 hours after assessment by the Emergency Medical Dispatch Centre or ambulance services\n* Individuals who have already been assessed by a physician and\u002For have a written referral to the emergency department","75 Years",{"count":53,"type":22},5000,"OBSERVATIONAL","This observational study aims to examine outcomes of home-based acute care delivered by a mobile healthcare team in persons aged 75 years and older following an episode of acute illness.\n\nThe study will assess whether home-based acute care initiated by the emergency medical dispatch centre or ambulance services is non-inferior to emergency department care with regard to care needs and mortality.",[57,58,59,60,31,61,62,63,64,65],"Aged","Home Care, Hospital-Based","Home Care Services","Emergency Medical Dispatch Centre","Ambulances","Emergency Service, Hospital","Acute Disease","Mortality","Treatment Outcome","NOT_YET_RECRUITING","2026-03-10",{"date":69,"type":36},"2026-03-16",{"date":71,"type":22},"2026-04-01",{"date":73,"type":22},"2027-12-31",{"name":75,"class":76},"Vastra Gotaland Region","OTHER_GOV",1,{"id":79,"slug":80,"hasResults":11,"nctId":81,"briefTitle":82,"officialTitle":83,"acronym":84,"eligibilityCriteria":85,"healthyVolunteers":11,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":86,"targetDuration":4,"studyType":54,"phases":4,"briefSummary":88,"conditions":89,"keywords":92,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":97,"lastUpdatePostDateStruct":98,"startDateStruct":100,"completionDateStruct":101,"leadSponsor":103,"locationsCount":77},"100626799","the-kaepacity-study-analyzes-hospital-emergency-and-disaster-plans-from-hospitals-across-germany-to-evaluate-how-well-hospitals-are-prepared-for-crises-and-disasters-organizational-structures-communication-leadership-training-are-examined-within-these-plans-no-medical-intervention-is-performed-100626799","NCT07440329","The KAEPacity Study Analyzes Hospital Emergency and Disaster Plans From Hospitals Across Germany to Evaluate How Well Hospitals Are Prepared for Crises and Disasters Organizational Structures Communication Leadership Training Are Examined Within These Plans No Medical Intervention is Performed","KAEPacity - Eine Vergleichende Analyse Der Krankenhausalarm- Und Einsatzpläne (KAEP) Deutscher Krankenhäuser","KAEPacity","Inclusion Criteria:\n\nGerman hospitals with a documented KAEP Institutional consent to provide KAEP documents for analysis\n\nExclusion Criteria:\n\nHospitals declining participation Specialized facilities without emergency or acute care services (e.g., rehabilitation clinics)",{"count":87,"type":22},319,"Hospital Emergency and Disaster Plans (Krankenhausalarm- und Einsatzplan-KAEP) are a central component of hospital preparedness in Germany. Despite national and international recommendations, considerable variability exists in structure, responsibilities, communication pathways, and training concepts across hospitals. This study aims to systematically analyze and compare KAEP documents from German hospitals using a structured qualitative and quantitative document analysis. The goal is to identify strengths, deficits, institutional influencing factors, and best-practice elements to support evidence-based improvements and harmonization of hospital emergency planning.",[90,31,91],"Disaster Planning","Germany",[93,94,95,96],"hospital preparedness","Disaster Preparedness","Healthcare Resilience","Crisis Management","2026-03-09",{"date":99,"type":36},"2026-03-11",{"date":97,"type":36},{"date":102,"type":22},"2026-12-30",{"name":104,"class":43},"Lea Kölsch",{"id":106,"slug":107,"hasResults":11,"nctId":108,"briefTitle":109,"officialTitle":109,"acronym":4,"eligibilityCriteria":110,"healthyVolunteers":111,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":112,"targetDuration":4,"studyType":23,"phases":114,"briefSummary":115,"conditions":116,"keywords":121,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":126,"lastUpdatePostDateStruct":127,"startDateStruct":129,"completionDateStruct":131,"leadSponsor":133,"locationsCount":77},"100620762","evaluation-of-the-effectiveness-of-using-virtual-reality-glasses-in-prehospital-intervention-training-for-crush-syndrome-100620762","NCT07361835","Evaluation of the Effectiveness of Using Virtual Reality Glasses in Prehospital Intervention Training for Crush Syndrome","Inclusion Criteria:\n\nBeing a second-year student currently enrolled in the first and emergency aid program at Muğla Sıtkı Koçman University.\n\nVoluntarily providing written informed consent to participate in the study. Having basic technological literacy to use virtual reality equipment.\n\nExclusion Criteria:\n\nFirst-year students who have not yet reached the relevant stage of the curriculum.\n\nStudents who have previously participated in a similar virtual reality-based crush syndrome simulation.\n\nStudents with medical conditions that may be aggravated by VR use (e.g., severe motion sickness, history of seizures).\n\nRefusal to participate voluntarily.",true,{"count":113,"type":22},61,[25],"This research is a randomized controlled study designed to develop and evaluate the effectiveness of a video-based virtual reality (VR) simulation for prehospital intervention training of crush syndrome for paramedic students. The study aims to examine the impact of VR simulation on knowledge levels, satisfaction, and sense of presence among second-year first and emergency aid students at Muğla Sıtkı Koçman University.",[117,118,31,119,120],"Rhabdomyolysis","Virtual Reality","Disaster Medicine","Crush Injuries",[122,123,124,125],"Prehospital Care","Paramedics","Simulation Training","Virtual Reality Simulation","2026-01-21",{"date":128,"type":36},"2026-01-23",{"date":130,"type":22},"2026-02",{"date":132,"type":22},"2026-05",{"name":134,"class":43},"Ege University",{"id":136,"slug":137,"hasResults":11,"nctId":138,"briefTitle":139,"officialTitle":140,"acronym":141,"eligibilityCriteria":142,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":143,"targetDuration":4,"studyType":23,"phases":145,"briefSummary":146,"conditions":147,"keywords":150,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":154,"lastUpdatePostDateStruct":155,"startDateStruct":157,"completionDateStruct":159,"leadSponsor":161,"locationsCount":77},"100531749","the-effect-of-prehospital-combination-of-epinephrine-vasopressin-and-steroid-in-ohca-100531749","NCT06203847","The Effect of Prehospital Combination of Epinephrine, Vasopressin, and Steroid in OHCA","A Randomized Clinical Trial of Patient Outcomes Following Out-of-Hospital Cardiac Arrest Receiving Epinephrine Versus In-together Vasopressin, Epinephrine, and Steroid. (OHCA REVIVES Trial)","REVIVES","Inclusion Criteria:\n\n* Adult patients (aged \\>= 18 )\n* Out-of-hospital cardiac arrest in the studied regions\n* Treated by paramedics authorized and capable of giving prehospital medication\n\nExclusion Criteria:\n\n* OHCA with traumatic etiology\n* Obvious signs of death like decapitation, rigor mortis, livor mortis, decomposition, etc.\n* DNR (Do Not Resuscitation) or termination of resuscitation requested by the family\n* Patients with known or suspected pregnancy\n* No vascular access was established before hospital arrival\n* ROSC before the administrated medication\n* No patient contact (cancelled ambulance call or the patient was transported to the hospital before the arrival of trial-trained paramedics)\n* Received epinephrine prior to the arrival of trial-trained paramedics",{"count":144,"type":22},1344,[25],"This project is a randomized controlled clinical research design, The hypothesis P-I-C-O of the study is: For adult patients in the Taipei City and New Taipei City communities who have suffered sudden non-traumatic death and have been resuscitated by advanced paramedics, the intervention group that receives combined drug treatment (epinephrine, vasopressin, methylprednisolone) has a better rate of sustained recovery of spontaneous circulation (ROSC) (primary outcome) and long-term survival status (secondary outcomes) compared to the control group that receives single drug treatment (epinephrine).",[148,149,31],"Cardiac Arrest","Out-Of-Hospital Cardiac Arrest",[149,31,151,152,153],"Corticosteroid","Epinephrine","Vasopressin","2025-11-16",{"date":156,"type":36},"2025-11-19",{"date":158,"type":36},"2024-07-16",{"date":160,"type":22},"2026-12-31",{"name":162,"class":43},"National Taiwan University Hospital",{"id":164,"slug":165,"hasResults":11,"nctId":166,"briefTitle":167,"officialTitle":168,"acronym":169,"eligibilityCriteria":170,"healthyVolunteers":111,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":171,"targetDuration":4,"studyType":23,"phases":173,"briefSummary":174,"conditions":175,"keywords":183,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":189,"lastUpdatePostDateStruct":190,"startDateStruct":192,"completionDateStruct":194,"leadSponsor":195,"locationsCount":77},"100593588","high-sensitivity-troponin-i-in-addition-to-guideline-based-care-in-ems-100593588","NCT07008391","High-Sensitivity Troponin I in Addition to Guideline-Based Care in EMS","High-Sensitivity Troponin I in Addition to Guideline-Based Care in Emergency Medical Service - an Open Randomized Controlled Trial","TIGER","Inclusion Criteria:\n\n* Chestpain \u002F discomfort and\u002For\n* Clinical suspicion of myocardial infarction by the prehospital personeel\n\nExclusion Criteria:\n\n* Patients suffering from a trauma and conveyed to the trauma level 1 hospital.\n* Missing valid social security number\n* Not beeing able to give informed consent\n* Not a primary assignment",{"count":172,"type":22},1419,[25],"The TIGER study is a study investigating the utlility of a point-of-care blood analyse of Troponin I to help identify patients with heart attacks in the prehospital emergency care. The study is conducted within the ambulance services of Region Stockholm and compares standard medical care with and without the addition of this quick test.\n\nChest pain is one of the most common reasons for ambulance dispatch, but currently only about one-third of heart attacks are detected before arriving at the hospital-mainly through ECG. The remaining two-thirds are not identified until after further testing at the emergency department. The TIGER study aims to improve early diagnosis by using a high-sensitivity, point-of-care Troponin I test already in the prehospital phase.\n\nThe study is a randomized controlled trial, where participants are randomly assigned to one of two groups. One group receives standard emergency care along with the rapid Troponin I test in the ambulance. The other group receives standard care without the test. The goal is to evaluate whether the use of Troponin I testing leads to faster and more accurate identification of heart attacks, ultimately improving patient outcomes.\n\nIn total, about 1,419 adult patients with chest pain or suspected heart attack will participate. The primary outcome being measured is the time from first medical contact to PCI (balloon angioplasty). Secondary outcomes include time spent in different parts of care, hospital length of stay, the occurrence of serious events (such as heart attack, stroke, or death), and the diagnostic accuracy of the test.\n\nThe study has been approved by the Swedish Ethical Review Authority and includes safety monitoring through an interim analysis after the first 150 patients. Test results from the Troponin I analysis are clearly marked as part of the research study and should be interpreted by the responsible physician alongside other clinical findings.",[31,176,177,178,179,180,181,182],"Nursing Care","Cardiology","Myocardial Infarction","Myocardial Infarction or Chest Pain","Myocardial Infarction, Acute","Emergencies","Ambulance",[182,184,185,186,187,188],"Prehospital emergency nurse","Sweden","Point-of-care","troponin","high sensitive troponin","2025-06-27",{"date":191,"type":36},"2025-07-02",{"date":193,"type":36},"2025-06-25",{"date":102,"type":22},{"name":196,"class":43},"Karolinska Institutet",{"id":198,"slug":199,"hasResults":11,"nctId":200,"briefTitle":201,"officialTitle":202,"acronym":203,"eligibilityCriteria":204,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":205,"targetDuration":4,"studyType":54,"phases":4,"briefSummary":207,"conditions":208,"keywords":212,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":218,"lastUpdatePostDateStruct":219,"startDateStruct":221,"completionDateStruct":223,"leadSponsor":224,"locationsCount":77},"100582641","sex-differences-in-prehospital-stroke-medicine-100582641","NCT06865950","Sex diffErences in prehoSpitAl Stroke MEdicine","Sex Differences in Prehospital Acute Management of Suspected Stroke Patients","SESAME","Inclusion Criteria:\n\n* For all participants:\n* Adults aged 18 years of age and older\n* Emergency call to the national emergency telephone number because of acute symptoms\n* EMS treatment\n\nFor cohort 1:\n\n\\- Working diagnosis of acute stroke or TIA raised by the emergency medical dispatch centre\n\nFor cohort 2:\n\n\\- Working diagnosis of acute stroke or TIA raised by the EMS personnel at the emergency site\n\nFor cohort 3:\n\n\\- Hospital confirmed diagnosis of acute stroke or TIA\n\nExclusion Criteria:\n\n* Patients, who have acute stroke symptoms but do not involve the EMS and make their way to hospital themselves",{"count":206,"type":22},2000,"Background: Stroke is a leading cause for individual, family and societal harm with huge health-economic impact. Immediate and correct prehospital acute stroke pathway initiation is key for treatment success.\n\nEvidence points towards sex inequity in management pathways of acute stroke care. A complicating factor in acute stroke management is the diversity in clinical presentation among patients of different sex. This increases the challenges of correct prehospital identification.\n\nMost of the currently available data on male and female differences in acute stroke management come from patients with hospital-confirmed stroke. Little to no information is available about sex-related management differences of patients with prehospital suspected stroke, often missed by stroke quality databases.\n\nObjectives: To identify sex differences in EMS-delivered prehospital diagnostic accuracy and management of patients with suspected or confirmed acute stroke.\n\nMethods: International project collaboration to conduct a cross-regional cohort analysis of patients with a prehospital working diagnosis of stroke and\u002For hospital-confirmed stroke diagnosis.\n\nRelevance: More information and details about the reasons for a potential prehospital treatment inequity are a necessary next step for any improvement and subsequent development of structured training programmes for emergency medical service personnel. This project is the first large-scaled international collaboration addressing sex differences in prehospital stroke care. With this approach the project will not only lead to more urgently needed information, but will also serve as a lighthouse project for raising general awareness for this topic.",[209,31,210,211],"Stroke Acute","Sex Characteristics","Prehospital Setting",[213,214,215,216,217],"stroke","sex differences","ambulance service","stroke treatment","inequality","2025-05-15",{"date":220,"type":36},"2025-05-21",{"date":222,"type":36},"2025-05-01",{"date":160,"type":22},{"name":225,"class":43},"Universität des Saarlandes",{"id":227,"slug":228,"hasResults":11,"nctId":229,"briefTitle":230,"officialTitle":230,"acronym":231,"eligibilityCriteria":232,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":233,"targetDuration":4,"studyType":23,"phases":235,"briefSummary":237,"conditions":238,"keywords":243,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":251,"lastUpdatePostDateStruct":252,"startDateStruct":254,"completionDateStruct":256,"leadSponsor":258,"locationsCount":77},"100520028","phase-3-fentanyl-or-esketamine-for-traumatic-pain-fore-pain-trial-100520028","NCT06051227","Fentanyl or Esketamine for Traumatic PAIN (FORE-PAIN) Trial","FORE-PAIN","Inclusion Criteria:\n\n* age ≥ 18 years\n* pain has been caused by a trauma (any trauma mechanism) that occurred on the same day\n* Emergency Medical Services personnel determines that administration of a strong opioid or esketamine for analgesia is required\n* patient will be transported to a hospital\n\nExclusion Criteria:\n\n* (estimated) weight \\\u003C40 or \\>100 kg\n* subject does not understand Dutch or English\n* inability to report pain score\n* inability to give IN or IV medication\n* known severe cardiovascular disease\n* pre-eclampsia\n* Glasgow Coma Scale score \\\u003C 11\n* subject is known to have previously declined participation in medical research",{"count":234,"type":22},608,[236],"PHASE3","Fentanyl and esketamine are both standard of care for treatment of acute severe traumatic pain in the prehospital setting in the Netherlands. However, it is not known whether they are equally effective and safe. It is also not known whether intranasal (IN) administration of fentanyl or esketamine is equally effective and safe as intravenous (IV) administration.\n\nThe FORE-PAIN trial is a double-blind multi-arm randomized non-inferiority trial comparing Fentanyl IN, esketamine IV and esketamine IN (intervention arms) to fentanyl IV (comparator arm) for prehospital management of traumatic pain. The investigators hypothesize that all intervention arms provide analgesia that is non-inferior to the comparator arm, and that all study arms are equally safe.",[239,240,241,242,31],"Acute Pain Due to Trauma","Analgesia","Fentanyl","Esketamine",[244,245,246,247,248,249,250],"Analgesics","Ketanest","Administration, intranasal","Administration, intravenous","Pain management","Drug-Related Side Effects and Adverse Reactions","Anesthetics","2025-01-28",{"date":253,"type":36},"2025-01-30",{"date":255,"type":36},"2024-01-11",{"date":257,"type":22},"2026-03",{"name":259,"class":43},"Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)",{"id":261,"slug":262,"hasResults":11,"nctId":263,"briefTitle":264,"officialTitle":265,"acronym":266,"eligibilityCriteria":267,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":268,"targetDuration":4,"studyType":23,"phases":270,"briefSummary":271,"conditions":272,"keywords":277,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":284,"lastUpdatePostDateStruct":285,"startDateStruct":287,"completionDateStruct":289,"leadSponsor":291,"locationsCount":293},"100566050","evaluation-of-the-relevance-of-diaphragmatic-stroke-ultrasound-for-the-etiological-diagnosis-of-acute-respiratory-distress-in-an-emergency-department-100566050","NCT06650137","Evaluation of the Relevance of Diaphragmatic Stroke Ultrasound for the Etiological Diagnosis of Acute Respiratory Distress in an Emergency Department.","Evaluation of the Relevance of Diaphragmatic Stroke Ultrasound for the Etiological Diagnosis of Acute Respiratory Distress in an Emergency Department: a Prospective Multicenter Study.","EchoDiaph","Inclusion Criteria:\n\n* Patients 18 years of age or older;\n* Patient with ARD defined by respiratory rate (RR) strictly superior to 25 and\u002For signs of struggle which are: thoraco-abdominal rocking, active abdominal breathing, recruitment of extra-diaphragmatic respiratory muscles AND\n* peripheral saturation (SpO2) strictly inferior to 90% and\u002For hypercapnic acidosis (pH strictly inferior to 7.35 and pCO2 strictly superior to 45mmHg) on arterial blood gases;\n* Spontaneous ventilation.\n* Patients presenting a clinical severity score of Grade 1 with signs of struggle, as well as those with Grade 2 and Grade 3. A clinical severity score will be used as follows: Grade 1: Minimal polypnoea with respiratory rate (RR) between 20 and 25 ; Grade 2: Moderate polypnoea with respiratory rate (RR) between 25 and 35; Grade 3: Major polypnoea with respiratory rate (RR) between 35 to 50.\n\nExclusion Criteria:\n\n* Adult protected by law (guardianship, curatorship, legal protection)\n* Refusal of consent after information\n* Patient on non-invasive ventilation ;\n* Patient on mechanical ventilation;\n* Respiratory rate superior to 50\u002Fmin\n* Patient currently being treated for infectious pneumopathy with antibiotics;\n* Pregnant or breast-feeding women;\n* Patients with any known history of diaphragmatic pathologies.\n* Illiterate or unable to understand the purpose and methodology of the study.\n* Patient not affiliated to a social security scheme or not benefiting from such a scheme.\n* Person deprived of liberty (by judicial or administrative decision, or forced hospitalization)\n* Person participating in another study with an exclusion period still in progress,",{"count":269,"type":22},100,[25],"The goal of this Prospective interventional multicenter diagnostic study is to investigate the use of diaphragmatic ultrasound (DE) as a diagnostic tool in an adult emergency department for patients in acute respiratory distress.\n\nThe main question it aims to answer is to evaluate the relevance of measuring the Sum of Plateau Times (SPT) by Clinical Ultrasound in Emergency Medicine (CHEM) for the diagnosis of pneumopathy during acute respiratory distress (ARD) in the Emergency Department.\n\nSecondary objectives include the study of other diaphragmatic ultrasound parameters, inspiratory plateau time (IPT) and expiratory plateau time (EPT), and the diagnostic relevance of PTS for the diagnosis of decompensation of Chronic obstructive pulmonary disease (BPCO) and acute cardiogenic pulmonary edema (APO).\n\nEach eligible patient will have a right diaphragmatic ultrasound performed by a trained physician, then clinicobiological data will be collected later from medical records, and the etiological diagnosis will be established by a committee of 2 experts in the management of respiratory distress.",[273,274,275,31,276],"Pneumonia","Diaphragm; Movement","Diaphragmatic Ultrasound","Acute Respiratory Distress Syndrome (ARDS)",[278,279,273,280,281,282,283],"Diaphragmatic ultrasound,","ultrasonography","Diaphragm","Acute respiratory failure","Emergency","Diaphragmatic excursion","2024-12-03",{"date":286,"type":36},"2024-12-06",{"date":288,"type":36},"2024-11-27",{"date":290,"type":22},"2026-11-01",{"name":292,"class":43},"University Hospital, Montpellier",2]