[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"emergency\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:emergency":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,47,83,123,155],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":29,"overallStatus":34,"whyStopped":4,"lastUpdateSubmitDate":35,"lastUpdatePostDateStruct":36,"startDateStruct":39,"completionDateStruct":41,"leadSponsor":43,"locationsCount":46},"100639702","pilot-study-on-the-use-of-video-laryngoscopy-in-pre-hospital-settings-100639702",false,"NCT07630467","Pilot Study on the Use of Video Laryngoscopy in Pre-hospital Settings","Pilot Study on the Use of Video Laryngoscopy in Pre-hospital Settings: Evaluation of the Success Rate of Intubation on the First Attempt, Highlighting Criteria Specific to the Patient, the Practitioner and the Environment That May Influence This Rate.","VIDEOPREHOSP","Patient Inclusion Criteria:\n\n* Age \\> 18 years\n* Patients treated pre-hospital by a team from the Emergency Medical and Resuscitation Service (SMUR) at Valenciennes Hospital 2025-A02374-45\\_SUMMARY\\_v1.1 dated 04\u002F12\u002F2025 \\_VIDEOPREHOSP Page 3 of 4\n* Patients whose condition requires pre-hospital orotracheal intubation\n* Patient or relative who has given consent for inclusion\n* Patient affiliated with a social security scheme\n\nPratician Inclusion Criteria :\n\n* Practitioner at Valenciennes Hospital\n* Practitioner who is part of the EMS team\n\nExclusion Criteria:\n\n* Progressive pregnancy\n* Theoretical indication for orotracheal intubation but patient refuses invasive care, considered in this situation to be futile medical care\n* Insurmountable anatomical obstacle, in which case an emergency cricothyroidotomy or tracheotomy should be considered as the first line of treatment\n* Patients under guardianship or curatorship\n* Patients deprived of their liberty by court order","ALL","18 Years",{"count":20,"type":21},143,"ESTIMATED","INTERVENTIONAL",[24],"NA","Management of the upper airways is an essential skill in pre-hospital medicine in order to protect the respiratory tract and optimise ventilation and oxygenation. Orotracheal intubation remains the gold standard method in this context. In France, approximately 8% of primary SMUR interventions require intubation, representing 40,000 to 50,000 procedures per year, 30 to 40% of which are performed on patients in cardiorespiratory arrest.\n\nDespite an overall success rate of nearly 99%, 8 to 15% of intubations are considered difficult and the success rate on the first attempt is only 77.8%. Difficult intubations expose patients to significant complications, including desaturation (nearly 50% of cases), haemodynamic disorders and, more rarely, cardiopulmonary arrest (3% of cases). Pre-hospital conditions (environment, access to the patient, trauma, secretions, etc.) increase these risks. As a result, recent recommendations now consider any emergency intubation outside the operating theatre to be potentially difficult.\n\nThe introduction of video laryngoscopy represents a major technological advance. Its superiority has been demonstrated in hospital settings, particularly for difficult intubations, and it is now recommended as the first-line treatment in this context. However, unlike in the United States, where several studies suggest that it is safer and more effective than direct laryngoscopy, there are no specific recommendations or French studies concerning its use in pre-hospital medicine.\n\nGiven these factors and the lack of national data, it seems appropriate to conduct an exploratory French study to assess the place, effectiveness, benefits and constraints of video laryngoscopy in a pre-hospital setting. Investigator hypothesises that the success rate for the first attempt at intubation using video laryngoscopy will be 74%.",[27,28],"Emergency","Orotracheal Intubation",[30,31,32,33],"orotracheal intubation","pre-hospital","first attempt","videolaryngoscopy","RECRUITING","2026-06-03",{"date":37,"type":38},"2026-06-05","ACTUAL",{"date":40,"type":38},"2026-01-02",{"date":42,"type":21},"2026-12-02",{"name":44,"class":45},"Centre Hospitalier de Valenciennes","NETWORK",1,{"id":48,"slug":49,"hasResults":11,"nctId":50,"briefTitle":51,"officialTitle":51,"acronym":4,"eligibilityCriteria":52,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":53,"targetDuration":4,"studyType":22,"phases":55,"briefSummary":56,"conditions":57,"keywords":66,"overallStatus":34,"whyStopped":4,"lastUpdateSubmitDate":73,"lastUpdatePostDateStruct":74,"startDateStruct":76,"completionDateStruct":78,"leadSponsor":80,"locationsCount":46},"100597765","the-role-of-swan-ganz-catheter-in-hemodynamic-resuscitation-for-patients-with-cardiogenic-shock-100597765","NCT07062744","The Role of Swan-Ganz Catheter in Hemodynamic Resuscitation for Patients With Cardiogenic Shock","Inclusion Criteria:\n\n* Age ≥ 18 years.\n* Provided written informed consent to participate in the study.\n* Diagnosed with cardiogenic shock due to acute myocardial infarction according to IABP-SHOCK II (2012) criteria:\n\n  * Systolic blood pressure (SBP) \\\u003C 90 mmHg for at least 30 minutes, or requiring vasopressor agents to maintain SBP \\> 90 mmHg.\n  * Evidence of end-organ hypoperfusion, indicated by at least one of the following: Altered mental status, Urine output \\\u003C 30 mL\u002Fhour, Cold extremities with mottled skin, Serum lactate level \\> 2 mmol\u002FL.\n\nExclusion Criteria:\n\n* Presence of cervical cellulitis.\n* Inability to identify neck anatomy or history of cervical radiotherapy.\n* Coagulopathy (INR \\> 1.5 and\u002For platelet count \\\u003C 50 G\u002FL).\n* End-stage chronic diseases, including: Advanced malignancy, advanced-stage HIV, bedridden patients for more than 3 months, decompensated liver cirrhosis (Child-Pugh class C).\n* Patients with cardiac arrest or mechanical complications such as myocardial rupture prior to Swan-Ganz catheterization.\n* Congenital heart defects or intracardiac shunts. Refusal of participation by the patient or their legal representative.",{"count":54,"type":21},108,[24],"This clinical trial examines whether the use of the Swan-Ganz catheter, a specialized pulmonary artery catheter, can improve hemodynamic management and treatment outcomes in patients experiencing cardiogenic shock due to acute myocardial infarction (AMI).\n\nCardiogenic shock is a critical condition marked by the heart's inability to supply adequate blood to the organs, often resulting from a severe heart attack. Despite advancements in care, the condition remains associated with high mortality. Effective monitoring of cardiovascular status is crucial in guiding timely and tailored treatment decisions.\n\nParticipants in this study will undergo advanced hemodynamic monitoring using the Swan-Ganz catheter, which provides continuous data on cardiac output and other key parameters. This information enables physicians to better assess circulatory function and adjust therapies accordingly.\n\nThe research will evaluate clinical characteristics, response to treatment, and 30-day outcomes in patients managed with this technique. The study also aims to identify factors associated with successful hemodynamic stabilization and potential complications related to catheter use.\n\nA total of 108 adult patients meeting specific eligibility criteria will be enrolled at Bach Mai Hospital over 3 years. Participation is voluntary, and all patients will continue to receive standard-of-care treatment. All personal and medical data will be handled with strict confidentiality.",[58,59,60,61,62,63,64,27,65],"Cardiogenic Shock","Pulmonary Artery Catheter Waveform Interpretation","Hemodynamic Management","Hemodynamic Optimization","Hemodynamic Monitoring","Acute Myocardial Infarction (AMI)","Critical Care, Intensive Care","Cardio Vascular Disease",[67,68,69,70,71,72],"Swan-Ganz","Pulmonary Artery Catheter","Cardiogenic shock","Hemodynamic management","Invasive hemodynamic","Right Heart Catheter","2025-07-10",{"date":75,"type":38},"2025-07-14",{"date":77,"type":38},"2025-05-27",{"date":79,"type":21},"2027-12-30",{"name":81,"class":82},"Bach Mai Hospital","OTHER",{"id":84,"slug":85,"hasResults":11,"nctId":86,"briefTitle":87,"officialTitle":88,"acronym":89,"eligibilityCriteria":90,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":91,"targetDuration":4,"studyType":93,"phases":4,"briefSummary":94,"conditions":95,"keywords":99,"overallStatus":34,"whyStopped":4,"lastUpdateSubmitDate":73,"lastUpdatePostDateStruct":115,"startDateStruct":117,"completionDateStruct":119,"leadSponsor":121,"locationsCount":46},"100586256","dv-100-as-a-framework-for-the-hospital-incident-command-system-100586256","NCT06913010","DV 100 as a Framework for the Hospital Incident Command System","The Service Regulation DV 100 as an Organizational Structure for Establishing the Hospital Incident Command System","OrAKEL","Inclusion Criteria:\n\n* Participation in at least one hospital incident command system (ICS) training and, if applicable, in a ICS exercise.\n\nWritten informed consent from the employee for participation in the second part of the study (semi-structured interview)\n\nExclusion Criteria:\n\n* Decline of study participation",{"count":92,"type":21},20,"OBSERVATIONAL","There is limited scientific research on the organizational structure of the Hospital Incident Command System. The Hospital Alarm and Emergency Planning manual by the German Federal Office of Civil Protection and Disaster Assistance (BBK) recommends a continental staff system-based organization, as outlined in the Service Regulation DV 100, similar to military, fire, and police structures. This approach is frequently discussed at professional conferences, but evidence on its functionality in hospitals is lacking. This study aims to generate new insights into the use of a continental staff system-based Hospital Incident Command System and qualitatively analyze transition and communication processes within the command structure.",[96,97,27,98],"Disaster","Crisis Response Plan","Communication",[100,101,102,103,104,105,106,107,108,109,110,111,112,113,114],"Hospital Incident Command System","Continental Staff System","Service Regulation DV 100","Disaster Management","Emergency Planning","Hospital Alarm and Emergency Planning","Organizational Structure","Crisis Management","Communication Processes","Transition Processes","Healthcare Emergency Response","Civil Protection","Disaster Assistance","Incident Command Structure","Emergency Management Systems",{"date":116,"type":38},"2025-07-11",{"date":118,"type":38},"2025-04-29",{"date":120,"type":21},"2026-10-31",{"name":122,"class":82},"University Hospital Heidelberg",{"id":124,"slug":125,"hasResults":11,"nctId":126,"briefTitle":127,"officialTitle":127,"acronym":4,"eligibilityCriteria":128,"healthyVolunteers":11,"sex":17,"minAge":129,"maxAge":130,"enrollmentInfo":131,"targetDuration":4,"studyType":22,"phases":133,"briefSummary":134,"conditions":135,"keywords":140,"overallStatus":144,"whyStopped":4,"lastUpdateSubmitDate":145,"lastUpdatePostDateStruct":146,"startDateStruct":148,"completionDateStruct":150,"leadSponsor":152,"locationsCount":154},"100592415","a-multi-site-hybrid-type-i-effectiveness-implementation-randomized-trial-of-an-emergency-care-action-plan-for-infants-with-medical-complexity-100592415","NCT06993129","A Multi-Site Hybrid Type I Effectiveness-Implementation Randomized Trial of an Emergency Care Action Plan for Infants With Medical Complexity","Inclusion Criteria:\n\n* Age 0 to 6 months\n* Admitted to the University of Vermont Medical Center, Cincinnati Children's Hospital, Children's Hospital of Philadelphia, or Colorado Children's Hospital Neonatal Intensive Care Unit (NICU),\n* Meets or is expected to meet Children with Medical Complexity status as determined by the treating NICU clinician and defined as \"children with multiple significant chronic health problems including multiple organ systems, which result in functional limitations, high health care needs or utilization, and often require need for, or use of, medical technology.\"\n* Has three or more documented complex chronic conditions (CCCs)\n\nExclusion Criteria:\n\n* Does not have a caregiver participant who agrees to their participation in the study to complete follow-up surveys\n* Does not intend to use the hospital or affiliated sites of which they were recruited from for care during the one-year trial period","0 Months","6 Months",{"count":132,"type":21},500,[24],"Infants with medical complexity (IMC) are a challenging population with more emergency department visits, inpatient stays, and higher healthcare costs than other children. IMC also experience lower quality emergency health care. The PI and team propose to adapt and put into place an emergency care action plan (ECAP) for IMC across four US hospitals, working directly with medical providers and families in each setting. After the tool is made available to providers and families, the PI and team will measure if the ECAP tool helps decrease the number of hospitalizations (primary research outcome) for IMC, as well as if the ECAP is feasible, acceptable, and useable for those using the ECAP over a one-year period.",[136,137,27,138,139],"Chronic Disease Management","Infants Health","Utilization, Health Care","Caregiver Stress",[141,142,143],"Children with Medical Complexity","Hybrid Implementation Trial","Health Service Utilization","NOT_YET_RECRUITING","2025-06-03",{"date":147,"type":38},"2025-06-06",{"date":149,"type":21},"2026-04-01",{"date":151,"type":21},"2031-06-01",{"name":153,"class":82},"University of Vermont",4,{"id":156,"slug":157,"hasResults":11,"nctId":158,"briefTitle":159,"officialTitle":159,"acronym":160,"eligibilityCriteria":161,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":162,"targetDuration":163,"studyType":93,"phases":4,"briefSummary":164,"conditions":165,"keywords":4,"overallStatus":144,"whyStopped":4,"lastUpdateSubmitDate":170,"lastUpdatePostDateStruct":171,"startDateStruct":173,"completionDateStruct":175,"leadSponsor":177,"locationsCount":46},"100570462","italian-data-registry-of-patients-undergoing-peripheral-nerve-block-performed-in-the-emergency-departments-100570462","NCT06707558","Italian Data Registry of Patients Undergoing Peripheral Nerve Block Performed in the Emergency Departments","ED-RA","Inclusion Criteria:\n\n* Age ≥18 years;\n* NRS\\>3\n* Patients with traumatic fractures of ≤2 districts (radiologically confirmed (RX or CT). Districts are:\n\nChest (one hemilateral) Pelvis (one hemilateral) Femur Leg Ankle Foot Shoulder Humerus Forearm Hand\u002Ffingers\n\n\\- Presence of written informed consent to the study.\n\nExclusion Criteria:\n\n* Intubated patients\n* Patients with known dementia\n* Patients with delirium (assessed by Confusion Assessment Method)\n* Pregnant patients\n* Patients with allergies to local anesthetics\n* Patients unable to adequately communicate pain",{"count":132,"type":21},"7 Days","This data registry aim is to describe the practice of Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) in emergency departments of nosocomial hospitals where, the organizational structure, has already provided for the implementation of peripheral nerve blocks (PNB) in common clinical practice for the treatment of acute pain due to bone fractures.",[27,166,167,168,169],"Point of Care Ultrasound (POCUS)","Anesthesia","Acute Pain","Trauma","2024-11-26",{"date":172,"type":38},"2024-11-29",{"date":174,"type":21},"2024-12-10",{"date":176,"type":21},"2025-12-31",{"name":178,"class":82},"Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo di Alessandria"]