[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"prehospital-emergency-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:prehospital-emergency-care":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,48],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":29,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":47},"100631652","the-pre-poct-non-conveyance-trial-prehospital-point-of-care-testing-to-support-non-conveyance-decisions-100631652",false,"NCT07503470","The Pre-POCT-Non-Conveyance Trial: Prehospital Point-of-Care Testing to Support Non-Conveyance Decisions","Prehospital Point-of-Care Testing to Support Decision-Making in Alternative and Non-Conveyance Pathways: A Matched Parallel Cluster-Randomised Trial. The Pre-POCT-Non-Conveyance Trial","Inclusion Criteria:\n\n* Adults aged ≥18 years\n* Emergency call or general practitioner-commissioned ambulance dispatch following telephone triage only, including video streaming triage, resulting in ambulance dispatch\n* Initial on-scene assessments performed by the ambulance crew\n* Patients initially considered for hospital conveyance based on clinical assessment\n* Following telemedical consultation with an Emergency Medical Dispatch Centre (EMDC) physician, deemed eligible for point-of-care blood testing (POCT)\n* Hemodynamically and clinically stable according to predefined operational stability criteria (including Glasgow Coma Scale, blood pressure, oxygen saturation, and heart rate), with final eligibility determined by the EMDC physician based on overall clinical assessment and the patient's baseline status\n\nExclusion Criteria:\n\n* Non-emergency calls (e.g., interfacility transport or scheduled patient transport)\n* General practitioner-commissioned ambulance dispatches where the patient has been physically assessed by a general practitioner or another physician before ambulance arrival\n* Immediate need for emergency transport to hospital as determined by clinical assessment\n* Persistent unstable vital signs outside predefined operational thresholds, except for known chronic baseline deviations (e.g., reduced oxygen saturation in patients with chronic obstructive pulmonary disease or chronic tachyarrhythmia in atrial fibrillation)\n* Inability to obtain venous or capillary blood samples\n* Prior participation in the study within 30 days (to ensure complete outcome follow-up)","ALL","18 Years",{"count":19,"type":20},1500,"ESTIMATED","INTERVENTIONAL",[23],"NA","The goal of this clinical trial is to evaluate whether rapid blood tests performed in the ambulance can be implemented in routine prehospital assessment of adults who are initially considered for transport to hospital. Ambulance clinicians frequently assess adults who are transported to hospital but discharged shortly after arrival without requiring advanced diagnostic testing or treatment.\n\nIn this study, researchers will examine whether adding rapid point-of-care blood testing (POCT) at the scene supports ambulance clinicians and Emergency Medical Dispatch Centre (EMDC) physicians in making more informed decisions about hospital conveyance. POCT provides rapid measurements of biomarkers including infection markers, electrolytes, kidney function, blood counts, and total carbon dioxide, a proxy measure related to acid-base status.\n\nTen ambulance clusters will participate in a matched, cluster-randomized design. Half will provide standard care, and half will have access to POCT following consultation with an EMDC physician in patients who would otherwise be considered for hospital transport.\n\nThe main question is whether prehospital POCT can be performed, documented, and made available before the final conveyance decision in routine ambulance-based assessment. The study will also examine whether access to POCT is associated with a higher proportion of patients remaining at home rather than being transported to hospital.\n\nSafety outcomes will include hospital admission within 24 hours among non-conveyed patients, short-stay hospitalization, intensive care unit (ICU) admission, and 30-day mortality.\n\nThis study will evaluate the implementation of POCT-supported decision-making in prehospital care and explore whether it may increase non-conveyance without compromising patient safety.",[26,27,28],"Prehospital Emergency Medical Services","Prehospital Emergency Care","Point of Care Testing",[30,31,32,33,34],"emergency medical services","point of care testing","POCT","Non-conveyance","decision-making","RECRUITING","2026-05-29",{"date":38,"type":39},"2026-06-01","ACTUAL",{"date":41,"type":39},"2026-05-26",{"date":43,"type":20},"2027-12-31",{"name":45,"class":46},"Central Denmark Region","OTHER",1,{"id":49,"slug":50,"hasResults":11,"nctId":51,"briefTitle":52,"officialTitle":52,"acronym":53,"eligibilityCriteria":54,"healthyVolunteers":11,"sex":16,"minAge":55,"maxAge":4,"enrollmentInfo":56,"targetDuration":4,"studyType":58,"phases":4,"briefSummary":59,"conditions":60,"keywords":63,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":77,"completionDateStruct":79,"leadSponsor":81,"locationsCount":47},"100624788","study-of-pre-hospital-management-of-polytrauma-patients-by-medical-teams-from-a-department-in-the-parisian-region-100624788","NCT07414186","Study of Pre Hospital Management of Polytrauma Patients by Medical Teams From a Department in the Parisian Region","DELTA-91","Inclusion Criteria:\n\n* Age ≥ 15 years (upper age limit for the pediatric population)\n* Severe trauma, defined as any road traffic accident, defenestration, fall from a height greater than 3 meters, stab wound, or ballistic injury requiring medically supervised transport to one of the Level 1 trauma centers in the Île-de-France region\n* Prehospital management provided by one of the SMUR teams in the Essonne department (91)\n\nExclusion Criteria:\n\n* Patients declared dead at initial medical contact, without resuscitation initiated, or with resuscitation attempted and subsequently discontinued (non-return of spontaneous circulation)\n* Secondary inter-hospital transfer from another hospital to a Level 1 trauma center\n* Transport to a hospital for local computed tomography imaging only (without direct admission to a Level 1 trauma center)\n* Cases regulated (dispatched) by emergency coordination centers other than the Essonne (91) medical dispatch center","15 Years",{"count":57,"type":20},400,"OBSERVATIONAL","To study the impact of prehospital management duration by SMUR teams in the Essonne department (91) on early patient mortality (within 24 hours) and to analyze the procedures performed on scene.\n\nThe study hypothesis is that all-cause in-hospital mortality may be associated with the duration of prehospital care, with either a beneficial impact related to the performance of life-saving interventions or a negative impact due to prolonged time to access definitive treatment.\n\nIdentifying potential factors associated with prolonged prehospital management times could help define possible areas for improvement and future interventions.",[61,27,62],"Traumatic Injuries","Early Mortality",[64,30,65,66,67,68,69,70,71,72],"prehospital emergency care","wounds and injuries","trauma severity","time-to-treatment","on-scene time","early mortality","in-hospital mortality","advanced life support","emergency medical procedures","NOT_YET_RECRUITING","2026-02-10",{"date":76,"type":39},"2026-02-17",{"date":78,"type":20},"2026-03-01",{"date":80,"type":20},"2026-12-31",{"name":82,"class":46},"Centre Hospitalier Sud Francilien"]