[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"prehospital-emergency-medical-services\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:prehospital-emergency-medical-services":26},{"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":53,"acronym":4,"eligibilityCriteria":54,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":55,"targetDuration":4,"studyType":21,"phases":57,"briefSummary":58,"conditions":59,"keywords":61,"overallStatus":65,"whyStopped":4,"lastUpdateSubmitDate":66,"lastUpdatePostDateStruct":67,"startDateStruct":69,"completionDateStruct":71,"leadSponsor":73,"locationsCount":4},"100589124","ultrasound-applications-for-emergency-medical-technicians-in-taiwan-100589124","NCT06950333","Ultrasound Applications for Emergency Medical Technicians in Taiwan","The Development and Assessment of the Core Ultrasound Applications for Emergency Medical Technicians in Taiwan","Inclusion Criteria:\n\n* Patients presenting with one of the following conditions in the prehospital setting:\n\nTrauma Dyspnea (shortness of breath) Suspected stroke Out-of-hospital cardiac arrest (OHCA)\n\nExclusion Criteria:\n\n* Patients with hemodynamic instability or critical conditions requiring immediate resuscitation, making them unsuitable for focused prehospital ultrasound performed by EMT-Ps.\n* Patients under the age of 18.",{"count":56,"type":20},200,[23],"The goal of this prospective observational study is to develop and assess the core ultrasound applications for emergency medical technicians (EMTs) in Taiwan. The study focuses on advanced emergency medical technicians (EMT-Ps) and their ability to perform point-of-care ultrasound (POCUS) in prehospital settings.\n\nThe main questions it aims to answer are:\n\nCan a standardized POCUS training program improve EMT-Ps' competency in ultrasound applications? What is the reliability and validity of the newly established POCUS assessment modules for EMT-Ps? Researchers will compare trained EMT-Ps' ultrasound proficiency and clinical decision-making before and after training to see if structured POCUS education enhances diagnostic accuracy and patient care in prehospital settings.\n\nParticipants will:\n\nAttend a structured POCUS training program, including lectures and hands-on practice with standardized patients and simulation models.\n\nUndergo competency assessments, including written exams, objective structured clinical examinations (OSCEs), and image interpretation tests.\n\nPerform ultrasound scans on actual patients in prehospital settings, focusing on trauma, respiratory distress, stroke, and cardiac arrest cases.\n\nReceive feedback and participate in follow-up assessments to evaluate knowledge retention and clinical application.",[26,60],"Point-of-care Ultrasound",[62,63,64],"Prehospital ultrasound","emergency medical technicians","Education","NOT_YET_RECRUITING","2025-04-24",{"date":68,"type":39},"2025-04-30",{"date":70,"type":20},"2025-08-01",{"date":72,"type":20},"2028-12-31",{"name":74,"class":46},"National Taiwan University Hospital"]