Sonography in Hypotension and Cardiac Arrest in the Emergency Department.

• Register: ClinicalTrials.gov
• Last refreshed on: 12 December 2020
• Main ID: NCT01419106
• Date of registration: 15/08/2011
• Prospective Registration: No
• Primary sponsor: Horizon Health Network
• Public title: Sonography in Hypotension and Cardiac Arrest in the Emergency Department. SHoC-ED
• Scientific title: SHoC-ED: Sonography in Hypotension and Cardiac Arrest in the Emergency Department.
• Date of first enrolment: August 2011
• Target sample size: 273
• Recruitment status: Completed
• URL: https://clinicaltrials.gov/show/NCT01419106
• Study type: Interventional
• Study design: Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Diagnostic. Masking: Single (Outcomes Assessor).
• Phase: N/A

Countries of recruitment

Canada, South Africa

Contacts

• Name: James D Milne, MD (Student)
• Affiliation: Dalhousie Medical School

• Name: Jacqueline Fraser, BN
• Affiliation: Saint John Regional Hospital, Horizon Health Network

• Name: Paul Atkinson, MD
• Affiliation: Saint John Regional Hospital, Horizon Health Network

Key inclusion & exclusion criteria

Inclusion Criteria:

- 19 years of age or older

- Systolic Blood Pressure under 100 OR Systolic BP under pulse (up to 120)

Exclusion Criteria:

- Patients known to be pregnant at time of presentation

- Necessity of CPR or other advanced life support interventions before enrolment

- History of significant trauma in past 24 hours

- A 12 lead diagnostic of acute myocardial infarction

- Mechanism of shock is clear (i.e. not undifferentiated shock)

- Previously known diagnosis from other hospital

- Vagal episode (as cause of hypotension)

- Low blood pressure not actually being pathologic hypotension (Normal Variant or other)



Age minimum: 19 Years
Age maximum: N/A
Gender: All

Health Condition(s) or Problem(s) studied

Point of Care Ultrasound

Hypotension

Shock

Intervention(s)

Device: Ultrasound (A point of care ultrasound protocol)

Primary Outcome(s)

Patient Mortality Rates (7-day, 30 Day or Hospital Discharge) [Time Frame: 7-day, 30 Day or Hospital Discharge]

Secondary Outcome(s)

Unexpected change in diagnosis [Time Frame: First hour]

Time taken to appropriate intervention [Time Frame: Within 8 hours]

Secondary ID(s)

2011-1590

Source(s) of Monetary Support

Please refer to primary and secondary sponsors

Secondary Sponsor(s)

Dalhousie University

Harvard University

University of Saskatchewan

University of British Columbia

Canadian Association of Emergency Physicians

University of Manitoba

University of Michigan

Royal College of Emergency Medicine

Saint Göran Hospital

University of Cape Town

University of Stellenbosch