Evaluating the Use of Prehospital Lung Ultrasound in EMS: A Multicenter Pilot Study

Part of paid clinical trials in Newark, Delaware.

Sponsor
Rutgers, The State University of New Jersey
Study ID
NCT07549334
Status
Not Yet Recruiting

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Conditions

  • Congestive Heart Failure(CHF)
  • Pulmonary Edema

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Pulmonary ultrasound — DIAGNOSTIC_TEST
    Ultrasound of up to six lung zones (1, 2, and 4) will be obtained. Paramedics will assess for the presence of B lines.

Study Details

The goal of this prospective nonrandomized study is to determine if prehospital lung ultrasound findings result in a change in patient management. This study will look at how lung ultrasound exam improves diagnosis of respiratory distress in patients being treated by Emergency Medical Services, such as patients with heart failure. Additional questions include: * How well can paramedics obtain and interpret ultrasound images? * How does ultrasound use change treatment received by patients? * How does ultrasound use impact patient outcomes? Participants will receive a lung ultrasound exam, but otherwise receive standard evaluation and care. Patients who receive ultrasound will be compared to those who did not receive ultrasound for logistical reasons and patients from before the use of ultrasound. Ultrasound will not be withheld from any patient for the purposes of the study.

Key Dates

First listed
Apr 24, 2026
Start date
Aug 31, 2026
Status verified
Jul 2026
Primary completion
Dec 31, 2028
Completion
Dec 31, 2028

Study Design

Enrollment
1,000 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC

Arms

  • Active Comparator: Patients who receive ultrasound
  • No Intervention: Patients before ultrasound implementation
    Patients who meet inclusion criteria but were treated before ultrasound was available
  • No Intervention: Patients who do not receive ultrasound
    Patients who do not receive ultrasound after paramedic training due to factors such as lack of probe availability, clinician decision, refusal, etc. Ultrasound will not be deliberately withheld from any patient.

Primary Outcome Measure

Frequency with which prehospital lung ultrasound findings result in a change in patient management by EMS [ Time Frame: From time of patient encounter to patient handoff at the hospital. (anticipated average of one hour) ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
Christiana Care/New Castle County EMSNewarkDelaware19718
Andrew Grandin
[email protected]
609-900-6518
Rutgers New Jersey Medical School/University HospitalNewarkNew Jersey07103
Elizabeth Blizzard
[email protected]
609-955-4412

Find similar trials in Newark, DE

By research site
Christiana Care/New Castle County EMS· Newark, DERutgers New Jersey Medical School/University Hospital· Newark, NJ

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