Point-Of-Care Ultrasound-Driven vs Standard Diagnostic Pathway in Emergency Department Patients With Dyspnea (POCUS PATHWAY)
Dyspnea
About this trial
This is an interventional diagnostic trial for Dyspnea focused on measuring Point-of-care Ultrasound, Emergency Medicine, Diagnostic pathways
Eligibility Criteria
Inclusion Criteria: Emergency department contact Age ≥ 18 years Chief complaint is Dyspnea Including physician present Exclusion Criteria: Fulfilling of criteria for coded rapid-response teams (i.e., trauma, surgical or medical emergencies). Prior focused lung or focused cardiac ultrasound in the current emergency department stay Prior enrollment in the trial Unable to consent Non Danish-speaking
Sites / Locations
- Herlev HospitalRecruiting
- Aarhus University HospitalRecruiting
- Gødstrup Regional HospitalRecruiting
- Horsens Regional HospitalRecruiting
- Viborg Regional HospitalRecruiting
- University Hospital of Southern Denmark, EsbjergRecruiting
- Odense University HospitalRecruiting
- Zealand University Hospital, KøgeRecruiting
- Slagelse HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Point-of-care ultrasound-driven diagnostic pathway
Standard diagnostic pathway
The intervention is focused lung and cardiac ultrasound performed as an extension to physical examinations plus diagnostic decision recommendations based on those test results (a point-of-care ultrasound-driven diagnostic pathway). Final decision on next-line imaging and further diagnostic testing should incorporate history and other physical examinations and will remain upon the treating physicians' discretion.
Standard diagnostic pathway will include, but not be limited to, blood samples, blood gases, electrocardiogram, and chest x-ray. Focused lung and cardiac ultrasound cannot be performed while the patients stay in the emergency department.