ED Decision Making Among Hypotensive Patients
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | August 2014 |
| End Date: | April 2016 |
The goal of this study is to assess decision making skills of emergency physicians when
dealing with hypotensive patients. The hypothesis is that decisions made based on physical
exam and vital signs regarding fluid resuscitation by emergency physicians are not
statistically equivalent to those that would be made based on the use of a non-invasive CVP
measurement
dealing with hypotensive patients. The hypothesis is that decisions made based on physical
exam and vital signs regarding fluid resuscitation by emergency physicians are not
statistically equivalent to those that would be made based on the use of a non-invasive CVP
measurement
If physicians can make appropriate decisions about the need for fluid resuscitation without
CVP measurement, then this skill is worth being passed to physicians in training. Previously
it was not possible gather enough information about the response of patients' because of the
risk of using indwelling CVP sensors. But now because there is a low risk tool (Venus 1000
System), this study is now practical and safe.
CVP measurement, then this skill is worth being passed to physicians in training. Previously
it was not possible gather enough information about the response of patients' because of the
risk of using indwelling CVP sensors. But now because there is a low risk tool (Venus 1000
System), this study is now practical and safe.
Inclusion Criteria:
- All patients >=18 years of age who enter the Emergency Department at Hahnemann
Hospital with Systolic Blood pressure < 100 mm Hg
Exclusion Criteria:
- Those patients who are suffering from traumatic injury requiring Level I or Level II
trauma evaluations. Example conditions include penetrating injuries to head, torso
and proximal extremities.
- Additional exclusion criteria include the presence of an internal jugular or a
subclavian central venous line or both external jugular veins being cannulated
(attempted or successful) with peripheral IVs.
- Pregnant females will be excluded.
- Subjects under the age of 18 years will be excluded
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