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Application of Transesophageal Echocardiography in Pre-hospital Cardiac Arrest Patients

RecruitingNAAges 18 Years - anyAllJen-Tang Sun
NCT06672315 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The Use of Point-of-Care Ultrasound (POCUS), Transthoracic Echocardiography (TTE), and Transesophageal Echocardiography (TEE) in Cardiac Arrest and Acute Coronary Syndrome Patients Studies have shown that POCUS can rapidly change the management in nearly 80% of cases in emergency settings, particularly in environments such as war zones and disaster relief. TTE is highly sensitive in diagnosing acute coronary syndromes and can effectively rule out myocardial infarction. In cardiac arrest patients, TTE assists in determining cardiac activity and identifying reversible causes, such as pericardial tamponade and pneumothorax. However, TTE can be affected by suboptimal image quality due to factors like chest compression in out-of-hospital cardiac arrest (OHCA) patients. In Taiwan's emergency medical system, EMT-Ps (paramedics) undergo approximately one year of training, which enables them to

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. Age ≥ 18 years 2. Patients with out-of-hospital cardiac arrest (OHCA) 3. Non-traumatic cause of cardiac arrest Exclusion Criteria: 1. Presence of obvious signs of death, such as decapitation, rigor mortis, livor mortis, or decomposition. 2. Family explicitly expresses a Do Not Attempt Resuscitation (DNR) order, or the patient has a documented refusal of resuscitation. 3. Any condition that contraindicates the use of transesophageal echocardiography (TEE), such as esophageal tumors, preventing probe insertion. 4. Patients eligible for ECPR (Extracorporeal Cardiopulmonary Resuscitation) treatment. 5. Spontaneous circulation has already been stabilized before performing TEE.
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What it tests

  • transesophageal echocardiography
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Where

1 site
Far Eastern Memorinal Hospital and New Taipei City fire department
New Taipei City, Taiwan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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