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Whole-Body Point-of-Care Ultrasound in Older Adults Presenting to the Emergency Department After a Fall

Recruitingn/aAges 65 Years - anyAllKocaeli City Hospital
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In plain words

What the trial is, and whether it could suit you

Falls are one of the most common reasons older adults visit the emergency department. In many older patients, a fall that looks "mechanical" is actually caused by an underlying medical problem such as syncope, heart disease, dehydration or blood clots, and the history is often unreliable. This single-center prospective study will evaluate whether a structured whole-body point-of-care ultrasound (POCUS) examination performed at the bedside changes how emergency physicians manage patients aged 65 years and older who come to the emergency department after a ground-level fall. The main question is how often POCUS findings change the physician's working diagnosis, consultation requests, additional tests, procedures, or admission/discharge decisions. Patients will also be followed for one week for death and repeat emergency department visits.

Sign in to get the eligibility rules as simple questions to take to your doctor.

📋 Eligibility rules (as published)
Inclusion Criteria: * Age 65 years or older * Presentation to the emergency department after a ground-level fall * No condition preventing whole-body ultrasound (no amputation preventing quadriceps muscle measurement; no open wound or burn on the chest or abdomen preventing cardiac ultrasound or FAST; no neck lesion preventing carotid ultrasound) * Written informed consent given by the patient or a legal representative Exclusion Criteria: * High-energy trauma mechanism (e.g., traffic accident, fall from height, crush injury) * Hemodynamic instability requiring priority resuscitation * Withdrawal of consent * Loss to follow-up or missing outcome data
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What it tests

  • Whole-body point-of-care ultrasound (POCUS)
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Where

1 site
Kocaeli City Hospital, Department of Emergency Medicine
İzmit, Turkey (Türkiye)
🤝 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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