Prehospital Translation of Chest Pain Tools

Completed

Conditions studied: Acute Coronary Syndrome, Pulmonary Embolism

In brief

Decision aids such as the HEART Pathway, Emergency Department Assessment of Chest Pain Score (EDACS), Revised Geneva Score and PERC Score have similar ability to accurately risk stratify Emergency Department (ED) patients with possible Acute Coronary Syndrome (ACS) and Pulmonary Embolism (PE) and have become standard practice in the ED setting. This study seeks to determine whether prehospital use of these decision aids is feasible and determine which are the most sensitive and specific for prediction of ACS and PE, respectively.

Key facts

Study ID

NCT03494556

Run by

Wake Forest University Health Sciences

People needed

365

Starts

2018-04-18

Expected to finish

2020-09-09

Last updated by the study team

2023-07-25

Who can join

Age: 21 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age greater than or equal to 21
• Acute non-traumatic chest pain
• Transported by Cumberland or New Hanover County EMS to a local Emergency Department

You may not qualify if…

• Patients with evidence of ST elevation myocardial infarction (STEMI) on ECG
• Inter-facility transports (transfers)
• Patients with unstable vital signs
• Prisoners
• Non-english speakers

Where it is running

• Cape Fear Valley Mobile Integrated Healthcare Cumberland County EMS — Fayetteville, North Carolina, United States
• New Hanover Regional Medical Center EMS — Wilmington, North Carolina, United States

Full record on ClinicalTrials.gov

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