STAB ROOM STUDIES

Airway Study (Intubation)

Central Line Study

Shock Study

BAY STUDIES

Alcohol Intoxication Study

Carbon Monoxide Study

Electronic Asthma Action Plan

HIV Study BLITZ

Pelvic Ultrasound

Propofol versus Alfentanil versus Nitrous Oxide

Airway Study (Intubation):

Overview: A study designed to determine if there is significance between certain events and the timing of such events in patients receiving an oral airway in the stab room  
 
Study Endpoints: Timing of procedures during and immediately following the placement of an oral airway.
This will be done using stopwatches located in the media room.
 
Eligible Patients: Any patient in the Stab Room receiving an oral airway (being intubated). Consent will not be possible for most patients.

Study Design: Prospective, observational trial
 
Anticipated Benefits: None
 
Potential Risks: None 
 
Research Associate’s Role: Identify and (if possible) consent potential patients.  Obtain times of certain events listed on the datasheet.
 
Physician’s Role: The RA may ask you to notify them of any eligible patients.
 
Location of Study Packets: In Stab Room (stopwatches are in media room)

http://en.wikipedia.org/wiki/Intubation

http://en.wikipedia.org/wiki/Etomidate

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Central Line Study:

Overview: This study seeks to investigate the efficiency of central line placements in the emergency department 

Primary Endpoints: Identify eligible patients and determine which forms the Dr. should fill out
 
Eligible Patients: Any patient who is having central line placed or has had one placed recently.
 
Study Design: Prospective observational trial
 
Anticipated Benefits: none
 
Potential Risks: none
 
Research Associate’s Role: RA’s are responsible for identifying patients and noting the amount of times a placement is attempted (complete form A for every patient; complete form B for every attempt at placement, whether successful or not - separate attempts defined as 1) different physician attempting to place the line or 2) attempting to place the line at a new anatomical position)
 
Physician’s Role: Physicians will be asked to fill out forms as needed
 
Location of Study Packets: All Team Centers and Media Room

http://en.wikipedia.org/wiki/Central_venous_catheter

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Shock Study:

Overview: This study is designed to determine if information provided by the tissue perfussion monitor represents a patient's subsequent hospitalization and if it aids in resusitation.

Primary Endpoints: StO2, disposition, length of ICU stay
 
Eligible Patients: Patients with a systolic blood pressure of less than 95 or a shock index greater than .90.
 
Study Design: Prospective observational trial
 
Anticipated Benefits: none
 
Potential Risks: none
 
Research Associate’s Role: RA’s are responsible for identifying eligible patients, hooking them up to the tissue perfusion monitor and collecting data.
 
Physician’s Role: Physicians will be asked to answer questions regarding the patient's condition and resusitation.
 
Location of Study Packets: Media Room

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Alcohol Intoxication Study:

The alcohol intoxication study enrolls all patients who are intoxicated in the emergency department.  The nurse or physician evaluates the patient's condition before they know the patient's blood alcohol level to assess the utility of the blood alcohol level in the healthcare setting.  

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Carbon Monoxide Study:

Overview: A study designed to determine if there is significance between labs drawn from a patient with potential CO poisoning and End Tidal levels
 
Study Endpoints: Carboxyhemoglobin levels drawn; End Tidal levels taken close to time when labs are drawn

Eligible Patients: 18 or older; suspected CO exposure. If they can give consent, STAB patients are eligible!! Look for chief complaints of CO exposure, dizziness, lightheadedness, etc...

Study Design: Prospective, observational trial
 
Anticipated Benefits: None
 
Potential Risks: None 
 
Research Associate’s Role: Identify and consent potential CO patients. Record carboxyhemoglobin lab levels by looking up labs on EmStat (or ask PMP). Obtain End Tidal levels with ETCO2 monitor; get one reading as close as possible to time labs are being drawn.
 
Physician’s Role: RA may ask for carboxyhemoglobin lab levels and PMP/nurse is responsible for drawing labs (as they normally would)
 
Location of Study Packets: Team Center B (center island) The datasheet is a half sheet of paper. Staple it to the consent form when finished. Please put completed studies into the "Completed Studies" box in Team B

Monitor Directions:
Directions for Capnography Monitor (Square machine):
1)   Make sure machine is plugged in. Attach cannula (orange end) to left side.
2)   Attach cannula to patient.

http://en.wikipedia.org/wiki/Carbon_monoxide_poisoning

http://en.wikipedia.org/wiki/Carboxyhemoglobin

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electronic Asthma Action Plan (eAAP) Study:

The purpose of this study is to aid in the implementation of the eAAP as a tool for diagnosing and managing asthma patients.  RA's are responsible for identifying asthmatic patients (current symptoms or history) and administering survey to providers to assess their use of the eAAP.

HIV BLITZ Study:

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Pelvic Ultrasound Study:

Purpose: The purpose of this study is to investigate the satisfaction of newly mounted pelvic ultrasound machines in specific patient rooms.

Study Design: Prospective, observational
 
Anticipated Benefits: None
 
Potential Risks: None
 
Research Associate’s Role: Identify patients that get a pelvic ultrasound by use of the new mounted machines and ask the patient and physician performing/overseeing ultrasound survey questions. 
 
Location of Study Packets: Media room

Propofol versus Alfentanil versus Nitrous Oxide:

Overview: A study designed to determine and compare the efficacy and safety of propofol versus alfentanil versus nitrous oxide for moderate and deep sedations.

Study Endpoints: Respiratory depression as assessed by ETCO2. Mental status as assessed by OAAS and patient report.

Eligible Patients: Adult (≥18 y.o.) patients undergoing a procedural sedation for any reason.

Study Design: Prospective, observational trial.
 
Anticipated Benefits: BIS and ETCO2 monitoring mandated by the study may improve safety of procedure.
 
Potential Risks: The usual risks associated with sedation.
 
Research Associate’s Role: The RA is responsible for identifying, enrolling, and collecting data from eligible patients for this study.  The RA is in charge of setting up and putting away the BIS and End-Tidal CO2 monitor used to obtain data during the procedure.  After the study, the RA conducts interviews of the physician and the patient.
 
Physician’s Role: The RA will ask you to notify them of any conscious sedations being performed so that they may enter the patient into the study.  Once the procedure is over, the physician will be asked to complete a short questionnaire about the success of the procedure.
 
Location of Study Packets: Media Room

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