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CTRI Number  CTRI/2025/07/090571 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 10/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective observational study 
Study Design  Other 
Public Title of Study   A Study to See the Early Treatment and Bedside Ultrasound Help Patients with blood infection and complication of blood infection in the Emergency department of a Hospital in Manipur 
Scientific Title of Study   A prospective observational Study evaluating the impact of combining the One-Hour Sepsis Bundle and Point-of-Care Ultrasound (POCUS) in Sepsis and Septic Shock Patients presenting to Emergency Department in a Tertiary Care Hospital, in Manipur 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MUHAMMED SHADIL K E 
Designation  DNB EMERGENCY MEDICINE TRAINEE  
Affiliation  Shija Hospitals and Research Institute 
Address  Emergency Medicine Department,Emergency Room,Shija Hospitals and Research Institute Langol

Imphal West
MANIPUR
795004
India 
Phone  7560871466  
Fax    
Email  shadilke1234@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sweta Khuraijam  
Designation  Consultant, Emergency Medicine 
Affiliation  Shija Hospitals and Research Institute 
Address  Emergency Medicine Department,Emergency Room,Shija Hospitals and Research Institute Langol

Imphal West
MANIPUR
795004
India 
Phone  7982576807  
Fax    
Email  khuraijam.sweta@gmail.com  
 
Details of Contact Person
Public Query
 
Name  MUHAMMED SHADIL K E 
Designation  DNB EMERGENCY MEDICINE TRAINEE  
Affiliation  Shija Hospitals and Research Institute 
Address  Emergency Medicine Department,Emergency Room,Shija Hospitals and Research Institute Langol

Imphal West
MANIPUR
795004
India 
Phone  7560871466  
Fax    
Email  shadilke1234@gmail.com  
 
Source of Monetary or Material Support  
Shija Hospitals and Research Institute Langol,Manipur,India,Pin 795004 
 
Primary Sponsor  
Name  MUHAMMED SHADIL K E 
Address  Shija Hospitals and Research Institute Langol, Imphal -795004,manipur 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
MUHAMMED SHADIL K E  Shija Hospitals and Research Institute  Emergency department,Emergency medicine,Red zone area,Langol, Imphal -795004, Manipur
Imphal West
MANIPUR 
7560871466

shadilke1234@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee,SAHS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D758||Other specified diseases of bloodand blood-forming organs,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients presenting to the ED with suspected sepsis or septic shock based on clinical criteria (e.g. qSOFA,NEWS2 score) 
 
ExclusionCriteria 
Details  Patients (close relatives in case of unconscious patients) who refuse to give consent;Patients with age less than18 years and more than 65 years;Pregnant women;Known terminal illness with a prognosis of less than 6 months;Contraindications to ultrasound (e.g., extensive body surface area edema);Patients with spinal cord injury. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the impact of combining the 1-hour sepsis bundle with POCUS on clinical outcomes (change in qSOFA, NEWS2, Lactate and Blood Pressure (MAP) ) in patients with sepsis or septic shock presenting to the Emergency Department.  Period of one and half
years from june 2025 to December 2026. 
 
Secondary Outcome  
Outcome  TimePoints 
1) To assess the time to intervention (antibiotics, fluids, vasopressors) in sepsis and septic shock patients.
2) To evaluate the accuracy and utility of POCUS in assessing volume status, cardiac function, and identifying potential sources of infection in septic patients.
3) To evaluate the effectiveness of POCUS in the prevention of fluid overload and to rule out differentials.
4) To evaluate change in qSOFA, NEWS2, serum lactate, and blood pressure (MAP) by combining the sepsis one-hour bundle and POCUS after one hour of identifying/ suspecting sepsis or septic shock. 
Period of one and half
years from june 2025 to December 2026. 
 
Target Sample Size   Total Sample Size="110"
Sample Size from India="110" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Sepsis and septic shock remain leading causes of morbidity and mortality worldwide. Early identification and prompt treatment are critical to improving outcomes.This thesis aims to evaluate the impact of combining the 1-hour sepsis bundle with POCUS in the management of sepsis and septic shock patients presenting to Emergency Department in a tertiary care hospital, assessing its effects on patient outcomes, time to intervention, and clinical decision-making The study will involve Patients presenting to the ED with suspected sepsis or septic shock based on clinical criteria (e.g. qSOFA,NEWS2 score).It is anticipated that the use of POCUS in conjunction with the 1-hour sepsis bundle will result in Quicker identification and treatment of sepsis, Improved fluid resuscitation and cardiac optimization, More efficient management of septic shock.Data will be analyzed using appropriate statistical methods, adjusting for confounders and handling missing data with multiple imputation. This study aims to evaluate the impact of combining the 1-hour sepsis bundle with POCUS in the management of sepsis and septic shock patients presenting to Emergency Department and results of the study may ultimately contribute to evidence-based guidelines in the field of Emergency Medicine.


 
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