Prehospital Management of Hypotensive Trauma in HEMS
Recruiting now
Conditions studied: Hypotension and Shock, Wounds and Injuries, Emergencies, Critical Care
In brief
Up to today, inadequate evidences and knowledge exist about the best prehospital management of hypotensive trauma patients and its clinical consequence on the in-hospital recovery and mortality. Also new emerging therapies such as prehospital blood transfusion and REBOA (resuscitative endovascular balloon occlusion of the aorta) are lacking strong evidences in, eventually, reducing hospital mortality and improving outcomes. Moreover, prehospital emergency medicine is throughout Italy an heterogeneous system that has no unique standard operating procedures and, even among HEMS (helicopter emergency medical service), management and therapies on complex trauma patients may vary upon local policies. With this study we aim to enroll hypotensive trauma patients and study factors of prehospital rescue that can be associated with in-hospital mortality and recovery, eventually even with hospital outcome. For each patients data as demographic, kind of trauma (mechanism, injury scores), therapies and maneuvers will be recorded and then analyzed in comparison with in-hospital data such as need for transfusion, ABG parameters, length of stay (in-ward and ICU), need of therapies like invasive ventilation and renal replacement therapy, recovery and outcome
Key facts
- Study ID
- NCT04760977
- Run by
- Azienda Usl di Bologna
- People needed
- 500
- Starts
- 2021-05-01
- Expected to finish
- 2026-05-01
- Last updated by the study team
- 2024-08-13
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age > 18 years
- Witnessed traumatic event managed by HEMS
- Shock at first evaluation (Systolic blood pressure < 90 mmHg)
- Suspect or obvious ongoing haemorrage
You may not qualify if…
- Patients in cardiac arrest at HEMS arrival in which resuscitation is not started or interrupted by HEMS crew
Where it is running
- Ospedale di Siena, Ospedale di Pisa — Grosseto, Italy (enrolling)
- Ospedale di Alessandria — Alessandria, Italy (enrolling)
- Ospedale di Bolzano — Bologna, Italy
- Base HEMS Borgo Sesia — Borgosesia, Italy
- Base HEMS Cuneo-Levaldigi — Cuneo, Italy
- Ospedale Careggi Firenze — Florence, Italy
- Ospedale di Siena, Ospedale di Pisa — Massa, Italy
- Ospedale di Padova — Padova, Italy
- Pavullo HEMS base — Pavullo nel Frignano, Italy
- Pieve di Cadore HEMS base — Pieve di Cadore, Italy
- Ospedale di Torino — Torino, Italy
- Base HEMS Trento — Trento, Italy
- Treviso hospital — Treviso, Italy
- Udine FVG — Udine, Italy
- Ospedale di Verona Borgo Trento — Verona, Italy
- Base HEMS Aosta — Aosta, Italy
Full record on ClinicalTrials.gov
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