Pre-hospital Tourniquet in Extremity Injury

  • STATUS
    Recruiting
  • participants needed
    150
  • sponsor
    Methodist Health System
Updated on 19 February 2024

Summary

2.1. Objective:

Primary Objective: To compare outcomes of patients with extremity injuries presenting with or without pre-hospital tourniquet placement.

2.2. Study Outcome Measures

  • Primary Outcome: Incidence of arrival in shock (SBP <90)
  • Secondary Outcomes: Demographics, comorbidities, mechanism of injury, cause of injury, diagnosis codes, procedure codes, ISS, AIS, operative management vs. non-operative management, radiologic findings, pathologic findings, tourniquet effectiveness (as determined both subjectively by trauma surgeon and objectively by presence vs. absence of pulse below level of tourniquet application), total number of units of blood products transfused within first 24 hrs, total number of units of blood products for index admission, type of blood products or other fluid given, hospital length of stay, ICU length of stay, ventilator days, infectious complications, other complications, discharge disposition, 24 hr mortality, overall mortality.

Description

This is a prospective, observational study. All patients who present to the participating ED's who meet inclusion/exclusion criteria will be identified by the treating trauma surgeons. Data collected will include basic patient demographics, data regarding the patient's injuries, data regarding tourniquet use, and data regarding outcomes. Please see the attached data collection tool for specifics (Appendix 12.1). Data will be collected prospectively in an observational manner using the data collection tool. Data collected on individual collection sheets will be de-identified. We plan to complete the data collection and analysis by 01\01\2021.

Details
Condition Extremity Injury
Age 18years - 100years
Treatment pre-hospital tourniquet placement
Clinical Study IdentifierNCT04216225
SponsorMethodist Health System
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

y/o Patients with extremity injuries
With a tourniquet in place OR
Who the treating physician deems could have benefited from tourniquet placement

Exclusion Criteria

Children
Prisoners
Pregnant women
Patients with non-traumatic bleeding requiring tourniquet use
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