Pre-hospital Advanced Therapies for Control of Hemorrhage (PATCH) - Pelvis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemorrhage
- Sponsor
- Wake Forest University Health Sciences
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Mortality Rate
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of this study is to determine whether the use of pelvic binders in the ambulance setting improves outcomes including mortality in patients with pelvic fractures.
Detailed Description
The goal of this prospective, randomized clinical trial is to determine whether prehospital use of a commercial pelvic binder will improve morbidity and mortality in patients with pelvic fractures. We hypothesize that prehospital placement of pelvic binders will reduce hemorrhage and need for resuscitation and will improve overall mortality in patients with pelvic fractures. In addition, we hypothesize that pelvic splinting via external compression will improve patients' pain regardless of whether they have a pelvic, acetabular, or proximal femur fracture.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Traumatic injury other than ground-level fall, and
- •Complaint of pelvic groin or hip pain, or
- •Pelvic or hip deformity, ecchymosis, or crepitus in an obtunded patient, or
- •Hemodynamic instability
Exclusion Criteria
- •Ground level fall
- •Penetrating pelvis injury without frank evidence of fracture
- •Obviously pregnant patients
- •Patients who are too small or too big for the binder
- •Priority 2 or 3 Trauma
Outcomes
Primary Outcomes
Mortality Rate
Time Frame: 30 day
Percentage of patients that experience mortality within 30 days of presentation will be compared between the two study arms
Secondary Outcomes
- Pain Scores - Visual Analog Scale(At time of arrival to Emergency Department)
- Number of Participants With Skin Complications After Pelvic Binder Application(From date of randomization to date of discharge or date of death from any cause, whichever came first, assessed up to 1 year)
- Length of Stay in Hospital(From date of admission to date of discharge or date of death from any cause, whichever came first, assessed up to 1 year)
- Number of Patients With Blood Transfusions(48 hours)