Prospective evaluation of a paramedic neurological assessment for spinal cord injury

Not Applicable

Recruiting

• Conditions: Spinal Cord Injury; Neurological - Other neurological disorders; Injuries and Accidents - Other injuries and accidents

• Registration Number: ACTRN12616000687493
• Lead Sponsor: The University of Melbourne

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2016-05-26
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

Assessed by paramedics within 2 hours of injury.
Suspected vertebral column injury (any level) with neurological deficits* due to possible SCI.
Admitted to participating hospitals within 24 hours post-injury.
*Neurological deficits defined as: any weakness, paralysis or change in sensation of one or more limbs reported by participant or found on examination.

Exclusion Criteria

Unable to follow commands due to significant head injury, drug or alcohol intoxication, mental or hearing impairment.
GCS < 13.
Suspected multiple traumatic injuries (defined as likely trauma to at least one other major organ, more than two long bone fractures, significant abdominal bleeding and head injury).
Immediate intubation needed.
Cardiac arrest at scene.
Known or obvious pregnancy.
Pre-injury major neurological deficits (e.g. stroke, Parkinson’s disease and Alzheimer’s disease).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Agreement between the paramedic neurological assessment (SPEED) score and the AIS grade prior to surgery or within 24 hours post-injury. [Paramedic assessment less than or equal to 2 hours of injury<br>Prior to surgery or within 24 hours post-injury. ]

Secondary Outcome Measures

Name	Time	Method
Agreement between the paramedic SPEED score and the hospital AIS grade within 3-7 days post-injury. [3-7 days post-injury];Agreement between the paramedic SPEED score and the hospital SPEED score within 24 hours post-injury or prior to decompressive surgery. [24 hours post-injury or prior to decompressive surgery. ];Agreement between the paramedic SPEED score and the hospital SPEED score at 3-7 days post-injury.[3-7 days post-injury.]