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Effectiveness of ELLASI Intervention Towards Polytrauma Patients in the Emergency Department

Not Applicable
Recruiting
Conditions
Polytrauma
Interventions
Other: ELLASI
Other: Standard
Registration Number
NCT06351826
Lead Sponsor
Indonesia University
Brief Summary

This clinical trial aims to test the effectiveness of ELLASI intervention in response time, deterioration score, and metabolic status of polytrauma patients in the emergency department. The main questions it aims to answer are:

1. Is the response time of polytrauma patients who receive ELLASI in the intervention group faster than the control group?

2. Is the deterioration score of polytrauma patients who receive ELLASI in the intervention group better than the control group?

3. Is the metabolic status of polytrauma patients who receive ELLASI in the intervention group better than the control group?

Polytrauma patients in the intervention group will receive ELLASI, a structured intervention consisting of the six following:

1. Evaluation of airway and cervical control, remove the foreign body, fluid, etc., from the airway,

2. Patient positioning and giving oxygen, head-up,

3. Stabilisation, including IV insertion, applying pressure and bandage, place monitor, and haemodynamic monitoring

4. Assessment: re-assessment of pain and other main complaints

5. Make sure informed consents are documented

6. Inform patient and family for further intervention

Polytrauma patients in the control group will receive the usual/standard intervention.

Response time, early warning score, and arterial blood gas of polytrauma patients from both groups will be obtained and documented before and after the intervention.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Polytrauma patients
  • Have not received medical treatment before
Exclusion Criteria
  • Canceled registration
  • Polytrauma patients who are unwilling to participate in the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ELLASIELLASIPolytrauma patients in the intervention group will receive a-6-points structured intervention abbreviated with ELLASI: 1. Evaluasi: Evaluation of airway and cervical control, remove the foreign body, fluid, etc., from the airway 2. Letakkan: patient positioning and give oxygen, head-up. 3. Lakukan: Stabilisasation, including IV insertion, applying pressure and bandage, place monitor, haemodynamic monitoring 4. Assessment: re-assessment of pain and other main complaints 5. Siapkan: make sure informed consents are documented 6. Informasikan: inform patient and family for further intervention
StandardStandardPolytrauma patients in the control group will receive the usual/standard intervention.
Primary Outcome Measures
NameTimeMethod
Response timeImmediately before and after the intervention

Documented from the beginning of ELLASI and standard interventions are delivered to the ending.

Acidic Level (pH)Immediately before the intervention start and 3 hours after the intervention end

Measure pH of arterial blood gas

Base Excess (BE)Immediately before the intervention start and 3 hours after the intervention end

Measure BE of arterial blood gas

Deterioration scoreImmediately before the intervention start and 3 hours after the intervention end

Measured with Early Warning Score system used in the hospital where the data was collected. The scores range from 0 to 14. Higher scores mean deterioration

Bicarbonate level (HCO3)Immediately before the intervention start and 3 hours after the intervention end

Measure HCO3 of arterial blood gas

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

RSCM

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Jakarta Pusat, Jawa Barat, Indonesia

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