None listed
Conditions
Brief summary
A lot of the things we do when looking after patients with significant injuries after accidents relies on using monitors to provide us with information. When it comes to the brain, we often measures things elsewhere in the body and assume that if those things are normal, we're doing the best we can for the brain, but we can't be sure. This study is designed to look at a kind of monitor that you can apply to the skin which gives you information directly about oxygen balance in the brain. The hypothesis is that there is an association between the values shown by the monitor in injured patients and how well they recover after their injury - meaning that if the numbers are abnormal, it correlates with worse recovery later.
Interventions
Observation of cerebral oximetry parameters during pre-hospital care of patients suffering traumatic injury patient management and transport to hospital. The duration of observation will vary depending on the nature of the pre-hospital accident, treatment time and distance for transport to hospital. Historical experience indicates the average time elapsed from the time of arrival of the treating team until the patient is in hospital is approximately 40 minutes.
Sponsors
Dr Andrew Weatherall
Eligibility
Sex/Gender
All
Age
1 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
All patients being transported by a rapid response trauma response team (incorporating a doctor-paramedic team). This may include, but would not be limited to: Patients with a blunt force mechanism for head injury with initial evidence of reduced level of consciousness. Patients with major blunt mechanism thoracic and abdominal trauma. Patients with major haemorrhage. Patients with penetrating trauma. Patients with severe burn injuries. Patients with major extremity injury. Patients with trauma and major compression injury.
Exclusion criteria
Patients less than 1 year old or more than 70 years old. Patients with a history of previous neurological disease or neurological trauma. Patients with no mechanism for trauma. Patients with significant haematomas or lacerations in the forehead area. Patients in whom consent is not obtained at a later time
Outcome results
None listed