None listed
Conditions
Brief summary
Background: Reception of injured patients form key areas of practice in emergency medicine. In this hectic environment there is significant potential for medication errors. Pharmacists have traditionally had no involvement during the initial management of injured patients in the ED. However, Emergency Medicine (EM) clinical pharmacy is a rapidly growing area of practice. There is increasing evidence for improved patient outcomes associated with EM pharmacists practising in the ED. Aim: To determine the effectiveness of early EM pharmacist involvement in trauma presentations on time to analgesia in an Australian Emergency and Trauma Centre (E&TC). Method: A randomised trial comparing early EM pharmacist involvement in trauma presentations versus standard care (either no EM pharmacist involvement or delayed involvement). We will aim to recruit 40 patients in each arm of the study. The primary outcome is time to analgesia in trauma patient presentations. We hypothesise that early involvement of the EM pharmacist will improve time to analgesia in trauma presentations to the Emergency and Trauma Centre.
Interventions
Early Emergency Medicine Pharmacist involvement in trauma callouts. In the intervention arm the EM pharmacist will attend a trauma call pre-arrival or on arrival of the patient at bedside in the emergency department. The will be involved in the initial assessment of the patient and assist with appropriate medication ordering and administration, with a focus on early analgesic administration within 30 minutes of patient arrival in the emergency department.
This intervention is estimated to take b
Early Emergency Medicine Pharmacist involvement in trauma callouts. In the intervention arm the EM pharmacist will attend a trauma call pre-arrival or on arrival of the patient at bedside in the emergency department. The will be involved in the initial assessment of the patient and assist with appropriate medication ordering and administration, with a focus on early analgesic administration within 30 minutes of patient arrival in the emergency department. This intervention is estimated to take between 20-30 minutes. To monitor adherence the scribe in the trauma callout will have a standardised form to complete for both standard care and intervention arms which will be provided to the principle investigator. The research team will be monitoring progress through the regular auditing of medical records for patients recruited.
Sponsors
Alfred Health- Melbourne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All patients presenting to The Alfred Emergency and Trauma Centre meeting trauma callout criteria.
Exclusion criteria
Patients presenting outside of pharmacist working hours (Monday-Friday 7am-9pm).
Outcome results
None listed