None listed
Conditions
Brief summary
The Sydney COAST study will create a clinician-defined, meaningful dataset containing both prehospital and in-hospital data. The study will examine this for the identification of physiological, mechanistic, or biochemical risk factors that influence in-hospital mortality for major trauma patients with shock, across the greater Sydney area.
Interventions
Prehospital patients with major trauma induced shock treated by specialist prehospital medical teams (critical care physician and paramedic) will undergo usual (contemporary) treatment as directed by the treating physician.
There is no direct involvement for patients in this study as the entirety of their clinical care (and short term outcomes) are being directly observed. Clinical data (routinely collected data via medical records) will be collected over the first 30-days following injury
Sponsors
NSW Health
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
- Traumatic injury - Treated by NSWA-AO prehospital medical teams from Sydney, Wollongong, or Orange bases. - Age greater than or equal to 16 years - Shock (defined below) - Taken directly from scene to participating Sydney-based Major Trauma Centre. Acute shock: Any of the following; - SBP less than 100mmHg at any time during prehospital care - Shock Index >1 at any time during prehospital care - Blood transfusion (packed red blood cells or plasma) - Administration of inotropic agent
Exclusion criteria
Nil specific
Outcome results
None listed