traumatic hemorrhagic shock patients
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Traumatic shock patients due to torso hemorrhage who is judged to require hemostasis (surgery and/or interventional radiology) Baseline is defined as arrival or contact with medical team Include only those patients whose doctor decided to stop bleeding within 60 minutes of arrival or contact with medical team (*not to start hemostasis) Include multiple injuries regardless of head injury Age of16 years and over (estimated weight 40 kg or more when age is unknown).
Exclusion criteria
Exclusion criteria: Cardiac arrest before contact with physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In-hospital mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints include presence or absence of hemorrhagic death judged by the attending physician, blood transfusion requirement within first 24 hours, complications (systemic complications, device-related complications, and vascular access-related complications), ICU-free days and ventilator free days of 28 days after hospitalization. Complications and their outcomes are defined as follows: Systemic complications: renal dysfunction (with or without renal replacement therapy), intestinal ischemia (presence or absence of intestinal necrosis by contrast CT or surgery), cerebral infarction (nerve dropout findings such as new onset hemiplegia and image findings), spinal cord infarction (limb paralysis or paralysis), aortic injury (X-ray or CT, angiography or judgment by attending physician) Device-related complications: catheter position abnormality (presence or absence of indwelling in an unintended vessel), presence or absence of balloon migration (downstream movement of the balloon with less pressure increase than expected), presence or absence of balloon rupture Access-related complications: vascular dissection, pseudoaneurysm (repair surgery or intravascular treatment), puncture hematoma, retroperitoneal hematoma (required hemostasis procedure), thromboembolism, vascular stenosis (thrombectomy, angioplasty, or surgical operation), lower limb ischemia (fasciotomy or lower limb amputation) | — |
Countries
Japan,Asia(except Japan)
Contacts
Chiba University Graduate School of Medicine Department of Emergency and Critical Care Medicine