RecruitingNCT06551350

Retrospective Assessment of Referral of a Major Trauma Patient

Retrospective Assessment of Referral of a Major Trauma Patient in Val-d'Oise

Sponsor

Hôpital NOVO

Enrollment

461 participants

Start Date

Oct 18, 2024

Study Type

OBSERVATIONAL

Conditions

Trauma Injury

Summary

The aim of this study is to find out whether major trauma patients from the Val d'Oise are referred to the appropriate trauma centre for their care and to assess the quality of triage within the Val d'Oise department.

Eligibility

Min Age: 18 Years

Inclusion Criteria4

Between the 1st January 2023 and the 31th December 2023
Regulated by SAMU 95 with suspected major trauma
Sending an MCIU
At least 1 Vittel criterion*

Exclusion Criteria10

Death on site
Care by an MICU team outside the 95
Minor patients and legal protection
Transport refusals
Vittel criterion :
Physiological variables : Glasgow score < 13 Systolic blood pressure < 90 mmHg O2 saturation < 90%
Elements of kinetics : Ejection from a vehicle Other passenger killed in the same vehicle Fall > 6 metres Victim thrown or crushed Overall assessment (deformation of the vehicle, estimated speed, absence of helmet, absence of seatbelt) Blast
Anatomical lesions : Penetrating trauma to the head, neck, thorax, abdomen, pelvis, arm or thigh Flail chest Severe burn, smoke inhalation Pelvic fracture Suspected spinal cord injury Amputation of wrist, ankle or above Acute limb ischaemia
Pre-hospital resuscitation : Assisted ventilation Filling > 1000 ml with colloids Catecholamines Inflated shock-proof trousers
Medical context (to be assessed) : Age > 65 Cardiac or coronary insufficiency Respiratory insufficiency Pregnancy (2nd and 3rd trimesters) Blood crase disorders