Continuous Pre-Hospital Data as a Predictor of Outcome Following Major Trauma: A Study Using Improved and Expanded Data
Final rept. 23 Jan 2004-22 Nov 2006
SOUTHWEST RESEARCH INST SAN ANTONIO TX
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This study is designed to acquire near continuous physiologic measurements, beginning at the earliest practical time after injury, on large numbers of injured patients with severe trauma. The study will utilize commercially available FDA-certified monitoring equipment, operating in a fleet of front-line ground EMS ambulances currently serving a large metropolitan area with multiple trauma centers, and operating within an existing mobile wireless network. First Responders represent the earliest opportunity to acquire meaningful medical data in injury cases. This data will be correlated with significant clinical outcomes within the first 24 hours of admission and entered into a research database. Analysis of this database may allow development of models that predict outcome and the need for life-saving procedures. During the reporting period, a proof-of-concept process for manually collecting, processing, and reporting pre-hospital physiological data was defined. Research protocols were developed and IRB approvals obtained. Fielding of physical and electronic data collection facilities for this project, and to pave the way for future sustained data collection, was accomplished. Pre-hospital patient data was acquired and processed. Analysis supports the proposed hypothesis that ground EMS systems can provide earlier inception of data recording than helicopter services.
- Information Science
- Medicine and Medical Research
- Biomedical Instrumentation and Bioengineering