Continuous Pre-Hospital Data as a Predictor of Outcome Following Major Trauma: A Study Using Improved and Expanded Data

Abstract

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.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2006
Accession Number
ADA470112

Entities

People

  • Donald J. Gordon
  • E. S. Kinkler
  • John B Holcomb
  • Josè Salinas
  • Víctor A. Convertino

Organizations

  • Southwest Research Institute

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Application Software
  • Cardiovascular Physiological Phenomena
  • Computers
  • Data Acquisition
  • Databases
  • Digital Communications
  • Electrocardiography
  • Emergency Response
  • First Responders
  • Health Services
  • Heart Rate
  • Hospitals
  • Institutional Review Board
  • Medical Personnel
  • Vehicles
  • Wounds And Injuries
  • Xml

Readers

  • Aerospace Test and Evaluation
  • Clinical Trial Research.
  • Trauma or Military Medicine

Technology Areas

  • Microelectronics