A Prospective Evaluation of the Safety and Effectiveness of a Provincial Prehospital Trauma Bypass Guideline for Adult Major Trauma Patients in Eastern Ontario

In Ontario, guidelines have been developed to allow paramedics to transport an injured person directly to a trauma hospital, bypassing closer hospitals en route. Our study will determine how effective these guidelines are in identifying patients who require care at a trauma hospital and in reducing the time required to get them there. We will also determine how often patients deteriorate during the bypass process and support another study that will obtain paramedics opinions on how to improve the guidelines.

  • Co-Principal Investigators: K. Smaggus (RPPEO) & C. Evans (Queen’s University)
  • Funding: Northern Ontario Academic Health Science Centers Funding Plan
  • Question or comments? Email Shannon Leduc

Evaluation of the Safety of C-Spine Clearance by Paramedics

The goal of this study is to evaluate the safety and potential impact of an active strategy that allows paramedics to assess very low-risk trauma patients with the CCR and transport them without immobilization. Specific objectives, with regards to use of the CCR in the field by trained paramedics, are to: 1) Determine safety; 2) Determine clinical impact; and 3) Evaluate performance.

  • Principal Investigator: Dr. C. Vaillancourt (OHRI/RPPEO)
  • Funding: The Canadian Institutes of Health Research
  • Please email Julie Sinclair or Manya Charette if you have any questions about this study.

Characteristics, Management and Short Term Adverse Events of Transported and Non-Transported Patients with Hypoglycemia by Paramedics

The objectives of this retrospective study are to determine the frequency, patient characteristics and management of non-transport of patients treated for hypoglycemia by paramedics and to determine the rate of repeat access to 911 within 72 hours following treatment of hypoglycemia by paramedics.

  • Principal Investigator: Dr. R. Dionne (RPPEO)
  • Funding: Department of Emergency Medicine, The Ottawa Hospital
  • RPPEO Coordinator: Julie Sinclair

PACCT: Paramedic And Community Care Team

The Paramedic And Community Care Team (PACCT) uses the PERIL Risk Assessment Tool to identify elders who are at the highest risk for recurrent emergency department (ED) use, hospitalization or death within 30 days. The program is designed to allow paramedics to refer these patients to the Champlain Community Care Access Centre (CCAC). The objective of the PACCT study is to increase the quality of life of vulnerable older patients while decreasing recurrent ED visits and/or EMS calls by linking the patient with available community services that better match their unmet needs and are capable of providing interventions such as mobility devices, chronic disease management and personal support workers.

Manuscript in preparation

 

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