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
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.
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
Manuscript in preparation