First Aid by Laypersons - Effect on Mortality and Length of Stay

Førstehjelp Gjort av Lekfolk-effekt på dødelighet og behandlingsforløp (First Aid by Laypersons - Effect on Mortality and Length of Stay)

The study aims to assess the effect of first aid from bystanders on survival, admission length, and need of ICU-stay for trauma victims.

Study Overview

• Status: Unknown
• Conditions: Trauma; First Aid; Wounds and Injury; Bystander
• Intervention / Treatment: Procedure: First aid

Detailed Description

All ambulance services in Norway will be invited to participate. In the participating ambulance services, the personnel of first unit to reach the scene of accident for any emergency response to trauma will register what first aid measures (if any) are indicated and have been performed by the bystanders on the scene up til the point where the ambulance arrives. Hospital data for each case will be retrieved. Those patients who did receive correct first aid will then be compared to those patients who did not receive first aid, and those where first aid was attempted but not correct for differences in share of survivors, length of hospital stay, and need for admission to ICU.

• Study Type: Observational
• Enrollment (Anticipated): 1400

Contacts and Locations

• Study Contact: Name: Håkon Kvåle Bakke, MD, PhD; Phone Number: +4795182294; Email: hakonkvalebakke@gmail.com

Study Locations

• Norway
  • Tromso, Norway, 9037
    • UNN Tromsø
    • Contact: Håkon Bakke, MD, PhD; Phone Number: +4795182294; Email: hakonkvalebakke@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All patients who has sustained an injury and where the EMS has been alerted and initiated an emergency response

Description

Inclusion Criteria:

• All emergency response calls to trauma (drownings and hangings included)

Exclusion Criteria:

• No injury to patient
• Non-traumatic condition
• Poisonings

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
First aid correct; Patient has received first aid according to local guidelines for all indicated first aid measures from bystanders on scene of accident when the first ambulance arrives	Procedure: First aid; Open airway (head tilt, chin lift), recovery position, staunch of bleeding, prevention of hypothermia, cooling of burn, CPR
First aid attempted; Bystanders have attempted first aid for indicated first aid measures, but measures have been incorrectly performed according to local guidelines	Procedure: First aid; Open airway (head tilt, chin lift), recovery position, staunch of bleeding, prevention of hypothermia, cooling of burn, CPR
No first aid; Indicated first aid measures have not been carried out when the first ambulance arrives on scene

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Admission length	Length of hospital stay after injury, in days	3 months after inclusion
Survival	30-day survival, starting from day of injury	1 month after inclusion
Need of ICU stay	Whether patient is admitted to ICU during admission	3 months after inclusion

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Length of ICU stay	Length of ICU stay if patient was admitted to ICU, in days	3 months after inclusion

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Whether patients received first aid from bystanders	If patients with indicated measures receiving first aid from bystanders, given for each measure and combined	At time of inclusion
Whether first aid measures were indicated for the patient	If first aid measures was indicated, given for each measure and combined	At time of inclusion

Collaborators and Investigators

• Sponsor: University of Tromso
• Collaborators: University Hospital of North Norway; Norsk Folkehjelp; Nasjonal kompetansetjeneste for traumatologi (NKT-Traume)

Study record dates

Study Major Dates

• Study Start (Anticipated): August 1, 2018
• Primary Completion (Anticipated): August 1, 2020
• Study Completion (Anticipated): August 1, 2021

Study Registration Dates

• First Submitted: May 3, 2017
• First Submitted That Met QC Criteria: June 15, 2017
• First Posted (Actual): June 19, 2017

Study Record Updates

• Last Update Posted (Actual): June 19, 2017
• Last Update Submitted That Met QC Criteria: June 15, 2017
• Last Verified: June 1, 2017

More Information

Terms related to this study

• Keywords: Trauma; Wounds and injury; First aid; Bystander; Laypersons
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: 2016/1760

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No
• IPD Plan Description: No plan of sharing IDP

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No