Management of Extremity Injuries Registry

The primary objective of this study is to establish a data set that will be permissive of quality improvement studies/observations specific to life and limb salvage in comprisable extremity injuries.

Study Overview

• Status: Completed
• Conditions: Trauma
• Intervention / Treatment: Other: Non-Interventional (Registry)

Detailed Description

Tourniquets are often overused. Direct pressure should be the first step in STB. Combat dressings allow for hands free pressure. These data could provide a foundation for pre-hospital process improvement studies.

This data repository will serve as a means to aggregate and analyze best practices related to trauma patients with extremity injuries. Specific interest will be placed in best practices of the emergency medical service and trauma bay, use of tourniquets and compression bandages, ischemic injuries, and limb salvage.

• Study Type: Observational
• Enrollment (Actual): 999

Contacts and Locations

Study Locations

• United States
  • Texas
    • Dallas, Texas, United States, 75203
      • Clinical Research Institute at Methodist Health System

Participation Criteria

Eligibility Criteria

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

• Sampling Method: Non-Probability Sample

Study Population

Adult trauma patients; defined by the American College of Surgeons as individuals age: ≥16 years, identified in the MDMC trauma registry with documented extremity injury.

Description

Inclusion Criteria:

• Adult trauma patients; defined by the American College of Surgeons as individuals age: ≥16 years
• Included in the MDMC trauma registry
• Documented extremity injury

Exclusion Criteria:

• <16 years old

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
establish a data set that will be permissive of quality improvement studies/observations specific to life and limb salvage in comprisable extremity injuries.	Trauma Registry will be queried for demographic information, admission dates, traumatic injury characteristics, inpatient outcomes, complications, consultations, resuscitation strategies, compression time to control bleeding, use of tourniquet and indications, discharge location, and mortality. Additional triage assessments, bleeding management, and in-patient timeline, will be abstracted from EPIC.	through study completion, up to 18 months

Collaborators and Investigators

• Sponsor: Methodist Health System
• Investigators: Principal Investigator: Conner McDaniel, MD, Methodist Heath System

Study record dates

Study Major Dates

• Study Start (Actual): October 31, 2023
• Primary Completion (Actual): June 12, 2025
• Study Completion (Actual): June 12, 2025

Study Registration Dates

• First Submitted: November 14, 2024
• First Submitted That Met QC Criteria: March 19, 2026
• First Posted (Actual): March 25, 2026

Study Record Updates

• Last Update Posted (Actual): March 25, 2026
• Last Update Submitted That Met QC Criteria: March 19, 2026
• Last Verified: October 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Organization and Administration; Health Services Administration; Health Care Quality, Access, and Evaluation; Investigative Techniques; Epidemiologic Methods; Data Collection; Health Care Evaluation Mechanisms; Quality of Health Care; Public Health; Environment and Public Health; Records; Registries
• Other Study ID Numbers: 039.TRA.2023.D

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No