Data Collection: Collection of medical data from MICU intervention file and the medical records of patients at the destination hospital
Study summary
The aim of this study is to find out whether major trauma patients from the Val d'Oise are referred to the appropriate trauma centre for their care and to assess the quality of triage within the Val d'Oise department.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria :
* Between the 1st January 2023 and the 31th December 2023
* Regulated by SAMU 95 with suspected major trauma
* Sending an MCIU
* At least 1 Vittel criterion\*
Exclusion Criteria :
* Death on site
* Care by an MICU team outside the 95
* Minor patients and legal protection
* Transport refusals
* Vittel criterion :
• Physiological variables : Glasgow score \< 13 Systolic blood pressure \< 90 mmHg O2 saturation \< 90%
• Elements of kinetics : Ejection from a vehicle Other passenger killed in the same vehicle Fall \> 6 metres Victim thrown or crushed Overall assessment (deformation of the vehicle, estimated speed, absence of helmet, absence of seatbelt) Blast
• Anatomical lesions : Penetrating trauma to the head, neck, thorax, abdomen, pelvis, arm or thigh Flail chest Severe burn, smoke inhalation Pelvic fracture Suspected spinal cord injury Amputation of wrist, ankle or above Acute limb ischaemia
• Pre-hospital resuscitation : Assisted ventilation Filling \> 1000 ml with colloids Catecholamines Inflated shock-proof trousers
• Medical context (to be assessed) : Age \> 65 Cardiac or coronary insufficiency Respiratory insufficiency Pregnancy (2nd and 3rd trimesters) Blood crase disorders
Primary outcome measure(s)
Triage assessment of a major trauma patient — At the end of the study, an average of 9 month The criterion is the evaluation of the referral of the major trauma patient after post-Medics injury assessment into over, normo and under-triage
The over-triage patient is referred to a level I trauma centre with an Injury Severity Score (ISS) \<16
The normo-triage patients are either referred to:
* a level 1 trauma centre with an ISS \>15
* the local scanner and then to an intensive care unit at the scanner site
* in the emergency department and then to a surgical unit
* emergency with a return home afterwards
The under-triage patient is either referred to:
* the local scanner and then to a level 1 trauma centre
* initially emergency with hospitalisation in an intensive care or continuing care unit afterwards
Trial sites (1)
Facility
City
Region
Status
Resuscitation Services (SAMU 95/SMUR) - Hôpital NOVO -Pontoise Site
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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