Professional Development in Emergency Medical Services (ProDEms)

Catholic University (KU) of Leuven

Status: Withdrawn

Conditions: Clinical Practice Guidelines; Emergency Medical Services; Clinical Decision Support

Treatments: Procedure: Clinical Decision Support Tool for Prehospital Care

Study type: Interventional

Funder types: Other

Identifiers

NCT02365792

ProDEmsTrial

Details and patient eligibility

About

The ProDEms-trial focuses on nurses and ambulance drivers working in prehospital care, taking care on the one hand of patients suffering from time-sensitive critical conditions like STEMI, acute stroke or severe traumatic brain injury, and on the other hand of patients whose lives are not in immediate danger but suffer from acute exacerbation of chronic conditions or suffer from acute pain.

In the current study the investigators will use a multistage approach to test the hypothesis whether the use of a CDSS in prehospital emergency care will: 1. Improve protocol adherence, 2. Reduce emergency department length of stay, 3. Improves diagnostic accuracy; without impeding the workflow of the prehospital team or impairing patient safety.

Sex: All

Ages: 1 to 112 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients who receive treatment from the Paramedic Intervention Team (PIT) in the prehospital Emergency Medical Services (EMS) area of the University Hospitals, Leuven.

Exclusion criteria

• Patient-related interventions not dispatched by the Emergency Medical Dispatch center (EMD)
• Patient related interventions during transport between two healthcare facilities or in mass casualty situations.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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0 participants in 3 patient groups, including a placebo group

CDSS1

Active Comparator group

Description:

The CDSS1 will provide decision support according to existing protocols for clinical procedures and medical treatment, mainly starting from specific symptoms or diagnostic related patients groups. The symptom oriented approach is categorised in a specific list of predetermined conditions.

Treatment:

Procedure: Clinical Decision Support Tool for Prehospital Care

CDSS2

Active Comparator group

Description:

The CDSS2 will provide decision support according to existing protocols for clinical procedures and medical treatment, mainly starting from specific symptoms or diagnostic related patients groups. The symptom oriented approach is categorised in a specific list of predetermined conditions.

Treatment:

Procedure: Clinical Decision Support Tool for Prehospital Care

Booklet

Placebo Comparator group

Description:

The control group will provide prehospital patient care with usual decision support: a pocket-size booklet, backed by a mobile phone through which the PIT can get in contact with an Emergency Physician.

Treatment:

Procedure: Clinical Decision Support Tool for Prehospital Care