Improving patient outcomes in the 'hot zone' during major incidents

  • Research type

    Research Study

  • Full title

    Improving patient outcome in the 'hot zone' during a major incident: a mixed methods medical research approach

  • IRAS ID

    302576

  • Contact name

    Claire Park

  • Contact email

    claire.park7@nhs.net

  • Sponsor organisation

    Queen Mary University of London

  • Clinicaltrials.gov Identifier

    148254, JRMO EDGE Number

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    The overall aim of this phase of study is to capture specific patient data about potentially preventable death from patients who have died on-scene (gone into cardiac arrest) secondary to prehospital trauma, and from those who died on-scene during UK terrorist incidents.

    This data will help inform, and further augment, other phases of the study, and ultimately address our key question of whether lives could be saved by trained personnel entering the 'hot zone' to deliver specific interventions to casualties.

    If we can understand why lives are lost on-scene following a terrorist incident, we can determine if any medical interventions that are currently available could have stopped the individual from dying, and what type of professional responding to the event (police officer, fire officer, paramedic or doctor) could deliver it.

    If we know how long a patient was alive for on-scene, and what they died of, medical interventions which could be delivered within that time frame to save their life can be determined.

    This work stream will include extraction of quantitive data from a number of different sources (Air Ambulance, Ambulance Service, Police, HM Coroner service, Judicial) in order to explore what deaths may have been preventable and what treatments would be required to prevent those. Each of those data sources provides specific data on the patient which, when amalgamated as an anonymised data set, can be presented to an expert panel on preventable death to address the research aim.

  • REC name

    West Midlands - Coventry & Warwickshire Research Ethics Committee

  • REC reference

    22/WM/0162

  • Date of REC Opinion

    7 Sep 2022

  • REC opinion

    Further Information Favourable Opinion