Observational Study of Drowning Patient's Emergency Care in Its Pre-hospital Phase.

Drowning Clinical Trial

— VAR-NOYADE  

Official title:

Observational Study of Drowning Patient's Emergency Care in Its Pre-hospital Phase.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05751655
• Other study ID #: 2023-CHITS-002
• Status: Completed
• Start date: January 18, 2023
• Est. completion date: June 13, 2023

Study information

• Verified date: March 2024
• Source: Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

According to the 9th edition of "NOYADES" survey, 1480 drownings accidents occurred in France in 2021, of which 146 (i.e. nearly 10%), were in the Var department. These patient's care involve in first place the Emergency Medical Service (EMS).

To date, there is no recommendation from French or European academic societies of emergency medicine formalising pre-hospital care of these patients (except for the specific case of cardiac arrest). This absence of recommendation therefore favours heterogeneity of practices.

Description:

Within a three-year period from 2019 to 2022, this retrospective observational study aims to provide an inventory of pre-hospital practices by the EMS in the Var department and to describe drowning patients' characteristics as well as their outcome, according to the initial regulation and the type of care. These data could help for pre-hospital care management.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 296
• Est. completion date: June 13, 2023
• Est. primary completion date: June 13, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Drowning patient

2. Aged 18 years old or over

3. Patient treated by pre-hospital care from the emergency medical services 83 (SAMU 83) between 1st January 2019 and 30th September 2022.

Exclusion Criteria:

1. Diving accident

2. Patient opposition to participate in the study

Related Conditions & MeSH terms

• Drowning
• Emergencies

Intervention

Other:
• Prehospital care following drowning accident
Prehospital care provided by the emergency medical service 83 (SAMU 83)

Locations

Country	Name	City	State
France	Centre Hospitalier Intercommunal Toulon La Seyne sur Mer	Toulon	Var

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Type of ventilation used in pre-hospital care	Mechanical ventilation, non-invasive ventilation, Continuous Positive Airway Pressure, oxygen therapy or none	3-year period from 2019-2022
Primary	Ventilatory settings used in pre-hospital care	Positive End Expiratory Pressure, pressure support, fraction of inspired oxygen, flow rate	3-year period from 2019-2022
Primary	Pre-hospital intervention duration	In minutes	3-year period from 2019-2022
Primary	Type of resources involved for pre-hospital care	None, fire brigade or emergency rapid response unit	3-year period from 2019-2022
Secondary	Onset of death	Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).	Up to 30 days
Secondary	Duration of hospitalisation	Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).	Up to 30 days
Secondary	Intubation rate at hospital	Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).	Up to 30 days
Secondary	Type of ventilation used at hospital	Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).	Up to 30 days