Use of a Hand-held Digital Cognitive Aid in the Early Management of Simulated War Wounds.

NCT ID: NCT03483727

Last Updated: 2018-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2017-09-01

Brief Summary

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Combat casualty care has proven to increase survival rate in military conflict by treating without delay the quickest-to-kill wounds. The French militaries are trained to the MARCHE RYAN acronym, an algorithm designed to help every soldiers provide simple treatment in order to bring the patient to the surgeon alive.

Our first study (MAX, Lelaidier et al, BJA 2017) clearly showed that the use of a digital cognitive aid in the hand of the leader significantly improves the management of anaesthesia \& intensive care emergencies (malignant hyperthermia, anaphylactic shock, acute toxicity of local anaesthetics, severe and symptomatic hyperkalaemia).

The present study exclusively deals with the management of combat casualties with the same digital cognitive aid adapted for MARCHE RYAN algorithm.

Detailed Description

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In a first study (MAX, BJA 2017, Lelaidier et al) the investigators designed a digital cognitive aid (MAX for Medical Assistant eXpert) under the form of a smartphone application including 5 scenarios of anaesthesia and intensive care crises (malignant hyperthermia, anaphylactic shock, acute toxicity of local anaesthetics, severe and symptomatic hyperkalaemia, ventricular fibrillation), designed to be used in the hand of the leader managing the situations. Technical and non-technical skills were improved in 4 out of 5 scenarios.

Combat casualties are dealt with a stereotyped management in the French army, and all soldiers learn the algorithm (acronym) designed for this purpose, the MARCHE RYAN. Situations requiring the use of the MARCHE RYAN are extremely stressful (on the battlefield, performed by non-medical personal, often on a comrade).

The present study exclusively deals with the management of combat casualties with the digital cognitive aid MAX adapted for MARCHE RYAN algorithm.

Conditions

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Combat Casualty Care

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

with or without the cognitive aid
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
single

Study Groups

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Digital cognitive aid

The digital cognitive aid is designed as a smartphone app.

Group Type EXPERIMENTAL

SIMMAXMARCHERYAN

Intervention Type DEVICE

Digital cognitive aid during the management of simulated combat wounded.

no digital cognitive aid

No cognitive aid in the hand of the leader during crises management.

Group Type EXPERIMENTAL

SIMMAXMARCHERYAN

Intervention Type DEVICE

Digital cognitive aid during the management of simulated combat wounded.

Interventions

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SIMMAXMARCHERYAN

Digital cognitive aid during the management of simulated combat wounded.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Soldiers
* already trained in Combat Care level 2, under training for external operations.

Exclusion Criteria

* none
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Claude Bernard University

OTHER

Sponsor Role lead

Responsible Party

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CEJKA Jean-Christophe

MD, PhD, mEng

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Truchot M, Balanca B, Wey PF, Tazarourte K, Lecomte F, Le Goff A, Leigh-Smith S, Lehot JJ, Rimmele T, Cejka JC. Use of a Digital Cognitive Aid in the Early Management of Simulated War Wounds in a Combat Environment, a Randomized Trial. Mil Med. 2020 Aug 14;185(7-8):e1077-e1082. doi: 10.1093/milmed/usz482.

Reference Type DERIVED
PMID: 32091610 (View on PubMed)

Other Identifiers

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ClaudeBernardU

Identifier Type: -

Identifier Source: org_study_id