Patients Treated by the Danish Emergency Medical Services Following Non-drowning Water Rescues From 2016 to 2023

NCT ID: NCT06327893

Last Updated: 2025-08-27

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

RECRUITING

Total Enrollment

3000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-01-01

Study Completion Date

2026-05-01

Brief Summary

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Since 2015, all Danish prehospital EMS have used the nationwide Prehospital Electronic Medical Record (PEMR). In 2023, the investigators developed the Danish Drowning Formula (DDF), a text-search algorithm designed to search the unstructured text fields in the electronic medical records with comprehensive search criteria to identify all potential water-related incidents. This protocol describes the first study to analyse the prehospital data from a nationwide Danish cohort of patients treated by the EMS from 2016 to 2023 following non-drowning aquatic rescues.

Detailed Description

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Purpose The purpose of this study is to establish recommendations towards specific educational, preventative, or rescue strategies to reduce the number of aquatic rescues in Denmark (e.g., campaigns targeting high-risk groups, or fencing, allocating rescue equipment, or establishing lifeguard stations in high-risk areas). This may not only enhance prevention of aquatic rescues but also decrease the mortality and the total number of drowning incidents in Denmark.

Objectives The primary objective is to estimate the yearly incidence of patients treated by the Danish EMS following a non-drowning aquatic rescue from 2016 to 2023 and calculate the aquatic rescue to drowning ratio. The secondary objectives are to characterise the rescues (e.g., lay rescuer or professional rescuer, use of equipment) and to report the spatial distribution.

Study design This study is a nationwide registry-based study with data from the Danish nationwide PEMR from 2016 to 2023.

Methods Since 2015, all Danish prehospital EMS have used the nationwide Prehospital Electronic Medical Record (PEMR). In 2023, the investigators developed the Danish Drowning Formula (DDF), a text-search algorithm designed to search the unstructured text fields in the electronic medical records with comprehensive search criteria to identify all potential water-related incidents. This study will be the first to analyse the prehospital data from a nationwide Danish cohort of patients treated by the EMS from 2016 to 2023 following non-drowning aquatic rescues.

Conditions

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Drowning Drowning, Near Submersion Submersion - Accidental Submersion or Drowning Due to Being Washed Overboard Submersion or Drowning Due to Being Thrown Overboard Submersion or Drowning Due to Ship Sinking, Water Skier Injured Submersion or Drowning Due to Boat Submerging, Swimmer Injured Submersion or Drowning Due to Boat Overturning, Swimmer Injured Submersion or Drowning Due to Boat Submerging, Water Skier Injured Submersion or Drowning Due to Fall From Gangplank, Swimmer Injured Submersion or Drowning Due to Ship Sinking, Docker or Stevedore Injured Submersion or Drowning Due to Fall Overboard, Docker or Stevedore Injured

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Aquatic rescue

Patients treated by the Danish EMS following an aquatic rescue performed by lay or professional rescuers are identified from the Danish PEMR using the Danish Drowning Formula (DDF) and extensive manual validation.

Submersion or immersion in liquid

Intervention Type OTHER

The patient must have been submersed or immersed in liquid.

Interventions

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Submersion or immersion in liquid

The patient must have been submersed or immersed in liquid.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All the patients registered in the Danish Prehospital Electronic Medical Record from 2016-2023 will be screened by the Danish Drowning Formula and the medical records containing one or more trigger words will be extracted for manual validation.
* All records where the patient was immersed or submersed in liquid but did not experience mild, moderate, or severe respiratory impairment following the drowning process will be included.

Exclusion Criteria

* All records where the patient was immersed or submersed in liquid and did experience mild, moderate, or severe respiratory impairment following the drowning process).
* All records where the patient was not immersed or submersed in liquid.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Prehospital Center, Region Zealand

OTHER

Sponsor Role lead

Responsible Party

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Niklas Breindahl

Principel Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Helle Collatz Christensen, Ass. Prof.

Role: STUDY_DIRECTOR

Prehospital Center, Region Zealand

Locations

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Prehospital Center

Næstved, Region Sjælland, Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Niklas Breindahl, MD, PhD

Role: CONTACT

Helle Collatz Christensen, MD, PhD

Role: CONTACT

Facility Contacts

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Niklas Breindahl, MD, PhD

Role: primary

004528566410

Helle Collatz Christensen, MD, PhD

Role: backup

004521673452

References

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Breindahl N, Wolthers SA, Jensen TW, Holgersen MG, Blomberg SNF, Steinmetz J, Christensen HC; Danish Cardiac Arrest Group. Danish Drowning Formula for identification of out-of-hospital cardiac arrest from drowning. Am J Emerg Med. 2023 Nov;73:55-62. doi: 10.1016/j.ajem.2023.08.024. Epub 2023 Aug 15.

Reference Type BACKGROUND
PMID: 37619443 (View on PubMed)

Other Identifiers

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AQUATIC_RESCUE

Identifier Type: -

Identifier Source: org_study_id

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