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NCT Number: NCT07314437

5 Minute 'HOT' Trauma CT Rates Of Detection Study

Many injured patients receive urgent CT imaging to identify major injury. CT imaging of trauma patients is often time critical and the accurate detection of life-threatening findings on this CT is essential. Often following a scan a radiologist is not immediately available to review the imaging, however other members of the trauma team have access to the imaging and may be in a position to provide a "hot" report. In this study we aim to demonstrate if an educational intervention with a checklist improves accuracy of the hot report.

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Key information

Conditions

Trauma (Including Fractures) Abdominal Injuries Trauma Abdomen Trauma Blunt Trauma Centers Wounds and Injuries Wounds, Nonpenetrating

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospitals Plymouth

Plymouth, Devon, PL6 8DH, United Kingdom

Location contact

Gabriela Di Scenza, MBBS, BA (Hons), PGCert

CONTACT

[email protected]

+447973177122

Paul Jenkins, BMBS, BSC (Hons), FRCR, EBIR

PRINCIPAL_INVESTIGATOR

Paul Jenkins, BMBS, BSc (Hons), FRCR, EBIR

CONTACT

[email protected]

+441752430838 ext. 30838

About this study

This is a randomised controlled trial to evaluate whether a standardised approach, educational package (with checklist) may improve recognition of major life-threatening injuries in the hot reporting of trauma scans. A pilot study with 20 participants allocated to the two groups on 1:1 ratio which will receive the education package, will inform feasibility of the larger study.

The larger study will recruit 300 participants, 100 on each group on 1:1:1 ratio, to evaluate the primary objective.

Participants will be clinicians who volunteer to participate in an online educational package. Participant data will be collected by the online platform under a unique identifier. Results will then be extracted from the platform and then associated with the demographic data on the trust system.

Following application of inclusion and exclusion criteria, participants will be allocated into one of three groups, and assigned a participant number. The test data set will consist of cases that have been pseudo anonymised with the key stored on trust systems.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Medical professionals involved in trauma image review.
  • This includes clinicians who are emergency department doctors, radiologists and other specialties.
  • Non-radiologist clinicians will be participating completing the hot reports, radiologists will be evaluating their submissions and assessing their accuracy.

Exclusion criteria

  • Unable to review CT imaging due to lack of previous experience or disability that prevents them from doing so.
  • Under 18 years old.
  • Not a medical professional or clinician.

Treatment and study plan

Education

Other

The three groups will report 2 image banks of 15 CT images each. Image bank A will contain 15 CT images each with a brief history including the mechanism of injury. Image bank B will contain 10 new CT images and 5 CT images contained within image bank A, but with an altered but compatible mechanism of injury.

Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist. Group 2 will report image bank B, receive the educational intervention and then report image bank A. Group 3 will report image bank A and B without any intervention.

Primary outcomes

  1. Rates of detection and error of a hot CT report.

    Time frame: 1 year

    Measure using percentage difference in hot report accuracy rates between those who receive the educational package and those who did not. Participants will submit their answers onto the platform and these will be evaluated by Radiologists familiar with the trauma scans the participants have reviewed. The primary analysis will be comparative between the pickup rate between the first and second imaging set within groups 1 and 2. Group 3 will act a control group to determine the effect of repetition on skill development rather than the education package.

Study contacts

Contact information is provided by the study sponsor or research team.

Paul Jenkins, BMBS, BSc (Hons), FRCR, EBIR

CONTACT

[email protected]

+441752430838

Sponsors and collaborators

Lead sponsor

University Hospital Plymouth NHS Trust

Other

Registry information

Official study title

Randomised Trial (With Integrated Pilot) Evaluating Whether a Standardised Approach, Educational Package (Including Checklist) Improve Recognition of Major Life-threatening Injuries in the Hot Reporting of Trauma Scans

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jan 2, 2026
Registry last updated
Jan 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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