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Completed

NCT Number: NCT03483727

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

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.

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Key information

Conditions

Combat Casualty Care

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

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

Exclusion criteria

  • none

Treatment and study plan

SIMMAXMARCHERYAN

Device

Digital cognitive aid during the management of simulated combat wounded.

Primary outcomes

  1. Technical Performance as compared to a Reference Task List

    Time frame: Time 0-30 min

    as compared to a Reference Task List

Secondary outcomes

  1. Non technical skills performance

    Time frame: Time 0-30 min

    as measured by the Ottawa score

Sponsors and collaborators

Lead sponsor

Claude Bernard University

Other

Registry information

Official study title

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

Acronym: SIMMAXMARCHE

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Mar 30, 2018
Registry last updated
Mar 30, 2018

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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