IPSTRAUC : Impact on Care Pathways of a New Management of Cervical Trauma in Conscious Patients S… (NCT06983873) | Clinical Trial Compass
RecruitingNot Applicable
IPSTRAUC : Impact on Care Pathways of a New Management of Cervical Trauma in Conscious Patients Stable in Pre-hospital Care
France840 participantsStarted 2026-04
Plain-language summary
The aim of the study is to evaluate the application of Canadian C-Spine rules adapted to pre-hospital settings in France in order to improve the appropriateness of cervical spine immobilisation, reduce unnecessary imaging examinations and optimise patient care pathways.
Who can participate
Age range18 Years – 65 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
PATIENTS
* GCS 15
* Stable (no organ failure, SBP ≥ 90 mmHg, DBP ≥ 65 mmHg, RF between 10 and 24 cycles/min)
* Cooperative (calm and obedient to instructions)
* Victim of a closed cervical spine trauma treated in the pre-hospital setting (fire brigade and/or Mobile Emergency and Resuscitation Service (SMUR)).
* Recent trauma (\< 48 hours).
* Care regulated by the Emergency Medical Service (SAMU).
* Beneficiary of a social security scheme.
* Who can be contacted by telephone
* Have received oral and written information and have not objected to taking part in the study.
PROFESSIONAL
* Age ≥ 18 years
* Professional firefighter or EMS regulating doctor
* Professional who has received training in the protocol and, in the case of the experimental group, in the CCRa rules
* Fluency in French
* Having received oral and written information and not having objected to their participation in the study.
Exclusion Criteria:
PATIENTS
* Life-threatening organ damage
* Cardiorespiratory arrest since the traumatic event in question
* Polytrauma patient
* Penetrating trauma or a supra-clavicular wound following a knife or firearm injury
* Known spinal disease or previous spinal surgery (ankylosing spondylitis, rheumatic fever, spinal stenosis, cervical spine surgery).
* Acute paralysis (paraplegia, tetraplegia, hemiplegia, hemiparesis or documented sensory or motor deficit)
* Diagnosed osteogenesis imperfecta.
* Patients not regulated by EMS or transported to a hospit…
What they're measuring
1
Proportion of patients admitted to emergency service