An interventional study of Education in Trauma (Including Fractures), Trauma Abdomen and Trauma Blunt, sponsored by University Hospital Plymouth NHS Trust. Not yet recruiting at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-12.
Sponsored by University Hospital Plymouth NHS Trust · Not applicable, Interventional, and Diagnostic
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.
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.
2,217 studies on the registry are indexed under Wounds and Injuries; 441 are open to participants now.
This study's planned enrollment of 300 is above the median of 70 across 1,424 interventional studies indexed under Wounds and Injuries.
Browse Wounds and Injuries studies →University Hospital Plymouth NHS Trust is the lead sponsor of 53 studies on the registry; 7 are open to participants now.
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Exclusion Criteria:
No intervention. Control Group.
Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist.
Other: Education
Group 2 will report image bank B, receive the educational intervention and then report image bank A.
Other: Education
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.
Rates of detection and error of a hot CT report.
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.
Time frame: 1 year
Plan to share: Yes — We aim to make IPD available after the project's 1st publication with the data analysed. We anticipate that this will be a maximum of one year following the anticipated completion date of the project, 15th January 2028.
Supporting information: Study protocol, Informed consent form, Clinical study report
Time frame: The IPD and supporting information will be made available via the request process outlined below after the project's first publication with the data analysed. We anticipate this will be a maximum of one year following the anticipated completion date of the study (15th January 2027).
Access criteria: Requests for data sharing can be made after publication of the primary results paper. Requests should be made to the Chief Investigator in the first instance. Requesters will be asked to complete an application form detailing specific requirements, rationale, and proposed usage. The CI and study sponsor (including the sponsor's Research Governance Manager (or deputy), the Information Governance Team, Calidcott Guardian, IM\&T Security Officer and the researcher funder, as appropriate) will review all requests. Consideration will be given to: The viability and suitability of the request Appropriate steps have been taken to minimise the risk of identifying participants Data security policies and procedures of recipient organisation (including country if abroad) and other regulatory requirements are applicable The credentials of the requestor Where access to requested data is granted, requesters organisation must sign a data sharing agreement before they can access any
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University Hospital Plymouth NHS Trust