Randomised trial of clinical and cost effectiveness of Administration of Prehospital fascia Iliaca compartment block for emergency Pre-Hospital hip fracture care Delivery (RAPID 2)

PROJECT TITLE RANDOMISED TRIAL OF CLINICAL AND COST EFFECTIVENESS OF ADMINISTRATION OF PREHOSPITAL FASCIA ILIACA COMPARTMENT BLOCK FOR EMERGENCY PRE-HOSPITAL HIP FRACTURE CARE DELIVERY (RAPID2)
Funding body National Institute for Health Research Health Technology Assessment Programme
Total funding  £ 1,784,766
Team
  • Professor Helen Snooks, Swansea University School of Medicine
  • Professor Steve Goodacre, University of Sheffield
  • Professor Ronan Lyons, School of Medicine Swansea University
  • Dr Simon Ford, Anaesthetics Abertawe Bro Morgannwg University Health Board
  • Professor Alan Watkins, School of Medicine Swansea University
  • Dr Mirella Longo, Cardiff University
  • Ms Sian Jones, PPI based in Wales
  • Dr Bridie Evans, School of Medicine Swansea University
  • Professor Niroshan Siriwardena, University of Lincoln and East Midlands Ambulance Service NHS Trust
  • Mr Nigel Rees, Welsh Ambulance Services NHS Trust
  • Ms Theresa Foster, East of England Ambulance Service NHS Trust
  • Ms Maria Robinson, South Western Ambulance Services NHS Foundation Trust
  • Dr Leigh Keen, Welsh Ambulance Services NHS Trust
  • Dr Jenna Jones, School of Medicine Swansea University
  • Professor Julia Williams, South East Coast Ambulance Service NHS Foundation Trust
  • Dr Helen Wilson, Royal Surrey County Hospital NHS Foundation Trust
Team/consortium
  • Swansea University School of Medicine
  • Welsh Ambulance Services NHS Trust
  • University of Lincoln
  • East Midlands Ambulance Service NHS Trust
  • South Western Ambulance Services NHS Foundation Trust
  • South East Coast Ambulance Service NHS Foundation Trust
  • Anaesthetics Abertawe Bro Morgannwg University Health Board
  • Royal Surrey County Hospital NHS Foundation Trust
Overarching aim Our aim is to test the clinical and cost-effectiveness of paramedics providing FICB as pain relief to patients with suspected hip fracture in the prehospital environment.
Objectives To compare outcomes including pain between trial arms.
Methods Randomised controlled trial
Outcomes Primary outcome: acute pain

Secondary outcomes:

  • Routine data – ambulance service job cycle time; opioid analgesia administered prehospitally; length of stay in hospital and ITU; subsequent ED attendances and emergency admissions; mortality
  • Patient reported outcomes – satisfaction; Health related quality of life; and Mobility
  • Costs to the NHS and to measure safety of care
  • Serious Adverse events (SAEs)
Outputs Peer reviewed publications and conference presentations.
Impact The study will inform NHS policy and practice for prehospital hip fracture pain management.

 

 

Leave a Reply

Your email address will not be published. Required fields are marked *

*