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The challenges of conducting prehospital research: successes and lessons learnt from the Head Injury Transportation Straight to Neurosurgery (HITS-NS) trial
  1. Graham McClelland1,
  2. Elspeth Pennington2,
  3. Sonia Byers1,
  4. Wanda Russell3,
  5. Fiona Lecky4
  1. 1Research and Development Department, North East Ambulance Service NHS Foundation Trust, Newcastle Upon Tyne, UK
  2. 2North West Ambulance Service, Bolton, UK
  3. 3University of Manchester, Manchester, UK
  4. 4Emergency Medicine Research in Sheffield (EMRiS), University of Sheffield/University of Manchester/Salford Royal Hospital NHS Foundation Trust, Sheffield, UK
  1. Correspondence to Graham McClelland, Research and Development Department, North East Ambulance Service NHS Foundation Trust, Bernicia House, Goldcrest Way, Newburn Riverside, Newcastle Upon Tyne NE15 8NY, UK; Graham.mcclelland{at}neas.nhs.uk

Abstract

Head Injury Transportation Straight to Neurosurgery was a cluster randomised trial studying suspected severe head injury treatment pathways conducted in the North East Ambulance Service NHS Foundation Trust and North West Ambulance Service NHS Trust between January 2012 and March 2013. This was the world's first large scale trial of any trauma bypass and was conducted as a feasibility study. This short report will describe some of the lessons learnt during this ground breaking and complex trial.

  • emergency ambulance systems
  • pre-hospital
  • research, methods

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