Actively Recruiting

Phase Not Applicable
Age: 15Years +
All Genders
ID06321419

Effects of Advanced Trauma Life Support® Training Compared to Standard Care on Adult Trauma Patient Outcomes: A Cluster Randomised Trial

Led by Karolinska Institutet · Updated on 2026-01-23

4320

Participants Needed

10

Research Sites

N/A

Total Duration

On this page

Sponsors

K

Karolinska Institutet

Lead Sponsor

T

The George Institute

Collaborating Sponsor

AI-Summary

What this Trial Is About

Trauma is a major global health concern, and many training programs aim to improve how doctors initially manage trauma patients. Among these, the Advanced Trauma Life Support® (ATLS®) course is the most widely used, having trained over one million physicians worldwide. However, no controlled trials have yet shown whether ATLS® improves patient outcomes, highlighting the need for research to compare ATLS® training with standard care in adult trauma patients. The study compares the effects of ATLS® training with standard care in hospitals in India that treat adult trauma patients. The ATLS® intervention involves a 2.5-day course teaching a standardized approach to trauma care, including primary and secondary surveys, resuscitation, triage, and transfers. Physicians in the experimental group receive this accredited training, while the standard care group consists of usual trauma management by medical and surgical residents without specialized team approaches. Participants are adult trauma patients aged 15 years and older who present to participating emergency departments within 48 hours of injury and are admitted or transferred for admission. Researchers will collect routine hospital data and follow patients for 30 days after emergency department arrival to measure outcomes, focusing primarily on in-hospital mortality. The study uses an opt-out consent process for routine data and obtains informed consent for additional follow-up. Participation may last through hospital stay and 30-day post-arrival monitoring.

CONDITIONS

Brief Title

Effects of Advanced Trauma Life Support® on Adult Trauma Patient Outcomes

Who Can Participate

Age: 15Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age of at least 15 years
  • Trauma occurred less than 48 hours before arrival at the hospital
  • Present to the emergency department of participating hospitals with a history of trauma as defined by the International Classification of Diseases chapter XX
  • Admitted or died between arrival and admission, or referred/transferred from the emergency department to another hospital for admission
  • Managed by a participating cluster in the emergency department
Not Eligible

You will not qualify if you...

  • Present with isolated limb injuries only
  • Directly admitted to a ward without being seen by a physician in the emergency department

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - Up to 30 days after arrival at the emergency department

Participants receive trauma care either from physicians trained in Advanced Trauma Life Support or through standard care provided by medical officers and residents.

Care occurs as needed during hospital stay

Trial Site Locations

Total: 10 locations

1

Assam Medical College & Hospital

Dibrugarh, Assam, India, 786003

Actively Recruiting

2

KEM Hospital

Mumbai, Maharashtra, India, 400012

Actively Recruiting

3

Lokmanya Tilak Municipal General Hospital

Mumbai, Maharashtra, India, 400022

Actively Recruiting

4

Hridaysamrat Balasaheb Thackre Mun. Medical college and Dr. R.N. Cooper Hospital

Mumbai, Maharashtra, India, 400056

Actively Recruiting

5

Holy Family Hospital

New Delhi, New Delhi, India, 110025

Actively Recruiting

6

Dayanand Medical College & Hospital

Ludhiana, Punjab, India, 141001

Actively Recruiting

7

Christian Medical College & Hospital

Ludhiana, Punjab, India, 141008

Actively Recruiting

8

Himalayan Institute of Medical Sciences, Swami Rama Himalayan University

Dehradun, Uttarakhand, India, 248016

Actively Recruiting

9

Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital (IPGMER and SSKM Hospital)

Kolkata, West Bengal, India, 700020

Actively Recruiting

10

Government Medical College Hospital

Chandigarh, India, 160030

Actively Recruiting

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Research Team

M

Martin Gerdin Wärnberg, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Effects of Advanced Trauma Life Support® training compared with standard care on adult trauma patient outcomes (ADVANCE TRAUMA): study protocol for a stepped-wedge cluster randomised trial.

Samriddhi Ranjan, Sara Fälth, Prashant Kharat...

https://pubmed.ncbi.nlm.nih.gov/41630085