Emergency Department Thoracotomy Occupational Blood Exposure

This study will be performed as a part of prospective observational American Association for the Surgery of Trauma (AAST) multi-institutional trial analyzing emergency department thoracotomies performed at trauma centers throughout the United States will be performed. After each EDT, all medical personnel involved in the resuscitation will complete a questionnaire. The primary endpoint will be occupational exposure during the thoracotomy. Secondary endpoints will include observance of universal precautions and proper reporting of occupational exposures using institutional protocols. Data will be sent after each EDT via secure email to the sponsoring institution (University of Pennsylvania) where it will be entered into a RedCap database. At the conclusion of data collection (approximately 1-2 years), a comprehensive statistical analysis will be performed to quantify the actual risk of occupational exposure to both the primary surgeon, assistants, and other staff during emergency department thoracotomy. The known incidence of blood borne pathogens in the trauma population, multiplied by the rate of transmission after exposure, will be multiplied by the rate of exposure determined in order to calculate the actual risk to providers. Individual patient data will be collected from the trauma registry for further analysis of risk factors for occupational exposure.

Study phase: I

Basic eligibility criteria:
Please contact the study coordinator for additional eligibility information.

In our proposed cohort study we are planning to prospectively enroll all medical personnel involved in ED thoracotomies performed at our level 1 trauma center. Medical personnel involved in a maximum number of 50 ED thoracotomies will be enrolled. Questionnaires will be filled out by all members of the team actively involved in patient care and resuscitation during the ED thoracotomy.
In addition we will collect some patient data. These variables include patient demographics (age and sex), patient’s past medical history, blood transfusions, fluids, and past medical history of communicable diseases.
The following information will be collected from the medical personnel involved in the ED thoracotomy:
• Number of hours of shift spent
• Any possible exposure to blood products
• If the exposure occurred; details of the exposure.
• Your role in the resuscitation process

Primary disease category: Trauma & Emergency Medicine

Secondary disease categories: HIV/AIDS & Infectious Disease

This study is enrolling healthy volunteers.

Projected enrollment dates: November 2015 to November 2016

Official study title: Emergency Department Thoracotomy Occupational Blood Exposure