Trauma (Including Fractures)NCT07314437
5 Minute 'HOT' Trauma CT Rates Of Detection Study
A study testing Education in people with Trauma (Including Fractures) and Trauma Abdomen, run by University Hospital Plymouth NHS Trust at 1 site in United Kingdom.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Trauma (Including Fractures), Trauma Abdomen, Trauma Blunt
- What is being tested?
- Education
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 300 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 30 Jan 2026to 28 Feb 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Medical professionals involved in trauma image review.
- This includes clinicians who are emergency department doctors, radiologists and other specialties.
- Non-radiologist clinicians will be participating completing the hot reports, radiologists will be evaluating their submissions and assessing their accuracy.
Who cannot join
- Unable to review CT imaging due to lack of previous experience or disability that prevents them from doing so.
- Under 18 years old.
- Not a medical professional or clinician.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United Kingdom1 site
University Hospitals Plymouth
Plymouth, Devon, PL6 8DH
Paul Jenkins, BMBS, BSc (Hons), FRCR, EBIR, +441752430838 ext. 30838, pjenkins1@nhs.net
Gabriela Di Scenza, MBBS, BA (Hons), PGCert, +447973177122, gabriela.discenza1@nhs.net
About this study
Official title: Randomised Trial (With Integrated Pilot) Evaluating Whether a Standardised Approach, Educational Package (Including Checklist) Improve Recognition of Major Life-threatening Injuries in the Hot Reporting of Trauma Scans
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.
Read the detailed description
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.
- Being tested
- Education
- Keywords
- Trauma, CT, Hot Report, Radiology, HOT-RODs
- Medical subject headings
- Wounds and Injuries, Abdominal Injuries, Wounds, Nonpenetrating
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EducationOther
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.
| Study group | Role | What they receive |
|---|---|---|
| Group 3 Control Group | No intervention | No intervention. Control Group. |
| Group 1 Intervention Group A Images | Experimental | Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist. Receives: Other: Education |
| Group 2 Intervention Group B Images | Experimental | Group 2 will report image bank B, receive the educational intervention and then report image bank A. Receives: Other: Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jan 2026
- Study start30 Jan 2026 (estimated)
- Primary completion30 Jan 2027 (estimated)
- Study completion28 Feb 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Trauma (Including Fractures)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Factorial
- Model description
- 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. Subgroup analysis of clinicians by demographics including trauma experience will be performed.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University Hospital Plymouth NHS Trust
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Paul Jenkins, University Hospital Plymouth NHS Trust
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07314437
- Sponsor's protocol ID
- 25/RAD/176
- Other IDs
- 361877, 70122
- Status last verified
- Jan 2026
- First submitted
- 25 Nov 2025
- Last updated
- 12 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- 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.
Study at a glance
From the registry record, last updated by the sponsor on 12 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomised Trial (With Integrated Pilot) Evaluating Whether a Standardised Approach, Educational Package (Including Checklist) Improve Recognition of Major Life-threatening Injuries in the Hot Reporting of Trauma Scans
- ClinicalTrials.gov ID
- NCT07314437
- Acronym / sponsor ID
- 25/RAD/176
- Keywords
- Trauma, CT, Hot Report, Radiology, HOT-RODs
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- University Hospital Plymouth NHS TrustUniversity, hospital or other
- Study start
- 30 Jan 2026 (estimated)
- Primary completion
- 30 Jan 2027 (estimated)
- Study completion
- 28 Feb 2027 (estimated)
- First posted
- 2 Jan 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Single blind (participant)
- Number of arms
- 3
- Model description
- 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. Subgroup analysis of clinicians by demographics including trauma experience will be performed.
| Arm | Type | Receives |
|---|---|---|
| Group 3 Control Group | No intervention | –No intervention. Control Group. |
| Group 1 Intervention Group A Images | Experimental | Other: EducationGroup 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist. |
| Group 2 Intervention Group B Images | Experimental | Other: EducationGroup 2 will report image bank B, receive the educational intervention and then report image bank A. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Medical professionals involved in trauma image review.
- This includes clinicians who are emergency department doctors, radiologists and other specialties.
- Non-radiologist clinicians will be participating completing the hot reports, radiologists will be evaluating their submissions and assessing their accuracy.
Key exclusion criteria (3 listed)
- Unable to review CT imaging due to lack of previous experience or disability that prevents them from doing so.
- Under 18 years old.
- Not a medical professional or clinician.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EducationThe 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. | Other | Group 1 Intervention Group A Images, Group 2 Intervention Group B Images |
Primary outcome
Rates of detection and error of a hot CT report.
Time frame: 1 year
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jan 2026.
- Individual participant dataSharing planned: 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Education in people with Trauma (Including Fractures) and Trauma Abdomen, run by University Hospital Plymouth NHS Trust at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 12 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Paul Jenkins, BMBS, BSc (Hons), FRCR, EBIR (+441752430838, pjenkins1@nhs.net), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Rates of detection and error of a hot CT report. (time frame: 1 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2026.