The Neurotrauma Evidence Translation trial is devoted to developing and trialling a consistent approach to the management of patients with mild TBI in Australian Emergency Departments (EDs). We have completed and published an extensive review of all published guidelines in this area and from this, developed a list of treatment recommendations for the ED management of mild TBI (Tavender 2011). We have also completed one-on-one interviews with ED staff and an audit of practice in two Victorian hospitals to gain a picture of how this environment functions (Tavender 2014). Using the information from our recommendations and the results of the interviews we have designed a strategy for optimising the ED management of mild TBI. A cluster randomised trial has been designed to test this strategy.
The trial has completed recruitment and ethics approval has been finalised for all participating sites. In total 31 emergency departments from around Australia have agreed to participate. All sites have been randomised and roll out of the trial commenced in late June 2014. The results of the trial will not be known until 2015