• Jason E Bloom, Andi Partovi, Stephen Bernard, Daniel Okyere, Stephane Heritier, Emily Mahony, Amminadab L Eliakundu, Luke P Dawson, Aleksandr Voskoboinik, David Anderson, Jocasta Ball, William Chan, David M Kaye, Ziad Nehme, and Dion Stub.
• Department of Cardiology, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia; Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC 3004, Australia; School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia; Ambulance Victoria, 31 Joseph Street, Blackburn, VIC 3130, Australia.
• Resuscitation. 2023 Jun 1; 187: 109787109787.

AbstractThe effective recruitment and randomisation of patients in pre-hospital clinical trials presents unique challenges. Owing to the time critical nature of many pre-hospital emergencies and limited resourcing, the use of traditional methods of randomisation that may include centralised telephone or web-based systems are often not practicable or feasible. Previous technological limitations have necessitated that pre-hospital trialists strike a compromise between implementing pragmatic, deliverable study designs, with robust enrolment and randomisation methodologies. In this commentary piece, we present a novel smartphone-based solution that has the potential to align pre-hospital clinical trial recruitment processes to that of best-in-practice in-hospital and ambulatory care based studies.Copyright © 2023 Elsevier B.V. All rights reserved.

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