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FAST Examination During Emergency Practice

Not Applicable
Conditions
Trauma
Ultrasonography
Interventions
Device: SonoScape
Registration Number
NCT02289885
Lead Sponsor
International Institute of Rescue Research and Education
Brief Summary

The study evaluates the knowledge, attitude and practice about Focused Assessment with Sonography in Trauma among emergency medicine practitioners in Poland.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Paramedics currently practicing in a Polish emergency department units and emergency medical services
  • Age ≥ 18 years
Exclusion Criteria
  • Inability to participate in all aspects of the study prior to study begin

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
normal model patientSonoScapeImages of the ultrasound window were captured to disk and later evaluated by an expert in emergency medicine. In this study, the FAST examination was measured to the perihepatic space (also called Morison's pouch or the hepatorenal recess), perisplenic space, pericardium, and the pelvis.
ascites positive model patientSonoScapeImages of the ultrasound window were captured to disk and later evaluated by an expert in emergency medicine. In this study, the FAST examination was measured to the perihepatic space (also called Morison's pouch or the hepatorenal recess), perisplenic space, pericardium, and the pelvis.
Primary Outcome Measures
NameTimeMethod
Tests of Knowledge of the FAST Examination1 day

knowledge-based measures used to evaluate participants' knowledge of FAST-examination-related concepts (Survey)

Secondary Outcome Measures
NameTimeMethod
FAST Performance Test1 day

The performance test required participants to conduct a FAST examination on two model patients (one normal, one ascites positive). No help or feedback was given to the participants.

Window acquisition time1 day

Identification of FAST Window Quadrants and Diagnostic Interpretation of FAST Windows.

The window acquisition time was measured with a stopwatch and represented the period between first contact of the probe with the model patient's body and when the participant said "stop" to indicate an adequate window or the participant's judgment that he or she could not acquire the window.

Window quality1 day

For each acquired window, an expert evaluated the quality of the window. The window was rated as "excellent, fair, poor, or other." "Other" captured situations where the window acquired was nondiagnostic. Window quality was dichotomized into two categories, "excellent or not excellent," and subsequent analyses examined the number of participants that acquired "excellent" windows by quadrant (perihepatic space (also called Morison's pouch or the hepatorenal recess), perisplenic space, pericardium, and the pelvis and suprapubic quadrant) and patient type (normal, positive).

Diagnostic accuracy1 day

For each acquired window, the participant rendered a diagnosis of that window. An expert evaluated the quality of the diagnosis. The diagnosis was rated as "correct, incorrect, or other." "Other" captured situations where the window acquired was nondiagnostic. For analysis purposes, diagnostic accuracy was dichotomized into two categories, "correct or not correct," and subsequent analyses examined the number of participants that interpreted the window correctly by quadrant (perihepatic space (also called Morison's pouch or the hepatorenal recess), perisplenic space, pericardium, and the pelvis and suprapubic quadrant) and patient type (normal, positive).

Trial Locations

Locations (1)

International Institute of Rescue Research and Education

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Warsaw, Poland

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