A Study to Improve the FAST Ultrasound Exam

Not Applicable

Completed

• Conditions: Hemoperitoneum
• Interventions: Procedure: Fast exam

• Registration Number: NCT02991521
• Lead Sponsor: The Guthrie Clinic

Brief Summary

This research study aims to improve the standard exam called Focused Assessment with Sonography in Trauma (FAST). The FAST exam is an ultrasound test used to identify an abdominal bleed. The study will see if having patients roll on their right side improves the FAST exam. Making the FAST exam better can help trauma doctors save the lives of patients with bleeding.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-11-28
• Study First Submitted QC: 2016-12-09
• Study First Posted: 2016-12-13
• Study Start: 2017-01
• Primary Completion: 2022-06
• Study Completion: 2023-01
• Status Verified: 2023-03
• Results First Submitted: 2023-03-24
• Results First Submitted QC: 2024-02-21
• Last Update Submitted: 2024-02-21
• Results First Posted: 2024-03-20
• Last Update Posted: 2024-03-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 182

Inclusion Criteria

• All trauma patients who present as a Trauma Activation with clinical history or physical signs of blunt abdominal trauma.

Exclusion Criteria

• Pregnant females
• Prisoners
• Patients with prohibitive right sided chest trauma
• Patients in extremis undergoing salvage maneuvers (chest compressions or emergent surgical intervention) which prevents performance of an ultrasound examination
• Patient who leave against medical advice or are otherwise removed from the medical system before their work up has been completed

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
FAST examination after Right sided roll (FASTeR)	Fast exam	Subjects will have a standard FAST exam, and will then be rolled onto their right side and the FAST exam will be repeated.

Primary Outcome Measures

Name	Time	Method
Number of Subjects Screening Positive for Blood Around the Abdominal Organs (Hemoperitoneum) After Trauma, as Assessed by Focused Assessment With Sonography for Trauma (FAST), a Rapid Bedside Ultrasound Examination.	24 hours	Number of subjects screening positive for blood around the abdominal organs (hemoperitoneum) after trauma, as assessed by focused assessment with sonography for trauma (FAST), a rapid bedside ultrasound examination.

Trial Locations

Locations (2)

Robert Packer Hospital; 🇺🇸 Sayre, Pennsylvania, United States

The Guthrie Clinic; 🇺🇸 Sayre, Pennsylvania, United States