FAST Examination During Emergency Practice (FAST)

Knowledge, Attitude and Practice About Focused Assessment With Sonography in Trauma Among Paramedics. Randomized Crossover Manikin Trial

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

Study Overview

• Status: Unknown
• Conditions: Trauma; Ultrasonography
• Intervention / Treatment: Device: SonoScape

• Study Type: Interventional
• Enrollment (Anticipated): 100
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Poland
  • Warsaw, Poland, 04-628
    • Recruiting
    • International Institute of Rescue Research and Education

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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 Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: normal model patient; Images 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.	Device: SonoScape; Ultrasonography device; Other Names: SonoScape S6 Portable Ultrasound Machine
Experimental: ascites positive model patient; Images 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.	Device: SonoScape; Ultrasonography device; Other Names: SonoScape S6 Portable Ultrasound Machine

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tests of Knowledge of the FAST Examination	knowledge-based measures used to evaluate participants' knowledge of FAST-examination-related concepts (Survey)	1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
FAST Performance Test	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.	1 day
Window acquisition time	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.	1 day
Window quality	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).	1 day
Diagnostic accuracy	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).	1 day

Collaborators and Investigators

• Sponsor: International Institute of Rescue Research and Education

Study record dates

Study Major Dates

• Study Start: November 1, 2014
• Primary Completion (Anticipated): December 1, 2014
• Study Completion (Anticipated): December 1, 2014

Study Registration Dates

• First Submitted: November 7, 2014
• First Submitted That Met QC Criteria: November 10, 2014
• First Posted (Estimate): November 13, 2014

Study Record Updates

• Last Update Posted (Estimate): November 13, 2014
• Last Update Submitted That Met QC Criteria: November 10, 2014
• Last Verified: November 1, 2014

More Information

Terms related to this study

• Keywords: trauma; knowledge; examination; paramedic
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: FAST/2014/02