Prehospital eFAST performance: a retrospective review of prospectively collected data

Conditions

None listed

Brief summary

The purpose of the proposed study is to estimate the accuracy of point of care ultrasound in the prehospital setting. Specifically, the proposed study will assess the utility of extended-Focussed Assessment with Sonography in Trauma (eFAST) ultrasound performed by prehospital physicians. Pre-hospital ultrasound findings will be compared to hospital-based imaging (either computed tomography (CT) scans, eFAST scans or surgical findings) for adult trauma victims presenting to major trauma centres in Sydney, Australia.

Partyka C, Coggins A, Bliss J, Burns B, Fiorentino M, Goorkiz P, Miller M.

2021-11-248 citations

10.1007/s10140-021-02002-4

Interventions

To investigate the accuracy of prehospital eFAST (extended-Focussed Assessment with Sonography for Trauma) ultrasound interpretation when performed by prehospital and retrieval physicians. This study will retrospectively review, prospectively recorded ultrasound data (electronic health database) by an Australian HEMS service. Participants underwent their ultrasound as a component for prehospital critical care (including diagnostics and treatment) prior to arrival at a major trauma centre. The d

To investigate the accuracy of prehospital eFAST (extended-Focussed Assessment with Sonography for Trauma) ultrasound interpretation when performed by prehospital and retrieval physicians. This study will retrospectively review, prospectively recorded ultrasound data (electronic health database) by an Australian HEMS service. Participants underwent their ultrasound as a component for prehospital critical care (including diagnostics and treatment) prior to arrival at a major trauma centre. The duration of observation for each participant was that dictated by their subsequent hospital admission.

Eligibility

Sex/Gender

All

Age

16 Years to No maximum

Healthy volunteers

No

Inclusion criteria

- Adults (aged greater than or equal to 16 years) with a reported traumatic mechanism of injury. - Prehospital contact with GSA-HEMS physician-paramedic team. - Prehospital eFAST ultrasound recorded in AirMaestro database. - Transported to Liverpool or Westmead Major Trauma Centres in NSW. - CT scan or surgery within four hours of hospital arrival. - ISS greater than or equal to 12.

Exclusion criteria

- Patients who died prior to arriving at the destination hospital - Patients who did not undergo definitive imaging (eFAST, CT) or undergo surgery

Outcome results