The Use of the FAST (Focused Abdominal Scan for Trauma) Scan by Paramedics in Mass Casualty Incidents
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Purpose
Initially a group of paramedics will be trained to perform FAST (Focused Abdominal Scan for Trauma) scans. The paramedics will then enter a simulated mass causality incident and triage patients. Volunteers in the study will include peritoneal dialysis patients ("non stable") and non-peritoneal dialysis patients ("stable"). They will use the ultrasound to perform FAST scans on the patients to determine which subjects are "stable" and which are "unstable" patients. They will record which patients they consider need transport first. This data will be used to evaluate accuracy and speed of the FAST scan. When the paramedic identifies free fluid within the volunteer, they will be able to make the decision to upgrade these patients and ultimately transport them more quickly. The paramedics will be evaluated for time and accuracy with the FAST scan.
| Condition | Intervention |
|---|---|
|
Mass Casualty |
Procedure: SonoSite Ultrasound |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Caregiver) Primary Purpose: Health Services Research |
| Official Title: | The Use of the FAST Scan by Paramedics in Mass Casualty Incidents |
- To evaluate the use of the ultra sound and FAST scans in a simulation of a mass causality incident by paramedics for accuracy and speed [ Time Frame: up to 1 year ] [ Designated as safety issue: Yes ]
| Enrollment: | 19 |
| Study Start Date: | March 2011 |
| Study Completion Date: | May 2011 |
| Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Non peritoneal dialysis patient |
Procedure: SonoSite Ultrasound
Will be moulaged to resemble a peritoneal dialysis patient. Paramedics will scan the abdomen and determine it there's fluid within.
|
| Active Comparator: Peritoneal dialysis patient |
Procedure: SonoSite Ultrasound
Paramedics will scan the abdomen and determine it there's fluid within.
|
Detailed Description:
Ultrasound and the FAST (Focused Abdominal Scan for Trauma) scan is currently being used in the Emergency Department to help evaluate trauma patients. In the field a paramedic will use the START (Simple Triage Rapid Treatment) triage procedure to evaluate many patients and to help decide which patients are more critical and therefore need to be transported first. This study aims to create a mass casualty environment through the use of 10 volunteers who are on peritoneal dialysis and 10 patients who are not.
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Paramedic - at least one year in the field, physically able to perform the test
Patients:
- (10)peritoneal dialysis patient that are able to leave dialysate in abdominal cavity for the duration of the test
- (10) subjects not on peritoneal dialysis who are available for the duration of the test
Exclusion Criteria:
- Under 18 years of age
Contacts and Locations| United States, Michigan | |
| Genesys Regional Medical Center | |
| Grand Blanc, Michigan, United States, 48439 | |
| Principal Investigator: | James A Cusser, MD | Genesys Regional Medical Center |
More Information
No publications provided
| Responsible Party: | J. Andrew Cusser, MD, Genesys Regional Medical Center |
| ClinicalTrials.gov Identifier: | NCT01310504 History of Changes |
| Other Study ID Numbers: | ME 10 0050 |
| Study First Received: | March 7, 2011 |
| Last Updated: | August 16, 2012 |
| Health Authority: | United States: Institutional Review Board |
ClinicalTrials.gov processed this record on June 18, 2013