The Use of the FAST (Focused Abdominal Scan for Trauma) Scan by Paramedics in Mass Casualty Incidents

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
J. Andrew Cusser, Genesys Regional Medical Center
ClinicalTrials.gov Identifier:
NCT01310504
First received: March 7, 2011
Last updated: August 16, 2012
Last verified: August 2012
  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

Resource links provided by NLM:


Further study details as provided by Genesys Regional Medical Center:

Primary Outcome Measures:
  • 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
Criteria

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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01310504

Locations
United States, Michigan
Genesys Regional Medical Center
Grand Blanc, Michigan, United States, 48439
Sponsors and Collaborators
Genesys Regional Medical Center
Investigators
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 October 21, 2014