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

March 7, 2011
August 16, 2012
March 2011
May 2011   (final data collection date for primary outcome measure)
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 ]
Same as current
Complete list of historical versions of study NCT01310504 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
The Use of the FAST (Focused Abdominal Scan for Trauma) Scan by Paramedics in Mass Casualty Incidents
The Use of the FAST Scan by Paramedics in Mass Casualty Incidents

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.

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.

Interventional
Not Provided
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Caregiver)
Primary Purpose: Health Services Research
Mass Casualty
  • Procedure: SonoSite Ultrasound
    Will be moulaged to resemble a peritoneal dialysis patient. Paramedics will scan the abdomen and determine it there's fluid within.
  • Procedure: SonoSite Ultrasound
    Paramedics will scan the abdomen and determine it there's fluid within.
  • Active Comparator: Non peritoneal dialysis patient
    Intervention: Procedure: SonoSite Ultrasound
  • Active Comparator: Peritoneal dialysis patient
    Intervention: Procedure: SonoSite Ultrasound
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
19
May 2011
May 2011   (final data collection date for primary outcome measure)

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
Both
18 Years to 90 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01310504
ME 10 0050
No
J. Andrew Cusser, Genesys Regional Medical Center
Genesys Regional Medical Center
Not Provided
Principal Investigator: James A Cusser, MD Genesys Regional Medical Center
Genesys Regional Medical Center
August 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP