Back to resultsFAST Examination During Emergency Practice (FAST)
Primary Purpose
Trauma, Ultrasonography
Status
Unknown status
Phase
Not Applicable
Locations
Poland
Study Type
Interventional
Intervention
SonoScape
Sponsored by
About this trial
This is an interventional treatment trial for Trauma focused on measuring trauma, examination, knowledge, paramedic
Eligibility Criteria
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
Sites / Locations
- International Institute of Rescue Research and EducationRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
normal model patient
ascites positive model patient
Arm Description
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.
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.
Outcomes
Primary Outcome Measures
Tests of Knowledge of the FAST Examination
knowledge-based measures used to evaluate participants' knowledge of FAST-examination-related concepts (Survey)
Secondary Outcome Measures
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.
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.
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).
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).
Full Information
NCT ID
NCT02289885
First Posted
November 7, 2014
Last Updated
November 10, 2014
Sponsor
International Institute of Rescue Research and Education
1. Study Identification
Unique Protocol Identification Number
NCT02289885
Brief Title
FAST Examination During Emergency Practice
Acronym
FAST
Official Title
Knowledge, Attitude and Practice About Focused Assessment With Sonography in Trauma Among Paramedics. Randomized Crossover Manikin Trial
Study Type
Interventional
2. Study Status
Record Verification Date
November 2014
Overall Recruitment Status
Unknown status
Study Start Date
November 2014 (undefined)
Primary Completion Date
December 2014 (Anticipated)
Study Completion Date
December 2014 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
International Institute of Rescue Research and Education
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The study evaluates the knowledge, attitude and practice about Focused Assessment with Sonography in Trauma among emergency medicine practitioners in Poland.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Trauma, Ultrasonography
Keywords
trauma, examination, knowledge, paramedic
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
100 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
normal model patient
Arm Type
Experimental
Arm Description
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.
Arm Title
ascites positive model patient
Arm Type
Experimental
Arm Description
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.
Intervention Type
Device
Intervention Name(s)
SonoScape
Other Intervention Name(s)
SonoScape S6 Portable Ultrasound Machine
Intervention Description
Ultrasonography device
Primary Outcome Measure Information:
Title
Tests of Knowledge of the FAST Examination
Description
knowledge-based measures used to evaluate participants' knowledge of FAST-examination-related concepts (Survey)
Time Frame
1 day
Secondary Outcome Measure Information:
Title
FAST Performance Test
Description
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.
Time Frame
1 day
Title
Window acquisition time
Description
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.
Time Frame
1 day
Title
Window quality
Description
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).
Time Frame
1 day
Title
Diagnostic accuracy
Description
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).
Time Frame
1 day
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lukasz Szarpak
Phone
+48500186225
Email
lukasz.szarpak@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lukasz Szarpak
Organizational Affiliation
Institute of Cardiology
Official's Role
Principal Investigator
Facility Information:
Facility Name
International Institute of Rescue Research and Education
City
Warsaw
ZIP/Postal Code
04-628
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lukasz Szarpak
Phone
+48500186225
Email
lukasz.szarpak@gmail.com
First Name & Middle Initial & Last Name & Degree
Lukasz Szarpak
First Name & Middle Initial & Last Name & Degree
Andrzej Kurowski
First Name & Middle Initial & Last Name & Degree
Lukasz Czyżewski
12. IPD Sharing Statement
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FAST Examination During Emergency Practice
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