A Study to Improve the FAST Ultrasound Exam

The Guthrie Clinic

Status: Completed

Conditions: Hemoperitoneum

Treatments: Procedure: Fast exam

Study type: Interventional

Funder types: Other

Identifiers

NCT02991521

1606-30

Details and patient eligibility

About

This research study aims to improve the standard exam called Focused Assessment with Sonography in Trauma (FAST). The FAST exam is an ultrasound test used to identify an abdominal bleed. The study will see if having patients roll on their right side improves the FAST exam. Making the FAST exam better can help trauma doctors save the lives of patients with bleeding.

Enrollment: 182 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All trauma patients who present as a Trauma Activation with clinical history or physical signs of blunt abdominal trauma.

Exclusion criteria

• Pregnant females
• Prisoners
• Patients with prohibitive right sided chest trauma
• Patients in extremis undergoing salvage maneuvers (chest compressions or emergent surgical intervention) which prevents performance of an ultrasound examination
• Patient who leave against medical advice or are otherwise removed from the medical system before their work up has been completed

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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182 participants in 1 patient group

FAST examination after Right sided roll (FASTeR)

Experimental group

Description:

Subjects will have a standard FAST exam, and will then be rolled onto their right side and the FAST exam will be repeated.

Treatment:

Procedure: Fast exam