A prospective blinded evaluation of the sensitivity and specificity of pre-hospital Focussed Abdominal Sonogram for Trauma (FAST).

This study will evaluate the accuracy of prehospital ultrasound in patients when performed by the rapid emergency response team, consisting of paramedics and prehospital doctors in the Greater Brisbane, Logan and Ipswich areas (50km radius of the CBD), and will also compare the accuracy of paramedic performed scans to those performed by doctors.

Grant ID: SS-2010-130-RASHFORD-TUPHEN

Lay Summary

Emergency department use of ultrasound to detect internal bleeding has been shown to be accurate and change patient outcomes. Although previous studies have shown that it is feasible to perform ultrasound examination in the pre-hospital environment, there is a paucity of information about the accuracy of these scans. Given that prehospital ultrasound is often performed in suboptimal conditions (i.e. in the open during daylight or in the cramped confines of an ambulance), with machines less advanced than those utilised by Emergency Department staff, the accuracy and utility of pre-hospital ultrasound scans needs to be evaluated. This study will evaluate the accuracy of pre-hospital ultrasound in patients when performed by the rapid emergency response team, consisting of paramedics and pre-hospital doctors in the Greater Brisbane, Logan and Ipswich areas (50km radius of the CBD). The study will also compare the accuracy of paramedic performed scans to those performed by doctors. The accuracy of the scans will be assessed against surgical findings and hospital CT scans. Another variable to be quantified is the time taken to perform the scans, including the acquisition in a moving ambulance, given prolonged scene times may adversely affect patient outcomes. If the results of this study find that the accuracy of pre-hospital scans are high, then this will enable future studies to be conducted evaluating if pre-hospital scans affect hospital management and patient outcomes.


Leveraged Funds

- $10,000 In-Kind Support


SHARE

Amount Awarded
$32,075


Program


Grant Scheme


Status
Active


Principal Investigator:
Dr Stephen Rashford


Co Investigators:
Dr Daniel Bodnar
Dr Vivienne Tippett
Dr Lachlan Parker


Associate Investigators:
Dr Katherine Isoardi
Julie Mann
Dr Glenn Ryan


Institution


Collaborating Institutions


CONTACT US +61 7 3720 5700 info@emfoundation.org.au 2/15 Lang Parade Milton Qld 4064