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

NCT ID: NCT01310504

Last Updated: 2012-08-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2011-05-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Mass Casualty

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Caregivers

Study Groups

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Non peritoneal dialysis patient

Group Type ACTIVE_COMPARATOR

SonoSite Ultrasound

Intervention Type PROCEDURE

Will be moulaged to resemble a peritoneal dialysis patient. Paramedics will scan the abdomen and determine it there's fluid within.

Peritoneal dialysis patient

Group Type ACTIVE_COMPARATOR

SonoSite Ultrasound

Intervention Type PROCEDURE

Paramedics will scan the abdomen and determine it there's fluid within.

Interventions

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SonoSite Ultrasound

Will be moulaged to resemble a peritoneal dialysis patient. Paramedics will scan the abdomen and determine it there's fluid within.

Intervention Type PROCEDURE

SonoSite Ultrasound

Paramedics will scan the abdomen and determine it there's fluid within.

Intervention Type PROCEDURE

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ascension Health

INDUSTRY

Sponsor Role lead

Responsible Party

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J. Andrew Cusser

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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James A Cusser, MD

Role: PRINCIPAL_INVESTIGATOR

Ascension Health

Locations

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Genesys Regional Medical Center

Grand Blanc, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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ME 10 0050

Identifier Type: -

Identifier Source: org_study_id