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Comparing Use of a Prehospital Ultrasound System and Standard Prehospital Care in Thoracoabdominal Trauma

NCT ID: NCT02198885

Last Updated: 2017-11-06

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

Total Enrollment

12 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-08-31

Study Completion Date

2017-04-30

Brief Summary

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The NanoMaxx Ultrasound System (SonoSite) in connection with the RP-Xpress (InTouch Technologies) provides a means of transmitting ultrasound images, video, and audio to a remote location in real-time. It has been envisioned that this system be used to diagnose trauma patients with suspected pleural effusion, hemothorax, pneumothorax, or abdominal blockage during prehospital care; under the guidance of in-hospital physicians, paramedics would perform an Focused Assessment with Sonography for Trauma (FAST) examination while trauma patients are transported to hospital via ambulance. The investigators hypothesize that in-hospital physicians interpreting ultrasound images obtained by paramedics during trauma patients' transportation to hospital will reduce time to diagnosis; thus, preparations by emergency physicians, surgeons, and operating room teams to receive critically injured patients may begin earlier, reducing time to intervention during a critical period in patient care. Data will also be collected regarding quality of images obtained in-ambulance and the interaction between paramedics and physicians using the remote-presence system.

Detailed Description

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Conditions

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Thoracoabdominal Trauma Focused Assessment With Sonography for Trauma (FAST) NanoMaxx Ultrasound System (SonoSite) RP-Xpress (InTouch Technologies)

Keywords

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FAST Thoracoabdominal Trauma Prehospital care ultrasound NanoMaxx Ultrasound RP-Xpress

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Control

This group receives the standard prehospital care en route to hospital, and they do not receive the FAST ultrasound en route.

No interventions assigned to this group

FAST

This group receives the FAST ultrasound en route to hospital.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patient is 18 years of age or older
* Patient presenting with blunt or penetrating trauma to the thorax or abdomen
* Patient transported by MD Ambulance to Royal University Hospital
* Patient being transported by a paramedic who has received training in the above ultrasound system and who has with them a NanoMaxx Ultrasound System (SonoSite) to be used in connection with the RP-Xpress (InTouch Technologies)
* Patient will take longer than 10 minutes to transport to hospital
* Patient's care will not be compromised in completing a FAST exam - opinion of paramedic
* Patient's care will not be compromised in completing a FAST exam - opinion of ER physician


* Patient is 18 years of age or older
* Patient presenting with blunt or penetrating trauma to the thorax or abdomen
* Patient transported by MD Ambulance to Royal University Hospital
* Patient will take longer than 10 minutes to transport to hospital

Exclusion Criteria

* Patients under the age of 18
* Patients whose care would be compromised if other procedures of higher priority (as determined by paramedics and/or remotely-present physicians) were not be able to be executed due to time involved in completing a FAST exam
* Patients who are not being transported to Royal University Hospital
* Patients whose expected transport time from scene to hospital is less than 10 minutes
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Saskatoon Health Region

OTHER

Sponsor Role collaborator

M.D. Ambulance Care Ltd.

UNKNOWN

Sponsor Role collaborator

University of Saskatchewan

OTHER

Sponsor Role lead

Responsible Party

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Ivar Mendez

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ivar Mendez

Role: PRINCIPAL_INVESTIGATOR

University of Saskatchewan

Locations

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Royal University Hospital

Saskatoon, Saskatchewan, Canada

Site Status

Countries

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Canada

Other Identifiers

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Bio# 14-109

Identifier Type: OTHER

Identifier Source: secondary_id

FAST-01

Identifier Type: -

Identifier Source: org_study_id