The Role of Prehospital eFAST in Accelerating Time to Diagnostics or Definitive Treatment in the Emergency Department

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Total Enrollment

199 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-06-25

Study Completion Date

2021-07-26

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Actual literature has demonstrated that prehospital extended focused assessment sonography for trauma (eFAST) could impact on logistic and treatment decisions such as mode of transportation and choice of hospital destination.

However, there are no data with regard to in-hospital effects of a positive prehospital eFAST.

The main objective of this study was to evaluate the effects of prehospital eFAST driven decisions on in hospital time-to-definitive diagnostics or time-to definitive treatment, whichever came first, in a level 1 trauma center.

The goal is to define if this information could have a role in prioritizing patients' access to care in a population of abdominal trauma patients with A-AIS \> 1 and a documented liver or spleen injury.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

eFast Diagnosis Performance in Guiding First Aid Resuscitation

NCT03699670

eFast Diagnosis Performance in Guiding First Aid Resuscitation and Hemostasis

COMPLETED

Point-of-care Ultrasound Teledidactic Teaching for Prehospital Emergency Personnel

NCT06824675

eFast Fate Education, Medical +1 more

COMPLETED NA

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

NCT01310504

Mass Casualty

COMPLETED NA

Initial Patient Evaluation in the Emergency Department With Point-of-Care Ultrasonography

NCT02099045

Point of Care Ultrasonography in the Emergency Department.

UNKNOWN

Live Stream of Ultrasound in Prehospital Medical Care

NCT04612816

Ultrasound

COMPLETED

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Trauma Splenic Trauma Abdomen Liver Injury

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Positive prehospital eFAST

Patients with a positive prehospital eFAST, independently from their hemodynamic status or other vital signs

prehospital extended focused assessment sonography for trauma

Intervention Type DIAGNOSTIC_TEST

Sonographic procedure performed in the prehospital environment aiming at evaluating peritoneal free fluid in trauma patients

Negative or not performed prehospital eFAST

Patients with a positive prehospital eFAST, independently from their hemodynamic status or other vital signs

prehospital extended focused assessment sonography for trauma

Intervention Type DIAGNOSTIC_TEST

Sonographic procedure performed in the prehospital environment aiming at evaluating peritoneal free fluid in trauma patients

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

prehospital extended focused assessment sonography for trauma

Sonographic procedure performed in the prehospital environment aiming at evaluating peritoneal free fluid in trauma patients

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

eFAST

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients admitted to emergency department with a ICD-9-CM diagnosis of traumatic liver or spleen injury (codes 8640x, 8641x, 8650x, 8651x)
* Abdominal AIS ≥ 2
* CT scan or operating theatre admission performed within 180 minutes from ED admission

Exclusion Criteria

* Death before CT scan or OR/Angio suite admission (missing primary outcome measure)
* Transferred to other hospitals before CT scan or operating room admission
* Missing data

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No