Paramedic Performed Focused Assesment with Sonography in Trauma (FAST) in the Emergency Department

Ünlüer, Erol Erden; Yavaşı, Özcan; Kara, Pınar Hanife; Kılıç, Turgay Yılmaz; Vandenberk, Nergis; Kayayurt, Kamil; Kiyancicek, Sevda; Akoğlu, Haldun; Yılmaz, Cengiz

doi:10.5505/tjtes.2011.88557

Cited by 18 publications

(16 citation statements)

References 23 publications

(19 reference statements)

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“…This correlation was consistent with published findings by Unlüer et al [ 12 ] who reported a significant relationship between the qualification level of paramedics and their direct knowledge on ultrasound[ 12 ]. Additionally, this question was directed to Saudi Red Crescent managers and 80% of them reported that they had extensive background knowledge on ultrasound (Figure 2 ).…”

Section: Discussionsupporting

confidence: 93%

Feasibility of using ultrasound in ambulances in Saudi Arabia

Abbas

Shakhreet

Alghamdi

et al. 2020

WJR

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Section: Discussionsupporting

confidence: 93%

Feasibility of using ultrasound in ambulances in Saudi Arabia

Abbas

Shakhreet

Alghamdi

et al. 2020

WJR

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“…The lowest ranges related to a study in mass casualty incidents [ 19 ]. Results for a complete FAST examination was only reported by one author with a sensitivity of 84.6% and specificity of 97.3% [ 18 ]. One study specifically reported a sensitivity and specificity of 100% for pericardial effusion as well as a sensitivity of 60% and specificity of 93% for abdominal trauma cases [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

“…Substantial agreement (kappa = 0.67) between helicopter operator and expert reviewer who looked at images later. Reviewer rated 54% of the images taken as ‘good’ quality.Ulneur et al 2011 [18]Didactic & practicalApplication & interpretation4 h didactic training + 4 h hands-on trainingTraining was provided by a radiologist to conduct a FAST assessment. Results were recorded as positive/negative for free fluid in each case.…”

Section: Methodsmentioning

confidence: 99%

“…Study: Real patients Prospective observational study Roline et al 2013 USA [ 27 ] Flight Crew n = not reported In HEMS helicopter with flight crew Evaluate feasibility of bedside thoracic US in helicopter environment Pneumothorax Healthy model in training. Real non-pregnant patients transported by HEMS Prospective pilot study Unleur et al 2011 Turkey [ 18 ] n = 4. Paramedics Senior paramedics working in ED triage.…”

Section: Methodsmentioning

confidence: 99%

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Educational standards for training paramedics in ultrasound: a scoping review

et al. 2017

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BackgroundParamedic-performed out-of-hospital ultrasound is a novel skill that has gained popularity in some services in recent years. In this setting point-of care ultrasound (POCUS) can provide additional information that can assist with management and guide transport to the most appropriate facility. We sought to explore the different educational approaches used for training paramedics in ultrasound in the out-of-hospital setting.MethodsOvid MEDLINE, EMBASE, EBM Reviews, The Cochrane Library, CINAHL plus, The Monash University Research Repository and the British Thesis Library were searched from the 1st of January 1990 to the 6th of April 2016. Google Scholar was searched and reference lists of relevant papers were examined to identify additional studies. Articles were included if they reported on out-of-hospital and POCUS educational approaches for paramedics.ResultsA total of 2002 unique articles were identified of which 18 articles met the inclusion criteria. Most articles reported combined cohorts of emergency providers with varying years of experience though most operators were POCUS naïve. The most common clinical assessment for which paramedic POCUS curricula was described was the focused assessment sonography for trauma (FAST) examination. Education programs varied from two-minutes to two-days with all studies including both didactic and practical training.ConclusionEducation programs for POCUS for paramedics vary considerably, and do not appear to align with qualification level or clinical experience. Further research investigating education and subsequent clinical application of POCUS by paramedics is required, as well as prospective, outcome based studies in order to measure the clinical utility of out-of-hospital POCUS.

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“…Unluer et al conducted a study using four senior paramedics, involving a four-hour didactic and four-hour practical training program for FAST to detect free fluid in the peritoneum of 127 patients admitted to the emergency department following trauma [25,29]. The exam was performed in less than four minutes, with a Sn of 84.62% and Sp of 97.37%, compared to the gold standard of ultrasound and computerized abdominal tomography (CAT) scan interpretation by radiologists [25,29].…”

Section: Focused Assessment Sonography In Trauma (Fast)mentioning

confidence: 99%

Research: Emergency medicine residents’ acquisition of point-of-care ultrasound knowledge and their satisfaction with the flipped classroom andragogy

Bashir¹,

Azad²,

Farook³

et al. 2018

POCUS

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Background: One of the traditional approaches for knowledge transfer in medical education is through face-to-face (F2F) teaching. We aimed to evaluate the acquisition of knowledge about point-of-care ultrasound (POCUS) and learner’s satisfaction with the flipped classroom (FC) teaching approach. Methods: This was a prospective, mixed-method, crossover study and included 29 emergency medicine (EM) residents in current training program. Over a period of three months, each resident was exposed to F2F and FC teaching models in a crossover manner. There was a multiple-choice questions (MCQ) test before and after each educational intervention (F2F & FC). Two months after each educational intervention a final MCQ test was administered to assess the retention of knowledge between the two approaches. After each educational approach feedback was sought from a selected group of residents concerning the acceptability of the two educational approaches through a semi structured interview. Results: A total of 29 EM residents participated in this study. The numbers of residents by year of post-graduation training were seven (24.14%) PGY-1, eight (27.59%) PGY-2, six (20.69%) PGY-3, and eight (27.59%) PGY-4. The baseline mean score was 15.82 using MCQs test mean scores. For the face-to-face teaching model, the difference between pre and post-intervention scores was 2.7 (95% CI 2.1 to 3.3, p=0.001); whereas, for the flipped classroom teaching model, the difference was 3.93 (95% CI 3.2 to 4.5, p= 0.001). At two months post-intervention, for face-to-face teaching model, the MCQ assessment showed an increase of 1.7 (95% CI 1.1 to 2.2, p= 0.001) mean scores when compared to the pre-intervention mean scores; whereas, for the flipped classroom model this difference was significantly higher, recorded as 4.48 (95% CI 3.7 to 5.1, p= 0.001). Finally, the difference between mean scores for F2F and FC teaching models was 2.75 (95% CI 1.87 to 3.64, p=0.001) at two months post-intervention. Overall, the participants expressed a preference for the FC teaching methodology. Conclusion: Both F2F and FC teaching methods resulted in significant and sustained improvements in POCUS knowledge base. The FC teaching method accomplished higher test scores than the F2F teaching method both at the end of the teaching and after two months of completing the educational program.

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Paramedic Performed Focused Assesment with Sonography in Trauma (FAST) in the Emergency Department

Cited by 18 publications

References 23 publications

Feasibility of using ultrasound in ambulances in Saudi Arabia

Feasibility of using ultrasound in ambulances in Saudi Arabia

Educational standards for training paramedics in ultrasound: a scoping review

Research: Emergency medicine residents’ acquisition of point-of-care ultrasound knowledge and their satisfaction with the flipped classroom andragogy

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