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Accuracy of prehospital focused abdominal sonography for trauma after a 1-day hands-on training course.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Walcher, Felix Kirschning, Thomas Müller, Michael P. Byhahn, Christian Stier, Mario Rüsseler, Miriam Brenner, Franziska Braun, Jörg Marzi, Ingo Breitkreutz, Raoul
Description	Country affiliation: Germany Author Affiliation: Walcher F ( Department of Trauma Surgery, Johann Wolfgang Goethe-University, Frankfurt/Main, Germany. walcher@trauma.uni-frankfurt.de)
Abstract	OBJECTIVES: To establish a training course for Prehospital Focused Abdominal Sonography for Trauma (P-FAST) and to evaluate the accuracy of the participants after the course and at the trauma scene. METHODS: A training programme was developed to provide medical staff with the skills needed to perform P-FAST. In order to evaluate the accuracy of P-FAST performed by the students, nine participants (five emergency doctors and four paramedics) were followed during their course and in practice after the course. An assessment was made of 200 ultrasound procedures performed during the course in healthy volunteers and in patients with peritoneal dialysis or ascites. Regular P-FAST performed on-scene by the participants commenced immediately following the course. The results for the nine participants (C-group, course group) were compared with those members of medical staff with more than 3 years of experience in FAST (P-group, professional group). A group of physicians untrained in P-FAST served as a control (I-group, indifferent group). P-FAST findings were further verified by subsequent FAST and CT scans in the emergency department. RESULTS: After the training programme the C-group performed 39 P-FAST procedures without any false negative or false positive findings (100% accuracy). In the P-group, 112 procedures were performed with one false positive case. In the I-group there were 2 false negative cases among the 46 procedures performed. CONCLUSION: Following completion of a 1-day P-FAST course, participants were able to perform ultrasound procedures at the scene of an accident with a high level of accuracy.
File Format	HTM / HTML
ISSN	14720205
Issue Number	5
Volume Number	27
e-ISSN	14720213
Journal	Emergency Medicine Journal
Language	English
Publisher	BMJ Publishing Group Ltd
Publisher Date	2010-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Discipline Medicine Abdominal Injuries Emergency Medical Services Emergency Responders Education Abdomen Allied Health Personnel Clinical Competence Hemorrhage Humans Program Evaluation Reproducibility Of Results Time Factors Ultrasonography Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Critical Care and Intensive Care Medicine

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