FAST
Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
II
|
Supportive (Green)
|
accuracy of prehospital FAST exam
|
Process
|
PH-Paramedic & MD
|
Gamberini L, Scquizzato T, Tartaglione M, et al. Diagnostic accuracy for hemoperitoneum, influence on prehospital times and time-to-definitive treatment of prehospital FAST: A systematic review and individual participant data meta-analysis. Injury March 2023. Medline
|
II
|
Supportive (Green)
|
Door to CT time
|
Process
|
PH-MD & CCT
|
Gamberini L, Tartaglione M, Giugni A, Alban L, Allegri D, Coniglio C, et al. The role of prehospital ultrasound in reducing time to definitive care in abdominal trauma patients with moderate to severe liver and spleen injuries. Injury 2021. Medline
|
II
|
Supportive (Green)
|
Significance valuation of prehospital ultrasound.
|
Process
|
PH-Paramedic & MD
|
Lin KT, Lin ZY, Huang CC, et al. Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis. BMC Emerg Med January 2024; 24(1):7. Medline
|
II
|
Supportive (Green)
|
resolution
|
Process
|
PH-Paramedic
|
Lobo MJCD, Tavares SCCNM, Pereira de Almeida RP. Point of care prehospital ultrasound in Basic Emergency Services in Portugal. Heal Sci Rep 2022; 5(5):e847. Medline
|
II
|
Supportive (Green)
|
Diagnosis
|
Process
|
PH-Paramedic & MD
|
Lucas B, Hempel D, Otto R, Brenner F, Stier M, Marzi I, et al. Prehospital FAST reduces time to admission and operative treatment: a prospective, randomized, multicenter trial. Eur J Trauma Emerg Surg 2021. Medline
|
II
|
Supportive (Green)
|
Presence of posttraumatic severe hemorrhage
|
Patient
|
ICU
|
Stralec G, Fontaine C, Arras S, et al. Is a positive prehospital FAST associated with severe bleeding? A multicenter retrospective study. Prehosp Emerg Care October 2023; 1-27. Medline
|
II
|
Supportive (Green)
|
Frequency of use
|
Process
|
PH-MD & CCT
|
Vianen NJ, Van Lieshout EMM, Vlasveld KHA, Maissan IM, et al. Impact of Point-of-Care Ultrasound on Prehospital Decision Making by HEMS Physicians in Critically Ill and Injured Patients: A Prospective Cohort Study. Prehosp Disaster Med. July 2023; 1-6. Medline
|
II
|
Supportive (Green)
|
Positive and negative predictive value
|
Patient
|
PH-Paramedic
|
Yates JG, Baylous D. Air Medical Ultrasound: Looking Back to See What We Have Learned for the Future. Air Med J. 2022 Nov-Dec;41(6):536-541. doi: 10.1016/j.amj.2022.08.006. Epub 2022 Oct 26. PMID: 36494169. Medline
|
III
|
Supportive (Green)
|
Diagnostic Accuracy
|
Process
|
PH-Paramedic
|
Ienghong K, Cheung LW, Tiamkao S, Bhudhisawasdi V, Apiratwarakul K. The Utilization of Handheld Ultrasound Devices in a Prehospital Setting. Prehosp Disaster Med 2022; 37(3):355–9. Medline
|
III
|
Supportive (Green)
|
Frequency of indications
|
Process
|
PH-Paramedic & CCT
|
Lenz TJ, Phelan MB, Grawey T. Determining a Need for Point-of-Care Ultrasound in Helicopter Emergency Medical Services Transport. Air Med J 2021; 40(3):175–8. Medline
|
III
|
Supportive (Green)
|
Time elapsed from prehospital FAST to arrival in trauma room
|
Patient
|
PH-Paramedic & MD
|
Lucas B, Hempel D, Otto R, Brenner F, Stier M, Marzi I, et al. Prehospital FAST reduces time to admission and operative treatment: a prospective, randomized, multicenter trial. Eur J Trauma Emerg Surg 2021. Medline
|
III
|
Supportive (Green)
|
Alteration in clinical care
|
Patient
|
PH-Paramedic & CCT
|
Smith B, Willner D, Roper W, McGrath C. Prehospital Extended FAST Exams Improve Clinical Decision Making by Helicopter EMS Crews: A Retrospective Case Series. Prehosp Emerg Care. March 2024; :1-8. Medline
|