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)
|
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)
|
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)
|
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)
|
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)
|
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
|