Stay and play eFAST or scoop and run eFAST? That is the question!

The American Journal of Emergency Medicine
Pierre-Marie BrunChristophe Lablanche

Abstract

The concept that ultrasonography could be interesting in the prehospital setting and during the transfer of traumatized patients is not new. Paradoxically, there is a lack of description of routine use of ultrasonography in emergency ambulances. The aim of this study was to compare the feasibility and efficiency of an extended focused assessment sonography for trauma (eFAST) examination performed on-site, during the patient's transfer, or both. From February 2010 to June 2012, 30 prehospital emergency physicians were divided randomly into 3 groups. Group 1 performed an ultrasound examination on-site; group 2, during patient transfer; and group 3, in both settings. The eFAST examination was systematically performed in all severe traumas. Ninety-eight patients were included. Forty-four eFAST examinations were performed on-site only; 33, only during transport; and 21, in both settings. The feasibility was 95.4%, 93.9%, and 95.2%, respectively, and efficiency, 95%, 97%, and 100%, respectively. There was no significant difference in performance or duration whether the examination was performed on-site, during the transfer, or both (w = 0.68). Last but not least, in 2 cases in group 3, the second examination carried out during transf...Continue Reading

References

Dec 5, 1998·Intensive Care Medicine·D Lichtenstein, J P Courret
Mar 12, 2004·Air Medical Journal·William HeegaardJoseph Clinton

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Citations

Mar 15, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Jonathan T Finnoff
Jul 8, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Xavier BobbiaJean Emmanuel de La Coussaye
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B P Nelson, A Sanghvi
Apr 25, 2018·JBJS Reviews·Theodosios SaranteasAndreas F Mavrogenis
Jun 27, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Morten Thingemann BøtkerLars Knudsen
Feb 1, 2018·Journal of Continuing Education in Nursing·Andrew P ReimerBianca M Rodriguez-Fox
Aug 9, 2018·Critical Ultrasound Journal·Rein KetelaarsNico Hoogerwerf
Nov 25, 2020·Anaesthesia Critical Care & Pain Medicine·Maciej DudekLukasz Szarpak

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