Abstract
Background The UK College of Emergency Medicine recommends that level 1 ultrasound competency is a basic standard for EM doctors and is now mandatory for career progression. Focused Assessment with Sonography in Trauma to include the detection of pleural fluid and pneumothorax (the Extended-FAST scan) forms part of this competency. We compare the diagnostic accuracy of E-FAST with the “gold standard” of CT or operative intervention. Trauma team leaders were asked to evaluate point-of-care ultrasound in their decision-making and patient management.
Highlights
The UK College of Emergency Medicine recommends that level 1 ultrasound competency is a basic standard for EM doctors and is mandatory for career progression
Primary outcome To assess the diagnostic accuracy of E-FAST in the detection of haemorrhage and pneumothorax in major trauma
Sensitivity, Specificity, Positive and Negative Predictive Values for E-FAST were 68.4% (43.5-87.4), 96.3% (81-99.4), 92.9% (66.1-98.8) and 81.3% (63.6-92.8) respectively. 58% of team leaders stated that ultrasound guided their decision-making
Summary
The UK College of Emergency Medicine recommends that level 1 ultrasound competency is a basic standard for EM doctors and is mandatory for career progression. Focused Assessment with Sonography in Trauma to include the detection of pleural fluid and pneumothorax (the Extended-FAST scan) forms part of this competency. We compare the diagnostic accuracy of E-FAST with the “gold standard” of CT or operative intervention. Trauma team leaders were asked to evaluate point-of-care ultrasound in their decision-making and patient management
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