Mid-level providers demonstrate proficiency in FAST after directed training

Virgil W. Davis, J. Michael Wallace, Matthew T. Ahern, Matthew S. Dawson, Deborah F. Battaglia, Kelly L. Sherwood, Steve A. Sugerman, Michael P. Mallin, Troy E. Madsen

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Introduction: Focused Assessment with Sonography for Trauma (FAST) is commonly used to detect intra-peritoneal blood as part of the evaluation of trauma patients. In our level 1 trauma center, mid-level providers (MLPs) perform serial FAST exams on trauma patients. We describe our training approach and proficiency achieved. Methods: Subjects were MLPs with no previous training in FAST. The training consisted of hands-on training on live models, two on-line ultrasound (US) modules, and a video image review session. Participants were evaluated with pre-, post-, and 6-month follow-up video tests. Subsequently, they independently performed FAST exams which were reviewed by ED US faculty. Results: 11 MLPs participated, completing an average of 17 scans; 91% were technically adequate. Average scores were: pre-test 50.5% (31.7-68.3%), post-test 76.7% (65.9-87.8%), and 6-month test 77% (58.5-87.8%), for an initial improvement of 26.2% (p < 0.001) and a sustained improvement over the pre-test of 26.5% (p = 0.011) at 6 months. Conclusion: MLPs demonstrated proficiency in FAST after brief training.

Original languageEnglish (US)
Pages (from-to)111-113
Number of pages3
JournalCritical Ultrasound Journal
Volume3
Issue number2
DOIs
StatePublished - Aug 1 2011

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology

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