Trial reportEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Prehospital FAST reduces time to admission and operative treatment: a prospective, randomized, multicenter trial.
Trial report in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis.BMC emergency medicine · 2024Pooled it
- Inter-Rater Agreement Between a Trained Nurse and Physicians in FAST Examination of Trauma Patients: A Pilot Study in the Emergency Department.Healthcare (Basel, Switzerland) · 2026Article
- Real world evaluation of a distance-supervised ultrasound training programme in a physician-staffed emergency medical service: a prospective, descriptive implementation study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Mobile triage units for abdominal trauma in sub-Saharan Africa: current evidence, implementation barriers, and strategies for scale-up.Annals of medicine and surgery (2012) · 2026Review
- Point-of-care ultrasound during trauma and critical care transport: a practical, safety-gated review.Frontiers in public health · 2026Review
- Review
- Ultrasound as a tool in prehospital settings: a scoping review.Clinical and experimental emergency medicine · 2025Article
- Soundwaves of innovation: a qualitative exploration of POCUS in Australasian ambulance and retrieval services.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Integrating point-of-care ultrasound into prehospital care.Saudi medical journal · 2025Article
- Evolving role of point-of-care ultrasound in prehospital emergency care: a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Review
- Use of Ultrasound in the Prehospital Setting: A Scoping Review.Journal of the American College of Emergency Physicians open · 2025Review
- Implementation of prehospital point-of-care ultrasound using a novel continuous feedback approach in a UK helicopter emergency medical service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Diagnostic performance of prehospital EFAST in predicting CT scan injuries in severe trauma patients: a multicenter cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Management of critically ill patients in austere environments: good clinical practice by the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI).Journal of anesthesia, analgesia and critical care · 2024Review
- [Prehospital ultrasound in emergency medicine].Die Anaesthesiologie · 2024Article
- Machine learning in the prediction of massive transfusion in trauma: a retrospective analysis as a proof-of-concept.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Point-of-Care Ultrasound in the Emergency Department: Training, Perceptions, Applications, and Barriers from Different Healthcare Professionals.Journal of acute medicine · 2024Article
- [Ultrasound diagnostics in prehospital emergency care-do we need a standardized educational approach?]Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- Assessing the efficacy of simulation-based education for paramedics in extended focused assessment with sonography for trauma under physician guidance.Scientific reports · 2024Article
- E-FAST Ultrasound Training Curriculum for Prehospital Emergency Medical Service (EMS) Clinicians.Journal of education & teaching in emergency medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe focused assessment with sonography in trauma (FAST) exam is an established trauma care diagnostic procedure. Ultrasound performed during prehospital care can improve early treatment and management of the patients. In this prospective randomized clinical trial, we wanted to assess whether a pre-hospital FAST (p-FAST) influences pre-hospital strategy and the time to operative treatment.
methodsWe studied 296 trauma victims in a prehospital setting. Inclusion criteria were potential abdominal injuries identified either by clinical examination or suggested by the mechanism of injury. Physician-staffed helicopters and emergency ambulances were equipped with portable ultrasound devices. According to a scheme related to calendar weeks, a clinical exam only (CEX) or a clinical exam together with a p-FAST (CEX-p-FAST) was conducted. Outcome variables were prehospital diagnosis and strategy, the time to admission to the trauma room and to operation theater. The study was approved by the university ethical committee (REB#: 46/06).
resultsCEX-p-FAST showed a high sensitivity (94.7%) and specificity (97.6%) in detection of free fluid compared to CEX-only (80.0%, 84.4%). The median time to admission was reduced significantly by 13 min and to operative treatment by 15 min after CEX-p-FAST. We observed a cross-over rate of 30.8% of p-FAST (n = 36) to CEX-p-FAST during the CEX-only weeks.
conclusionAccording to the experience of the principal investigators, CEX-p-FAST was superior to CEX-only. Despite the time needed for p-FAST, the relevant admission time was significantly shorter. Thus, p-FAST is recommended in addition to CEX if possible for decision-making in prehospital trauma care.
trial registrationGerman Clinical Trials Register #DRKS00022117-Registered 10 July 2020-Retrospectively registered, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00022117 .
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.