Phase
Condition
N/ATreatment
Focused Assessment with Sonography for Trauma (FAST) Examination
No Intervention: Standard of Care - Without the FAST Examination
Clinical Study ID
Ages < 17 All Genders
Study Summary
Eligibility Criteria
Inclusion
Children younger than 18 years of age (0 to 17.9999 years) with blunt abdominal trauma presenting to the participating EDs within 24 hours of the traumatic event will be eligible if the do not meet any exclusion criteria and meet any one of the following inclusion criteria.
Inclusion Criteria:
- Blunt torso trauma resulting from a significant mechanism of injury:
Motor vehicle collision: greater than 60 mph, ejection, or rollover
Automobile versus pedestrian/bicycle: automobile speed > 25 mph
Falls greater than 20 feet in height
Crush injury to the torso
Physical assault involving the abdomen
Decreased level of consciousness (Glasgow Coma Scale (GCS) score 9-14 or belowage-appropriate behavior) in association with blunt torso trauma
Blunt traumatic event with any of the following (regardless of the mechanism):
Extremity paralysis
Multiple long bone fractures (e.g., tibia and humerus fracture)
- History and physical examination suggestive of blunt torso trauma of any mechanism (including mechanisms of injury of less severity than mentioned above)
Exclusion
Exclusion Criteria:
The following patients will be excluded from the study:
- Age-adjusted low blood pressure (Hemodynamic instability)
- Patients will be excluded for prehospital or initial age-adjusted ED low bloodpressure. This is because the standard evaluation of these patients involvesimmediate FAST based on prior work by our group. Low blood pressure isdetermined based upon the patient's age, and will be defined as a systolicblood pressure less than 70 mm Hg for patients younger than 1 month, less than 80 mm Hg for ages 1 month to 5 years, and less than 90 mm Hg for ages over 5years.
Penetrating trauma: Patients who are victims of stab or gunshot wounds
Traumatic injury occurring > 24 hours prior to the time of presentation to the ED
Transfer of the patient to the ED from an outside facility with abdominal CT scan,diagnostic peritoneal lavage, or laparotomy previously performed
Transferred with FAST exam already performed at outside hospital
Patients with known disease processes resulting in intraperitoneal fluid includingliver failure and the presence of ventriculoperitoneal shunts
Initial GCS score ≤ 8 as it is standard for children with GCS scores ≤ 8 to undergoabdominal CT if blunt abdominal trauma is suspected
Known pregnancy
Known prisoner
Known intra-abdominal injury diagnosed within 30 days prior of this ED visit
Study Design
Study Description
Connect with a study center
University of California, Davis Medical Center
Sacramento, California 95817
United StatesActive - Recruiting
University of Colorado, Anschutz Medical Center and Children's Hospital Colorado
Aurora, Colorado 80045
United StatesActive - Recruiting
Emory University Children's Healthcare of Atlanta
Atlanta, Georgia 30322
United StatesActive - Recruiting
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio 45229
United StatesActive - Recruiting
The Research Institute at Nationwide Children's Hospital
Columbus, Ohio 43205
United StatesActive - Recruiting
University of Texas Southwestern Medical Center
Dallas, Texas 75390
United StatesActive - Recruiting
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