eFAST Simulation Training for Trauma Providers.

Current trauma recommendations include completing chest and pelvis radiographs and Focused Abdominal Sonography in Trauma (FAST) examination in the trauma bay; however, expanding literature indicates that thoracic ultrasound scans are more sensitive than chest radiography in the detection of pneumothorax. In an urban, Level II trauma center in central Ohio, the author implemented an evidence-based practice project. This project focused on a lack of provider knowledge of the expanded Focused Abdominal Sonography in Trauma (eFAST) examination. The training consisted of a lecture and a simulation training session. To monitor the success of the implementation, pre- and postimplementation testing of the provider's competence with the eFAST technique using the Objective Structured Assessment of Ultrasound Skills (OSAUS) was completed. The pre- and posttest implementation showed an increase of the OSAUS score by 16.9%. The author also reviewed charts pre- and postimplementation to demonstrate the utilization rates of eFAST. After training, the utilization rates increased by 66% (p < .05). Overall, the project implementation was a success and demonstrated the importance of frequent literature review and implementation of this literature into practice.