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Published byDarrell Goodman Modified over 9 years ago
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Research in global health: The Introduction of FAST in Uganda Jennifer Y. Wang
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Challenges in global health research Identifying mutual areas of research interest Resource building –Training in research techniques (laboratory, epidemiology, and statistics) Determining feasibility and cost-effectiveness Using available technology for data transfer/sharing
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Injury in Uganda Road traffic crashes top the list of injuries Result in 30% of casualty visits Injury prevention!! Improve patient management upon hospital arrival
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Current Management Plain X-rays Peritoneal Aspiration Ultrasound by ultrasonographer (if available) “Observation” Exploratory laparotomy And now…FAST –Focused Assessment with Sonography for Trauma –Free fluid in pericardial, RUQ, LUQ, pelvis views
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FAST study WHO Guidelines of Essential Trauma Care 2004: ultrasound is “desirable” Identified in a April 2005 meeting to be area of interest for Ugandan surgeons Innovations Grant from UCSF Global Health Sciences Portable US machine donated by Sonosite
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Study Aims Aim 1: To evaluate the feasibility of FAST training for surgeons at a major Ugandan trauma center. Aim 2: To compare the management and outcomes of Ugandan trauma patients before and after the use of FAST, and to assess its cost-effectiveness.
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FAST course November 13-16, 2006 ~20 hours of training 19 participants plus ultrasonographer Daily lectures, practical sessions, and final practical exam
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Website created by the Mulago-UCSF Malaria collaboration
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Ongoing work 1st 4 weeks of images –In 13/23, instructors agreed with all 4 images –In 10/23, instructors agreed with 3/4 images Surgeons continuing to acquire FAST images (need 25 each) Data collection on trauma outcomes underway- 83 subjects from Dec 1 to mid Jan.
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Acknowledgements The UCSF team: Dr. Peggy Knudson, P.I.; Dr. Rochelle Dicker, Co-I; Dr. Jeremy Durack, Radiology Resident; Eric Chen, MS3 @ UC Davis Our colleagues at Mulago: Dr. Jackie Mabweijano, Victor Angajoubi, Mr. Isaac Ezati, Geoff Lavoy
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