• Joseph Rossi and Anthony Van Assche.
• St Vincent's Hospital Sydney, Sydney, New South Wales, Australia.
• Emerg Med Australas. 2024 Aug 1; 36 (4): 645647645-647.

ObjectivesTo investigate whether implementation of a hospital-based Extended Focused Assessment with Sonography in Trauma (eFAST) guideline and teaching improved documentation and saving of images.MethodsA retrospective cohort study was conducted on trauma patients aged ≥16 years presenting to St Vincent's Hospital Sydney Emergency Department over two, three-month periods in 2023.ResultsGuideline and teaching implementation resulted in statistically significant improvement in documentation on the Trauma Response Form, 85% (113/133) to 93% (120/129), odds ratio (OR) 2.4 (95% confidence interval [CI] = 1.03-5.40), P = 0.04, and images saved, 4% (5/133) to 21% (27/129), OR 6.7 (95% CI = 2.5-18.2), P < 0.001.ConclusionsDeveloping an eFAST Standard of Care Guideline and education was associated with improvements in documentation and saving of images to ultrasound machines.© 2024 Australasian College for Emergency Medicine.

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