Quality of YouTube Videos on Focused Assessment with Sonography in Trauma Protocol

Abstract

Objective: The Focused assessment with sonography in trauma (FAST) protocol is one of the most critical steps in trauma assessment in current emergency department practices.  The contribution of video-based learning to medical education is increasingly recognized. This study aims to evaluate the quality of videos related to e-FAST ultrasonography as well as the factors influencing video quality. Methods: The study encompassed conducting searches on YouTube using the keywords "FAST," "E-FAST," and "Trauma USG," followed by a comprehensive analysis of the retrieved videos.  The quality of these videos was evaluated using JAMA, GQS, and DISCERN scores. Results: The study included 93 videos. The mean mDISCERN score was 3.1 (0.9), the mean JAMA score was 2.1 (0.7), and the mean GQS score was 3.4 (1.0). Sixty-five (69.9%) of the videos were recorded by individuals, and 60 (64.5%) used only the US image in the video. The median video length was 639 seconds (s) (range: 250–1305 s), median number of comments was 0 (range 0–4), median upload date (days) was 1675 (range: 976-2750), number of views was 2250 (range: 467-14187), and number of likes was 28 (range: 8-162). The mean mDISCERN and JAMA scores of institutional videos were 3.2 (0.9) and 2.2 (0.7), respectively, and the mean mDISCERN and JAMA scores of individual videos were 2.7 (0.8) and 1.9 (0.7) (P values = 0.008 and 0.018, respectively). The mean GQS score of institutional videos was 3.5 (0.1), and the mean GQS score of individual videos was 3.3 (0.8) (P=0.325). The median number of comments in individual videos was 4.0 (range: 0.0–12.5), while the median number of comments in institutional videos was 0.0 (range: 0.0–2.0; P= 0.011).   There is a significant difference in the number of likes (P=0.043). No significant difference was found in video length,  date, and number of views between individual and institutional videos (P values = 0.236, 0.974, and 0.255, respectively). Conclusion: Upon reviewing e-FAST/FAST protocol videos on social networks, it becomes apparent that institutional videos exhibit better quality. Institutional videos are not only more target-oriented, but they also provide reliable information and are optimized for timeliness.

1. Bloom BA, Gibbons RC. Focused assessment with sonography for trauma. [Updated 2023 Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470479/
2. Savoia P, Jayanthi SK, Chammas MC. Focused assessment with sonography for trauma (FAST). J Med Ultrasound. 2023;31(2):101-6.
3. Cevik AA, Noureldin A, El Zubeir M, Abu-Zidan FM. Assessment of EFAST training for final year medical students in emergency medicine clerkship. Turk J Emerg Med. 2018 ;18(3):100-4.
4. Masters K, Correia R, Nemethy K, Benjamin J, Carver T, MacNeill H. Online learning in health professions education. Part 2: tools and practical application: AMEE guide No. 163. Med Teach. 2024;46(1):18-33.
5. Cho NR, Cha JH, Park JJ, Kim YH, Ko DS. Reliability and quality of YouTube videos on ultrasound-guided brachial plexus block: a programmatical review. Healthcare (Basel). 2021 ;9(8):1083.
6. Suppan M, Stuby L, Carrera E, Cottet P, Koka A, Assal F, et al. Asynchronous distance learning of the national institutes of health stroke scale during the COVID-19 pandemic (E-learning vs video): Randomized controlled trial. J Med Internet Res. 2021 ;23(1):e23594.
7. Xiao Y, Seagull J, Bochicchio GV,Guzzo JL, Dutton RP, Sisley A, et al. Video-based training increases sterile-technique compliance during central venous catheter insertion. Crit Care Med 2007;35(5):1302-6.
8. Borno HT, Zhang S, Bakke B, Bell A, Zuniga KB, Li P, et al. Racial disparities and online health information: YouTube and prostate cancer clinical trials. BJU Int. 2020;126(1):11-3.
9. Pew research center social media fact sheet. Available at https://www.pewinternet.org/fact-sheet/social-media. Accessed May 2024.
10. Ozsoy-Unubol T, Alanbay-Yagci E. YouTube as a source of information on fibromyalgia. Int J Rheum Dis. 2021;24(2):197-202.
11. Singh AG, Singh S, Singh PP. YouTube for information on rheumatoid arthritis—a wakeup call? J Rheumatol. 2012;39(5):899-903.
12. Kumar N, Pandey A, Venkatraman A, Garg N. Are video sharing web sites a useful source of information on hypertension? J Am Soc Hypertens. 2014;8(7):481-90.
13. YouTube. how YouTube works: YouTube search [Internet]. San Bruno (CA): YouTube; 2024 [cited 2024 Oct 27]. Available from: https://www.youtube.com/intl/ALL_tr/howyoutubeworks/product-features/search/
14. Silberg WM, Lundberg GD, Musacchio RA. Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant Lector et Viewor—Let the reader and viewer beware. JAMA. 1997;277(15):1244-5.
15. Bernard A, Langille M, Hughes S, Rose C, Leddin D, Veldhuyzen van Zanten S. A systematic review of patient inflammatory bowel disease information resources on the World Wide Web. Am J Gastroenterol. 2007;102(9):2070-7.
16. Li M, Yan S, Yang D, Li B, Cui W. YouTube™ as a source of information on food poisoning. BMC Public Health. 2019;19(1):952.
17. DISCERN: an instrument for judging the qualityof written consumer health information ontreatment choices. Charnock D, Sheppard S, Needham G, Gann R. J Epidemiol Community Health. 1999;53(2):105-11.
18. The jamovi project (2024). jamovi (Version 2.5) (Computer Software). Retrieved from https://www.jamovi.org
19. Mayer RE. Applying the science of learning: evidence-based principles for the design of multimedia instruction. Am. Psychol. 2008;63(8):760-9.
20. Bertran S, Boby H, Bertrand PM, Pereira B, Perbet S, Lautrette A. Comparison of video-based learning and lecture-based learning for training of ultrasound-guided central venous catheterization: a randomized controlled trial. Br J Anaesth. 2017;118(4):628-30.
21. Zengin O, Onder ME. Educational quality of YouTube videos on musculoskeletal ultrasound. Clin Rheumatol. 2021;40(10):4243-51.
22. Yildizgoren MT, Bagcier F. YouTube as a source of information and education on ultrasound- guided dry needling. Med Ultrason. 2023;25(4):398-402.
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IssueVol 9 No 1 (2025): Winter (February) QRcode
SectionOriginal article
Keywords
Emergency Medicine Internet Quality Control Social Media Training Technics Ultrasonography
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
BILDIK B, BARCIN E, AKDOGAN C, GUDEK L, CAYLI B, ATIS S, CEKMEN B. Quality of YouTube Videos on Focused Assessment with Sonography in Trauma Protocol. Front Emerg Med. 2025;9(1):e6.

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