Accuracy of emergency physician-performed ultrasound in detecting traumatic pneumothorax after a 2-h training course

Abbasi, Saeed; Farsi, Davood; Hafezimoghadam, Peyman; Fathi, Marzieh; Zare, Mohammad

doi:10.1097/mej.0b013e328356f754

Cited by 49 publications

(41 citation statements)

References 17 publications

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“…We feel this is not significant enough to withhold this simple, rapid and potentially lifesaving investigation from those with indications even though they are haemodynamically normal. eFAST lacks sensitivity and specificity of Direct peritoneal lavage (DPL) and accuracy of CT (7). Missing of two small bowel lacerations would not have happened with DPL and CT would have diagnosed the patient with retroperitoneal haematoma in our study and negative laparotomy could have been avoided.…”

Section: Discussionmentioning

confidence: 99%

“…Pneumothorax is one of the leading causes of preventable trauma deaths. In a study in 2013 involving 153 patients Abbasi et al showed eFAST to have sensitivity, specificity, positive predicting value and negative predictor value of 86.4%, 100%, 100% and 95.6% respectively in diagnosing pneumothorax (7). Corresponding values for Chest X ray was lower at 48.6%, 100%, 100% and 85.1%.…”

Section: Discussionmentioning

confidence: 99%

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Study on value of Extended-Focused Abdominal Scan For Trauma (e-FAST) performed by non-radiologist emergency care doctors in Management of Trauma at Emergency Trauma Centre, Teaching Hospital, Karapitiya,Galle, Sri Lanka

Seneviratne

Kumara

Kumarasinghe

et al. 2015

Anuradhapura Med. J.

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BackgroundThis study was designed to evaluate the accuracy and usefulness of ultrasound in the hands of emergency physicians and medical officers who are non-radiologistsin assessing Trauma patients at Emergency Trauma Centre(ETC) at Teaching Hospital, Karapitiya, Galle, Sri Lanka Methodology We performed an observational study on Trauma patients admitted to Emergency Department at Teaching Hospital, Karapitiya from 1.12.2014 to 31.12.2014 who fulfilled indications for e-FAST using a specially designed performa. Accuracy of eFAST was tested by comparing the original with subsequent imaging, clinical decision by surgeons, findings at surgery or more than one of the above. Results 69 patients fulfilled the entry criteria.Nineteen of the scans were performed by consultants while rest was done by senior medical officers. All of them were trained in eFAST.Of the 20 scans which were positive there were four pneumothoraxes and one haemothorax. 15 scans which were positive for intraperitoneal free fluid were later. Out of 49 Patients who had negative scans 47 did not require surgery or any interventions. Other two required laparotomy later. Sensitivity and specificity of eFast was 90.4% and 97.9% respectively. Positive predictive value was 95.0% while Negative predictive value was at 95.9% . Conclusions eFAST is a rapid and reliable alternative in detecting free intra-abdominal fluid as well as pneumotorax and haemothorax. It is a safe decision making tool which can be used with confidence and accuracy after brief training and experience by non radiologists which will reduce morbidity and mortality in trauma patients of Sri Lanka.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Study on value of Extended-Focused Abdominal Scan For Trauma (e-FAST) performed by non-radiologist emergency care doctors in Management of Trauma at Emergency Trauma Centre, Teaching Hospital, Karapitiya,Galle, Sri Lanka

Seneviratne

Kumara

Kumarasinghe

et al. 2015

Anuradhapura Med. J.

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“…[17,19,20] In the study of Mao et al, the average duration of US has been 2.3±2.9 min., APCR 12.4±6.7 min. and chest CT 16.3±7.8 min.…”

Section: Discussionmentioning

confidence: 99%

A Study on the Evaluation of Pneumothorax by Imaging Methods in Patients Presenting to Emergency Department for Blunt Thoracic Trauma

Kaya

Çevik

Acar

et al. 2015

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Pneumothorax (PNX) is the collection of air between parietal and visceral pleura, and collapsed lung develops as a complication of the trapped air. PNX is likely to develop spontaneously in people with risk factors. However, it is mostly seen with blunt or penetrating trauma. Diagnosis is generally confirmed by chest radiography [posteroanterior chest radiography (PACR)]. Chest ultrasound (US) is also a promising technique for the detection of PNX in trauma patients. There is not much literature on the evaluation of blunt thoracic trauma (BTT) and pneumothorax (PNX) in the emergency department (ED). The aim of this study was to investigate the effectiveness of chest US for the diagnosis of PNX in patients presenting to ED with BTT

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“…Studies have shown that a directed 1-day ultrasound-based training course is sufficient to equip the non-radiologist clinician with the necessary skill in evaluating limited anatomy of interest. [35][36] A limitation to our study is that individuals with facial distortion, previous mandibular surgery/trauma or missing teeth between the lower first molars were excluded. Perhaps, the mental foramen may have been subject to distortion or shift and hence difficult to visualize in these patients.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographically locating the mental foramen and its soft tissue relations

Laher¹,

Wells²

2016

Dentomaxillofacial Radiology

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Accuracy of emergency physician-performed ultrasound in detecting traumatic pneumothorax after a 2-h training course

Abstract: After just a 2-h training course, emergency physicians showed a good success rate in finding pneumothoraces. Thoracic US can be an easy to learn and an accurate diagnostic modality for the detection of traumatic pneumothorax in emergency departments.

Cited by 49 publications

References 17 publications

Study on value of Extended-Focused Abdominal Scan For Trauma (e-FAST) performed by non-radiologist emergency care doctors in Management of Trauma at Emergency Trauma Centre, Teaching Hospital, Karapitiya,Galle, Sri Lanka

Study on value of Extended-Focused Abdominal Scan For Trauma (e-FAST) performed by non-radiologist emergency care doctors in Management of Trauma at Emergency Trauma Centre, Teaching Hospital, Karapitiya,Galle, Sri Lanka

A Study on the Evaluation of Pneumothorax by Imaging Methods in Patients Presenting to Emergency Department for Blunt Thoracic Trauma

Ultrasonographically locating the mental foramen and its soft tissue relations

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