Focused abdominal sonography for trauma in the emergency department for blunt abdominal trauma

Tsui, Chiu-On; Fung, Hin Tat; Chung, Kin Lai; Kam, CW

doi:10.1007/s12245-008-0050-2

Cited by 56 publications

(42 citation statements)

References 25 publications

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“…FAST can quickly and reliably diagnose intraperitoneal free fluid [6]. Physician assistants can be taught to use ultrasound to look for pneumothorax and to place central venous catheters [7,8].…”

Section: Discussionmentioning

confidence: 99%

Mid-level providers demonstrate proficiency in FAST after directed training

et al. 2011

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Introduction Focused Assessment with Sonography for Trauma (FAST) is commonly used to detect intra-peritoneal blood as part of the evaluation of trauma patients. In our level 1 trauma center, mid-level providers (MLPs) perform serial FAST exams on trauma patients. We describe our training approach and proficiency achieved. Methods Subjects were MLPs with no previous training in FAST. The training consisted of hands-on training on live models, two on-line ultrasound (US) modules, and a video image review session. Participants were evaluated with pre-, post-, and 6-month follow-up video tests. Subsequently, they independently performed FAST exams which were reviewed by ED US faculty. Results 11 MLPs participated, completing an average of 17 scans; 91% were technically adequate. Average scores were: pre-test 50.5% (31.7-68.3%), post-test 76.7% (65.9-87.8%), and 6-month test 77% (58.5-87.8%), for an initial improvement of 26.2% (p \ 0.001) and a sustained improvement over the pre-test of 26.5% (p = 0.011) at 6 months. Conclusion MLPs demonstrated proficiency in FAST after brief training.

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Section: Discussionmentioning

confidence: 99%

Mid-level providers demonstrate proficiency in FAST after directed training

et al. 2011

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“…These results are comparable to Tsui CL and colleagues. [25] This can be demonstrated by one result in which sonographic sensitivity rose from 60% within 1 hour after BAT to 97% in 6 -12 hours after injury as shown in graph.…”

Section: Discussionmentioning

confidence: 92%

Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography

Qamari¹,

Sayani²,

Ali³

et al. 2013

IJMI

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Abstract:To determine the accuracy of focused assessment with sonography for trauma in detecting the hemoperitoneum in blunt abdominal trauma patients and comparing it with Computed Tomographic findings. The study was conducted at Radiology department of Dr. Ziauddin University Hospital from March 2010 to September 2010. 140 patients presented with complaints of acute blunt abdominal trauma. Focused assessment with sonography for trauma was performed. Presence of intra-abdominal fluid was taken as positive finding for hemoperitoneum. Then all the patients underwent computed tomography of abdomino-pelvic region. Focused assessment with sonography for trauma findings were compared with computed tomography results. In 83 patients, the FAST showed free intra abdominal fluid and was taken as 'positive'. Out of these 83 cases80 (96%) were 'true positive' while the remaining 3(4%) were 'false positive' when compared with results of CT scan.Similarly, in 57 patients, no free intra abdominal fluid was detected on FAST and they were considered 'negative'. From these 57 patients, 50 (88%) patients were 'true negative' and 7 (12%) were 'false negative' because intra abdominal free fluid was seen in them on subsequent CT scan. Thus the sensitivity and specificity of FAST in detecting intra abdominal free fluid was calculated to be 91.9 % and 94.34 % respectively. FAST scan is moderately sensitive in detecting intra abdominal free fluid when compared with the results of CT scan.

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“…[8] Abdominal injuries are the third deadliest injuries following head and chest trauma. [9] USG has proven useful in the management of abdominal trauma patients over the past 30 years. The introduction of FAST in the '90s has made USG a popular tool, especially in the ED.…”

Section: Discussionmentioning

confidence: 99%

“…The introduction of FAST in the '90s has made USG a popular tool, especially in the ED. [9,10] In Turkey, in the ED, the FAST examination is administered to trauma patients simultaneously with the ATLS care. There is ample support in the literature for use of FAST in trauma patients.…”

Section: Discussionmentioning

confidence: 99%