RETRACTED ARTICLE: A Comparative Analysis of Diagnostic Accuracy of Focused Assessment With Sonography for Trauma Performed by Emergency Medicine and Radiology Residents

Abstract

Background:Focused assessment with sonography in trauma (FAST) is a method for prompt detection of the abdominal free fluid in patients with abdominal trauma.Objectives:This study was conducted to compare the diagnostic accuracy of FAST performed by emergency medicine residents (EMR) and radiology residents (RRs) in detecting peritoneal free fluids.Patients and Methods:Patients triaged in the emergency department with blunt abdominal trauma, high energy trauma, and multiple traumas underwent a FAST examination by EMRs and RRs with the same techniques to obtain the standard views. Ultrasound findings for free fluid in peritoneal cavity for each patient (positive/negative) were compared with the results of computed tomography, operative exploration, or observation as the final outcome.Results:A total of 138 patients were included in the final analysis. Good diagnostic agreement was noted between the results of FAST scans performed by EMRs and RRs (κ = 0.701, P < 0.001), also between the results of EMRs-performed FAST and the final outcome (κ = 0.830, P < 0.0010), and finally between the results of RRs-performed FAST and final outcome (κ = 0.795, P < 0.001). No significant differences were noted between EMRs- and RRs-performed FASTs regarding sensitivity (84.6% vs 84.6%), specificity (98.4% vs 97.6%), positive predictive value (84.6% vs 84.6%), and negative predictive value (98.4% vs 98.4%).Conclusions:Trained EMRs like their fellow RRs have the ability to perform FAST scan with high diagnostic value in patients with blunt abdominal trauma.

Extended-focused Ultrasonography for Children with High-energy Trauma

“…When compared to Rad-USG, the sensitivity of FAST-USG was found to be 90.9% and its specificity to be 98% [Area Under the Curve (AUC): 97.5%]. In line with the literature, the results of the present study indicate that this method is viable and reliable to a good degree (8,(14)(15)(16)(17).…”

“…FAST-USG was first named by Rozycki in the early 1990s, and it began to be used routinely by emergency physicians in the initial examinations of patients (5)(6)(7)(8). Over time, it became an integral part of advanced life support (8,9).…”

“…FAST-USG was first named by Rozycki in the early 1990s, and it began to be used routinely by emergency physicians in the initial examinations of patients (5)(6)(7)(8). Over time, it became an integral part of advanced life support (8,9). In previous studies, it was reported that the success rate of healthcare professionals in IFF imaging using the FAST method increased after having USG training (10).…”

Management of pelvic injuries in hemodynamically unstable polytrauma patients – Challenges and current updates

“…Comparing the two classifications in predicting hemodynamic stability, both fare equally, however fractures considered as unstable by Young and Burgess classification is better in terms of predicting mortality. 38,39 While these gross unstable injuries can easily be recognized in plain radiographs, the posterior ring injuries can be missed. Though plain radiograph of pelvis is an integral part of ATLS protocol, the poor sensitivity of 67% in identifying pelvic injuries which were clinically stable yet hemodynamically unstable, favours the usage of pelvic CT in evaluating pelvic injuries.…”

Role of emergency physician–performed ultrasound in the differential diagnosis of abdominal pain

“…23,24 In these studies, the sensitivity and specificity of EPs in the diagnosis of abdominal free fluid were reported as 80%-90% and 95%-98.5%, respectively. [23][24][25] Spontaneous hemoperitoneum frequently presents with AAP with or without hemodynamic collapse. The etiology of spontaneous hemoperitoneum may be varied, and its causes may be classified as gynecologic, hepatic, splenic, vascular, or coagulopathic diseases.…”