The FAST and E-FAST in 2013: Trauma Ultrasonography

Williams, Sarah R.; Perera, Phillips; Gharahbaghian, Laleh

doi:10.1016/j.ccc.2013.08.005

Cited by 59 publications

(22 citation statements)

References 81 publications

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“…Toward the end of the fourth-year, students are offered a 2-day ultrasound experience during a Capstone period designated as review and preparation for residency. Important acute medical and surgical ultrasound protocols such as the rapid ultrasound for shock and hypotension (RUSH), e-FAST, and cardiopulmonary limited ultrasound examination (CLUE) protocols are covered [ 19 , 50 , 51 ]. An array of guided procedures is also reviewed and practiced.…”

Section: Clinical Yearsmentioning

confidence: 99%

The evolution of an integrated ultrasound curriculum (iUSC) for medical students: 9-year experience

et al. 2015

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Interest in ultrasound education in medical schools has increased dramatically in recent years as reflected in a marked increase in publications on the topic and growing attendance at international meetings on ultrasound education. In 2006, the University of South Carolina School of Medicine introduced an integrated ultrasound curriculum (iUSC) across all years of medical school. That curriculum has evolved significantly over the 9 years. A review of the curriculum is presented, including curricular content, methods of delivery of the content, student assessment, and program assessment. Lessons learned in implementing and expanding an integrated ultrasound curriculum are also presented as are thoughts on future directions of undergraduate ultrasound education. Ultrasound has proven to be a valuable active learning tool that can serve as a platform for integrating the medical student curriculum across many disciplines and clinical settings. It is also well-suited for a competency-based model of medical education. Students learn ultrasound well and have embraced it as an important component of their education and future practice of medicine. An international consensus conference on ultrasound education is recommended to help define the essential elements of ultrasound education globally to ensure ultrasound is taught and ultimately practiced to its full potential. Ultrasound has the potential to fundamentally change how we teach and practice medicine to the benefit of learners and patients across the globe.Electronic supplementary materialThe online version of this article (doi:10.1186/s13089-015-0035-3) contains supplementary material, which is available to authorized users.

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Section: Clinical Yearsmentioning

confidence: 99%

The evolution of an integrated ultrasound curriculum (iUSC) for medical students: 9-year experience

et al. 2015

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“…Fang et al study of 214 patients with a hepatic injury showed that the independent predictors for the surgical treatment even in hemodynamically stable patients included intraperitoneal contrast extravasation and hemoperitoneum in six compartments on CT scan [ 22 ]. FAST is able to sensitively detect hemoperitoneum presented as free fluid in the abdomen and pelvis, but its numerous limitations have been recognized [ 8 , 24 ]. MSCT is the imaging modality of choice in evaluating hemodynamically stable patients with suspected hepatic injury [ 7 , 22 ].…”

Section: Discussonmentioning

confidence: 99%

Surgical management of AAST grades III-V hepatic trauma by Damage control surgery with perihepatic packing and Definitive hepatic repair–single centre experience

et al. 2015

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BackgroundSevere liver injury in trauma patients still accounts for significant morbidity and mortality. Operative techniques in liver trauma are some of the most challenging. They include the broad and complex area, from damage control to liver resection.Material and methodThis is a retrospective study of 121 trauma patients with hepatic trauma American Association for Surgery of Trauma (AAST) grade III–V who have undergone surgery. Indications for surgery include refractory hypotension not responding to resuscitation due to uncontrolled hemorrhage from liver trauma; massive hemoperitonem on Focused assessment by ultrasound for trauma (FAST) and/or Diagnostic peritoneal lavage (DPL) as well as Multislice Computed Tomography (MSCT) findings of the severe liver injury and major vascular injuries with active bleeding.ResultsNon-survivors have significantly higher AAST grade of liver injury and higher Injury Severity Score (ISS) (p = 0.000; p = 0.0001). Non-survivors have significant hypotension on arrival and lower Glasgow Coma Scale (GCS) on admission (p = 0.000; p = 0.0001). Definitive hepatic repair was performed in 62(51.2 %) patient. Damage Control, liver packing and planned re-laparotomy after 48 h were used in 59(48.8 %). There was no statistically significant difference in terms of the surgical approach. There was significant difference in the amount of red blood cells (RBC) transfusion in the first 24 h between survivors and non-survivors (p = 0.001). Overall mortality rate was 33.1 %. Regarding complications non-survivors had significantly prolonged bleeding and higher rate of Acute respiratory distress syndrome (ARDS) (p = 0.0001; p = 0.0001), while survivors had significantly higher rate of pleural effusion (p = 0.0001).ConclusionAll efforts in the treatment of severe liver injuries should be directed to the rapid and effective control of bleeding, because uncontrollable hemorrhage is the cause of early death and it requires massive blood transfusion, all of which contributes to the late fatal complication.

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“…The significance of FAST (Focused Assessment with Sonography in Trauma) is common understanding. Some authors reported the usefulness of ultrasound for thoracic injury to detect traumatic pneumothorax [6] . Recently the application of chest ultrasound has been spreading to the non-traumatic situation in the field of critical care [7] .…”

Section: Discussionmentioning

confidence: 99%

Blunt pharyngeal trauma detected by ultrasound sonography: A case report

Kubota¹,

Shimaguchi²,

Katagiri³

et al. 2016

Trauma Case Reports

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Pharyngeal perforation related to blunt neck trauma is a rare clinical entity. Here in, we report a case of pharyngeal perforation secondary to minor blunt neck trauma. A 46 year old female was brought to our emergency room with neck pain. She fell down and hit her neck directly to the edge of a bed. There was no crepitation in physical examination. Neck ultrasound showed a small amount of air in her deep neck space. Followed CT and nasopharyngeal scope supported the presence of pharyngeal perforation. So emergency exploration was done. We found a laceration of hypopharynx and it was repaired. She could discharged without any complication on day 7. The indirect finding of pharyngeal perforation is subcutaneous emphysema. However if the air is localized only in deep cervical space, physical assessment is difficult.Although CT scan is potent modality to find air in the deep organs, ultrasound may be alternatives. Emphasis is based on the suspicion that minor blunt neck trauma may cause pharyngeal perforation.

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The FAST and E-FAST in 2013: Trauma Ultrasonography

Cited by 59 publications

References 81 publications

The evolution of an integrated ultrasound curriculum (iUSC) for medical students: 9-year experience

The evolution of an integrated ultrasound curriculum (iUSC) for medical students: 9-year experience

Surgical management of AAST grades III-V hepatic trauma by Damage control surgery with perihepatic packing and Definitive hepatic repair–single centre experience

Blunt pharyngeal trauma detected by ultrasound sonography: A case report

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