Ultrasonography in the Management of Blunt Abdominal and Thoracic Trauma

Glaser, K.; Tschmelitsch, Jörg; Klingler, Paul J.; Wetscher, G.; Bodner, Ehud

doi:10.1001/archsurg.1994.01420310075013

Cited by 95 publications

(36 citation statements)

References 30 publications

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“…16). Large bowel rupture may present with a large amount of free intraperitoneal fluid, which can be detected at initial ultrasound as having internal echogenic spots similar to falling snow (representing leaked fecal contents) (Glaser et al 1994). Other described ultrasound findings suggesting intestinal perforations are the presence of focal fluid accumulation, echogenic creeping fat and abscess formation (Chang et al 2000).…”

Section: Pathologic Appearancementioning

confidence: 99%

Trauma Ultrasound

Wongwaisayawan

Suwannanon

Prachanukool

et al. 2015

Ultrasound in Medicine & Biology

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Ultrasound plays a pivotal role in the evaluation of acute trauma patients through the use of multi-site scanning encompassing abdominal, cardiothoracic, vascular and skeletal scans. In a high-speed polytrauma setting, because exsanguinations are the primary cause of trauma morbidity and mortality, ultrasound is used for quick and accurate detection of hemorrhages in the pericardial, pleural, and peritoneal cavities during the primary Advanced Trauma Life Support (ATLS) survey. Volume status can be assessed non-invasively with ultrasound of the inferior vena cava (IVC), which is a useful tool in the initial phase and follow-up evaluations. Pneumothorax can also be quickly detected with ultrasound. During the secondary survey and in patients sustaining low-speed or localized trauma, ultrasound can be used to help detect abdominal organ injuries. This is particularly helpful in patients in whom hemoperitoneum is not identified on an initial scan because findings of organ injuries will expedite the next test, often computed tomography (CT). Moreover, ultrasound can assist in detection of fractures easily obscured on radiography, such as rib and sternal fractures.

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Section: Pathologic Appearancementioning

confidence: 99%

Trauma Ultrasound

Wongwaisayawan

Suwannanon

Prachanukool

et al. 2015

Ultrasound in Medicine & Biology

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“…The retroperitoneum is suboptimally visualized in many patients secondary to overlying bowel gas, and in these patients, it is difficult to assess the degree ofretroperitoneal hemorrhage (1,6,11). Four patients in our study group had major renal injuries, three requiring surgery, which were not detected by the FAST technique.…”

Section: Discussionmentioning

confidence: 99%

Visceral injury without hemoperitoneum: A limitation of screening abdominal sonography for trauma

Sherbourne

Shanmuganathan

Chiu

et al. 1997

Emergency Radiology

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“…FAST. (2,3,4,5) was major advantage for unstable patients. In recent years, FAST (Focussed Abdominal Sonography for Trauma) has emerged as a useful diagnostic test.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study on Blunt Injury Abdomen

Vadamalai¹,

Subramani²,

Sankaranarayanan³

2016

jemds

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Blunt injury abdomen is the leading cause of morbidity and mortality in all age groups. Blunt trauma differs from penetrating trauma as different organs are characteristically injured by compression from blunt straining. A total of 53 cases of blunt trauma were studied in this study for the period of 1 year. In this study, commonest cause for blunt abdominal trauma was road traffic accident. The maximum incidence was noted in 20-40 middle age group of which 90% male patients were injured. The outstanding features of injury to solid organs are haemorrhage and shock, which in hollow visceral injury shock follows with the development of peritonitis. The aim of this study is to analyse the pattern of visceral injuries and find out the morbidity and mortality in blunt abdominal trauma. X-ray revealed 100% advantage in hollow viscus perforation in blunt trauma in this study. Common mode of treatment opted was surgery. Wound infection was the common complication after surgery for blunt trauma patients. Septicaemia was the common cause of death in this study. AIM OF THE STUDY To evaluate the age and sex incidence of the involved patient population.  To evaluate the different organ systems involved and various modes of presentations as a primary tool in early diagnosis.  To find a possible treatment protocol cases of blunt trauma to the abdomen following road traffic accident.

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Ultrasonography in the Management of Blunt Abdominal and Thoracic Trauma

Abstract: Ultrasonography saves time and money, can be performed in the emergency department, shows high sensitivity and specificity, and is the method of first choice in the evaluation of blunt trauma.

Cited by 95 publications

References 30 publications

Trauma Ultrasound

Trauma Ultrasound

Visceral injury without hemoperitoneum: A limitation of screening abdominal sonography for trauma

A Retrospective Study on Blunt Injury Abdomen

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