A New Tool in the Examination of Lungs in the Emergency Department: Lung Ultrasound

Evrın, Togay; Katipoğlu, Burak; Szarpak, Łukasz; Yilmaz, Abdurrahman; Ünlüer, Erden Erol

doi:10.5152/eajem.2017.95967

Cited by 1 publication

(3 citation statements)

References 11 publications

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“…Nowadays, musculoskeletal US has increasingly become the method of choice for diagnosis in many medical specialties such as sport medicine, rheumatology, anesthesia, and pain medicine. US is used for the examination of abdomen, thorax, heart, and eye (10,(12)(13)(14). It is now well established that musculoskeletal US exam with an acceptable efficacy can be used for the diagnosis of bone fractures and as a before-after imaging for reduction in the ED (8)(9)(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

“…US is used for the examination of abdomen, thorax, heart, and eye (10,(12)(13)(14). It is now well established that musculoskeletal US exam with an acceptable efficacy can be used for the diagnosis of bone fractures and as a before-after imaging for reduction in the ED (8)(9)(10)(11)(12). To the best of our knowledge, this is the first study to compare US and radiography with respect to efficacy of diagnosis of calcaneal fracture.…”

Section: Discussionmentioning

confidence: 99%

“…The structures of the ankle and foot are superficial and can be easily evaluated by US (7,8). In this regard, accumulating lines of evidence have recently demonstrated the diagnostic efficacy of bedside US, which could be considered the choice of treatment, and also decreasing the fractures in the emergency department (ED) (8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of diagnostic accuracy of bedside ultrasonography and radiography for calcaneal fractures in the emergency department

Zamani

Mazaheri

Heydari

et al. 2020

J Emerg Pract Trauma

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Objective: Ultrasonography (US) is not the method of choice for the diagnosis of calcaneal fractures. The aim of this study was to compare the diagnostic accuracy of US with plain radiography in the diagnosis of calcaneus fractures following blunt ankle and foot trauma. Methods: In this cross-sectional study, 214 patients (over 18 years) presenting to the emergency department (ED) with suspicion of traumatic calcaneus fracture following acute blunt trauma, were enrolled. Bedside ultrasonography was performed and interpreted by emergency physicians. After that, plain radiography was performed. Furthermore, all the patients were assessed by computed tomography (CT) scan as the gold standard. Results: Finally, 193 patients were enrolled with a mean age of 29.4 ± 15.7 years (85.5% male). Fractures in the calcaneus were detected in 49 patients. The sensitivity and specificity of ultrasonography in the detection of calcaneal fractures were 83.6%, (confidence interval (CI), 69.7-92.2) and 100% (95% CI, 96.7-100), while the sensitivity and specificity of X-ray were 87.7% (95% CI, 74.5-94.9) and 100% (95% CI, 96.7-100). There was no false positive result for X-ray and US. Conclusion: Our findings suggest that bedside US with an acceptable sensitivity and specificity can be used as a promising alternative for the diagnosis of calcaneal fracture in ED.

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