Abstract:Surgeons and surgical residents at different levels of training can accurately interpret emergency ultrasound examinations for blunt trauma from the real-time images, at a level comparable to attending radiologists.
“…11 The use of ultrasound (US) by clinician sonographers (CSs) has been well documented for various purposes only after brief, focused training periods. [12][13][14][15][16] The feasibility and utility of cardiac US by CS to determine ejection fraction has been demonstrated. [17][18][19][20][21][22][23][24][25] Sonographic measurement of inferior vena cava diameter (IVCD) has primarily been used to estimate volume status in patients undergoing hemodialysis and others.…”
INBU is feasible in the SICU and is equivalent to central venous pressure in assessing volume status. Noninvasive methods to assess volume status may decrease the need for invasive procedures.
“…11 The use of ultrasound (US) by clinician sonographers (CSs) has been well documented for various purposes only after brief, focused training periods. [12][13][14][15][16] The feasibility and utility of cardiac US by CS to determine ejection fraction has been demonstrated. [17][18][19][20][21][22][23][24][25] Sonographic measurement of inferior vena cava diameter (IVCD) has primarily been used to estimate volume status in patients undergoing hemodialysis and others.…”
INBU is feasible in the SICU and is equivalent to central venous pressure in assessing volume status. Noninvasive methods to assess volume status may decrease the need for invasive procedures.
“…The majority of current publications in the literature focus on the training of residents and practicing physicians. [4][5][6][7][8][9][10][11][12][13][14][15][16] The emergency department setting can expose students to a number of applications of focused US examinations and is, therefore, an exceptional educational venue to provide an introductory course for medical students who will be able to apply these skills to a variety of medical specialties.…”
Our introductory US course is effective at significantly improving medical students' interpretation of static US images. The majority of students were able to acquire high quality images in a short period of time after this session.
“…This has become an acceptable practice as the accuracy of surgeon and radiologist performed emergency ultrasonography has been shown to be comparable and high. [14,15] Furthermore, both can perform comparable quality of FAST in comparable time. [16] Our study too confirms that trained surgeons can reliably perform FAST.…”
BACKGROUND: Lately, Focused Assessment with Sonography in Trauma (FAST) is preferred over diagnostic peritoneal lavage (DPL) as adjunct to primary survey. However, this is not evidence-based as there has been no randomized trial.
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