Combination of Focused Assessment With Sonography for Trauma (FAST) Scan and Detection of Hematuria to Exclude Intra-abdominal Injuries Following Blunt Abdominal Trauma

Abstract

BackgroundBlunt abdominal trauma (BAT) is the most common pattern of abdominal traumas. It may be associated with intra-abdominal injuries (IAIs). Exploratory laparotomies are only needed in a minority of patients after BAT.

Computed tomography benefits and cost in hemodynamically stable patients with blunt abdominal trauma at an Egyptian University Hospital

“…Moreover, 64.2 % of the patients were males, a reflection of the documented vulnerability of physically active males to trauma in LMIC [ 6 , 13 ]. Road traffic crashes (RTC) constituted the leading cause of trauma in our study, accounting for 57.5 % of cases, in line with research from other LMICs, where RTCs are a significant contributor to trauma incidents, followed by falls at 30.2 %, assaults at 5.7 %, and other causes at 6.6 % [14] .…”

Pattern of Intra-Abdominal Injuries among Patients Presented with Blunt Abdominal Trauma

“…The study underscores liver and spleen injuries as the most frequent in BAT patients, with RTAs identified as the leading cause. This conclusion not only aligns with the wider literature on trauma and BAT but also emphasizes the critical need for focused interventions to mitigate the impact of RTAs and improve trauma care, particularly in high-risk populations and regions (18)(19)(20).…”

Uso da avaliação focada com sonografia para trauma abdominal fechado

“…O trauma abdominal fechado é a variação mais comum do trauma abdominal, possuindo altos índices de morbimortalidade, e podem causar lesões do tipo intra-abdominal, retroperitoneal e intraperitoneal, sendo a ocorrência em órgãos ocos ou sólidos um dos fatores Brazilian Journal of Health Review, Curitiba, v. 6, n. 6, p. 29920-29926, nov./dec., 2023 de diferenciação (KUMAR et al, 2013;BEHBOODI et al, 2016;STENGEL et al, 2018;WAHYUNINGTIAS et al, 2022;ABD-ERRAZIK et al, 2023).…”

“…As lesões abdominais figuram entre 15% a 20% no cenário traumático e dentre as principais causas de mortes evitáveis. Assim, o rápido diagnóstico e encaminhamento para tratamento definitivo de uma hemorragia abdominal é uma questão de saúde pública, podendo a mortalidade aumentar em até 1% para cada 3 minutos de atraso em Brazilian Journal of Health Review, Curitiba, v. 6, n. 6, p. 29920-29926, nov./dec., 2023 um paciente que precise de uma laparotomia (KUMAR et al, 2013;GHAFOURI et al, 2016;DESAI;HARRIS, 2018;ENGLES;SAINI;RATHORE, 2019;ABD-ERRAZIK et al, 2023;BLOOM;GIBBONS, 2023).…”