Focused Abdominal Sonography for Trauma (FAST) in Children with Blunt Abdominal Trauma

Coley, Brian D.; Mutabagani, Khaled; Martin, Lisa; Zumberge, Nicholas; Cooney, Donald R.; Caniano, Donna A.; Besner, Gail E.; Groner, Jonathan I.; Shiels, William E.

doi:10.1097/00005373-200005000-00014

Cited by 139 publications

(61 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Coley and co-workers compared US with CT and determined that the sensitivity and specificity of US relative to CT were 55% and 83% respectively, and they concluded that US was not accurate enough to replace CT in this setting. [21] In our study sensitivity of sonography is 90.9% and specificity is 94%. This is comparable with the study of several previous authors.…”

Section: Discussionsupporting

confidence: 50%

Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography

Qamari¹,

Sayani²,

Ali³

et al. 2013

IJMI

View full text Add to dashboard Cite

Abstract:To determine the accuracy of focused assessment with sonography for trauma in detecting the hemoperitoneum in blunt abdominal trauma patients and comparing it with Computed Tomographic findings. The study was conducted at Radiology department of Dr. Ziauddin University Hospital from March 2010 to September 2010. 140 patients presented with complaints of acute blunt abdominal trauma. Focused assessment with sonography for trauma was performed. Presence of intra-abdominal fluid was taken as positive finding for hemoperitoneum. Then all the patients underwent computed tomography of abdomino-pelvic region. Focused assessment with sonography for trauma findings were compared with computed tomography results. In 83 patients, the FAST showed free intra abdominal fluid and was taken as 'positive'. Out of these 83 cases80 (96%) were 'true positive' while the remaining 3(4%) were 'false positive' when compared with results of CT scan.Similarly, in 57 patients, no free intra abdominal fluid was detected on FAST and they were considered 'negative'. From these 57 patients, 50 (88%) patients were 'true negative' and 7 (12%) were 'false negative' because intra abdominal free fluid was seen in them on subsequent CT scan. Thus the sensitivity and specificity of FAST in detecting intra abdominal free fluid was calculated to be 91.9 % and 94.34 % respectively. FAST scan is moderately sensitive in detecting intra abdominal free fluid when compared with the results of CT scan.

show abstract

Section: Discussionsupporting

confidence: 50%

Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography

Qamari¹,

Sayani²,

Ali³

et al. 2013

IJMI

View full text Add to dashboard Cite

show abstract

“…It has been shown that a renal injury detected by ultrasound is more likely to be of a higher grade (grade II or greater). [23,24] The use of focused abdominal sonogram for trauma (FAST) evaluation of children with blunt abdominal trauma has been demonstrated to have a relatively high specificity of 95% but with low and varied sensitivity (33-89%) as well as a low negative predictive value (50%) [25][26][27][28]. Therefore, abdominal ultrasound and/or FAST should probably not be used as the sole method of screening hemodynamically stable pediatric patients with blunt abdominal trauma.…”

Section: Imagingmentioning

confidence: 99%

Review of the evidence on the management of blunt renal trauma in pediatric patients

et al. 2009

View full text Add to dashboard Cite

Due to the size and location within the pediatric patient, the kidneys are susceptible to injury from blunt trauma. While it is clear that the goal of management of blunt renal trauma in children is renal preservation, the methods of achieving this goal have not been well established in the current literature. Therefore, we have set out to summarize and clarify the current published information on the management strategies for blunt renal trauma in children. While there is extensive literature available, it consists mostly of retrospective series documenting widely varied management styles. The purpose of this review is to display the current information available and delineate the role for future studies that may allow us to develop consistent management strategies of pediatric patients, who have sustained blunt renal trauma, in a safe and cost-effective manner.

show abstract

“…27 More recent studies with newer generation ultrasound machines have found an 8 to 10% false negative rate; however, all of these cases were managed nonoperatively with observation. 28,29 Although abdominal CT scans and serial physical examinations with an observation period have become the standard of care at most pediatric trauma centres, 30 a study in 2004 found that only 5% of positive CT scans required surgical intervention. 2 With this low intervention rate and the increased lifetime risk of fatal cancers associated with radiation from CT scans in childhood, 4-7 the combination of serial EDUS and physical examinations may be both a safer and a more effective modality.…”

Section: Discussionmentioning

confidence: 99%

Bedside emergency department ultrasonography availability and use for blunt abdominal trauma in Canadian pediatric centres

Cardamore

Nemeth

Meyers

2012

CJEM

View full text Add to dashboard Cite

Objectives: To quantify the current availability and use of bedside emergency department ultrasonography (EDUS) for blunt trauma at Canadian pediatric centres and to identify any perceived barriers to the use of bedside EDUS in such centres. Methods: An electronic survey was sent to 162 pediatric emergency physicians and 12 site directors from the 12 pediatric emergency departments across Canada. Results: Ninety-two percent (11 of 12) of centres completed the survey. The individual physician response rate was 65% (106 of 162), with 100% of site directors responding. Ultrasound machines were available in 45% (5 of 11) of centres. Forty-two percent (32 of 77) of emergency physicians working in equipped pediatric centres used bedside EDUS to evaluate blunt abdominal trauma (BAT). In the subgroup of staff who also worked at adults sites, the frequency of ultrasonography use for the evaluation of pediatric BAT was 75%. In the 55% (6 of 11) of centres without ultrasonography, 88% of staff intend to incorporate its use in the future and 81% indicated that they believed the incorporation of ultrasonography would have a positive impact on patient care. The main perceived barriers to the use of ultrasonography in the evaluation of BAT were a lack of training (41%) and a lack of equipment (26%). Conclusion: Bedside EDUS is currently used in almost half of pediatric trauma centres, a frequency that is significantly lower than adult centres. Physicians in pediatric centres who use ultrasonography report that it has a high utility, and a great majority of physicians at pediatric centres without EDUS plan to incorporate it in the future. The main reported barriers to its use are a lack of training and a lack of equipment availability.

show abstract

Focused Abdominal Sonography for Trauma (FAST) in Children with Blunt Abdominal Trauma

Abstract: FAST has insufficient sensitivity and negative predictive value to be used as a screening imaging test in hemodynamically stable children with blunt abdominal trauma.

Cited by 139 publications

References 16 publications

Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography

Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography

Review of the evidence on the management of blunt renal trauma in pediatric patients

Bedside emergency department ultrasonography availability and use for blunt abdominal trauma in Canadian pediatric centres

Contact Info

Product

Resources

About