2019
DOI: 10.1055/a-0924-5455
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New Perspectives for Modern Trauma Management – Lessons Learned from 25 Years FAST and 15 Years E-FAST

Abstract: E-FAST (Extended-Focused Assessment with Sonography for Trauma) is now a widely utilized and internationally recognized standard exam in trauma care. It is highly accepted by emergency physicians and trauma surgeons alike. Thanks to the popularity of PoCUS (point-of-care ultrasound), it has continued to evolve over the last years and can now improve trauma diagnosis at all stages of the primary ABCDE. This review article summarizes key observations made over recent years and also highlights the extension of FA… Show more

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Cited by 19 publications
(12 citation statements)
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“…[ 68 69 70 ] One ultrasound scenario, however, stands out as a generally accepted surgical task in most hospitals around the globe and that is the established use of FAST scanning in the trauma patient algorithm. [ 71 ] Interestingly, this application is also one of very few examples where simulation training with ultrasound has been reported to have a significant and positive impact on general surgery residents’ performance. [ 72 ] General surgery was among the first specialties to embrace simulation in the educational process and today is at the leading edge of this trend with extensive use of laparoscopic and recently robotic surgery simulation with the widespread use of Da Vinci systems worldwide.…”
Section: Ultrasound Simulation In General Surgerymentioning
confidence: 99%
“…[ 68 69 70 ] One ultrasound scenario, however, stands out as a generally accepted surgical task in most hospitals around the globe and that is the established use of FAST scanning in the trauma patient algorithm. [ 71 ] Interestingly, this application is also one of very few examples where simulation training with ultrasound has been reported to have a significant and positive impact on general surgery residents’ performance. [ 72 ] General surgery was among the first specialties to embrace simulation in the educational process and today is at the leading edge of this trend with extensive use of laparoscopic and recently robotic surgery simulation with the widespread use of Da Vinci systems worldwide.…”
Section: Ultrasound Simulation In General Surgerymentioning
confidence: 99%
“…Neben der Etablierung neuer Methoden wie CEUS oder Elastografie werden auch weiterführende Applikationen dieser Techniken trainiert [18]. Die Kursprogramme richten sich jedoch nicht nur an Experten, sondern auch an Berufsanfänger, beispielsweise im Rahmen der Notfallsonografie (Erlernen von FAST und eFAST [19]). In dieses Konzept wurde auch das Training an Simulatoren erfolgreich erprobt, die den Einstieg in das sonografische Befunden erheblich vereinfachen können.…”
Section: Sonografie-geräteunclassified
“…In addition to establishing new methods like CEUS and elastography, training in further applications of these techniques is also provided [18]. Course programs are aimed not only at experts but also at novices, e. g., in emergency ultrasound (learning FAST and eFAST [19]). Training on simulators was also successfully tested as part of this concept and can greatly simplify the introduction to sonographic findings.…”
Section: Training and Specialist Trainingmentioning
confidence: 99%
“…Trotz einer persistierenden Thrombozytopenie < 30 G/l über Wochen sind schwere (lebensbedrohliche) Blutungen selten (1,1-3,6 %) [8][9][10][11]. Falls es zu spontanen intraabdominellen Blutungen kommt, stellt die Sonografie die Methode der Wahl dar zur Detektion von freier abdomineller Flüssigkeit [12][13][14]. Mithilfe der kontrastunterstützten Sonografie (CEUS) kann eine aktive Blutung durch Nachweis extravaskulärer Mikrobläschen im Aszites oder Pleuraerguss diagnostiziert werden (▶ Abb.…”
Section: Thrombozytopenieunclassified