Our new stethoscope in the Emergency Department: Handheld ultrasound

Çoşkun, Figen; Akıncı, Emine; Ceyhan, Mehmet Ali; Kavakli, Havva Sahin

doi:10.5505/tjtes.2011.89914

Cited by 42 publications

(43 citation statements)

References 10 publications

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“…[11] In different studies, sensitivity of FAST ranges between 80% and 100%. [9,11,12] In our study, all of the hemodynamically unstable and FAST (+) twenty-five patients had several injuries in laparotomy; twenty-three (92%) had intraabdominal organ injuries and two (8%) had retroperitoneal and pelvic hematoma.…”

Section: Discussionmentioning

confidence: 99%

“…[3,6,7] FAST was first described by Rozycki and friends in 1996 and has an important role in the diagnoses of trauma patients in the ER. [9,10] FAST, which is rapid, easy to perform, cheap, and repeatable, can be performed in hemodynamically stable and unstable patients. [10] However, CT is recommended only for hemodynamically stable patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Multivariate analysis of patients with blunt trauma and possible factors affecting mortality

Özpek

Yücel

Atak

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multivariate analysis of patients with blunt trauma and possible factors affecting mortality

Özpek

Yücel

Atak

et al. 2015

Ulus Travma Acil Cerrahi Derg

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show abstract

“…[3,4] Ülkemizde travmalı hastada, acil hekimlerince yapılan GATUS ile karıniçi sıvının tanınmasına ilişkin kısıtlı sayıda çalışma mevcuttur. [5,6] Çoklu travmalı hasta grubunda sıklıkla karşılaşı-labilen bir diğer patoloji olan pnömotoraks, tanı ve tedavinin gecikmesi halinde, hayati tehlike yaratabilecek bir durumdur. Başlangıçta, olası spinal yaralanma şüphesi ve immobilizasyon gereksinimi nedeni ile bu grup hastalarda, akciğer değerlendirmesi için önce-likli olarak, sırtüstü pozisyonda anteroposterior (AP) akciğer grafisi çekilmektedir.…”

Section: Sonuçunclassified

Impact of the practice of "Extended Focused Assessment with Sonography for Trauma" (e-FAST) on clinical decision in the emergency department

Uz¹,

Yürüktümen²,

Boydak³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…Others and we have performed studies to validate that the image quality of PME is comparable to TTE. 3456789 …”

Section: Introductionmentioning

confidence: 99%

Can Hospital Rounds With Pocket Ultrasound By Cardiologists Reduce Standard Echocardiography?

Khan

Wineinger

Uddin

et al. 2014

The American Journal of Medicine

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Background Hospitalized patients are frequently referred for transthoracic echocardiograms (TTE). The availability of a pocket, mobile echocardiography (PME) device that can be incorporated on bedside rounds by cardiologists may be a useful and frugal alternative. Methods This was a cross-sectional study designed to compare the accuracy of PME images with those acquired by TTE in a sample of hospitalized patients. Each patient referred for echocardiography underwent PME acquisition and interpretation by a senior cardiology fellow with level II training in echocardiography. Subsequently, a TTE was performed by skilled ultrasonographers and interpreted by experienced echocardiographers. Both groups were blinded to the results of the alternative imaging modality. Visualizability and accuracy for all key echocardiographic parameters (ejection fraction, wall motion abnormalities, left ventricular end diastolic dimension, inferior vena cava size, aortic and mitral valve pathology, and pericardial effusion) were determined and compared between imaging modalities. Results 240 hospitalized patients underwent echocardiography with PME and TTE. The mean age was 71 ± 17 years. PME imaging time was 6.3 ± 1.5 min. Sensitivity of PME varied by parameter; was highest for aortic stenosis (97%) and lowest for aortic insufficiency (76%). Specificity also varied by parameter; was highest for mitral regurgitation (100%) and lowest for left ventricular ejection fraction (92%). Equivalence testing revealed the PME outcomes to be significantly equivalent to the TTE outcomes with no discernible differences in image quality between the PME and TTE (p=7.22×10-7). All outcomes remain significant after correcting for multiple testing using the false discovery rate (FDR). Conclusion The results from rapid bedside PME examinations performed by experienced cardiology fellows compared favorably with those from formal TTE studies. For hospitalized patients, this finding could shift the burden of performing and interpreting the echocardiogram to the examining physician and reduce the number and cost associated with formal echocardiography studies.

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Our new stethoscope in the Emergency Department: Handheld ultrasound

Cited by 42 publications

References 10 publications

Multivariate analysis of patients with blunt trauma and possible factors affecting mortality

Multivariate analysis of patients with blunt trauma and possible factors affecting mortality

Impact of the practice of "Extended Focused Assessment with Sonography for Trauma" (e-FAST) on clinical decision in the emergency department

Can Hospital Rounds With Pocket Ultrasound By Cardiologists Reduce Standard Echocardiography?

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