Predictive value of focused assessment with sonography for trauma (FAST) for laparotomy in unstable polytrauma Egyptians patients

Elbaih, Adel Hamed; Abu-Elela, Sameh T

doi:10.1016/j.cjtee.2017.09.001

Cited by 13 publications

(8 citation statements)

References 17 publications

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“…The anechoic image in the splenorenal space shows liquid collection in said space, which points towards a hemoperitoneum (Elbaih & Abu-Elela, 2017).…”

Section: • Left Upper Quadrantmentioning

confidence: 98%

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Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

González¹,

Jácome²,

Crespo³

et al. 2023

JHS

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Introduction:The FAST protocol (Focused Assessment with Sonography for trauma), is called a focused assessment protocol with ultrasound for trauma, it is recommended by the international panel of advanced life support for trauma (ATLS) in the resuscitation of patients with open trauma and/or closed chest or abdomen, the patient's stability is not a limitation of said protocol, and it can be applied to both hemodynamically stable and unstable patients, applicable to thoracoabdominal trauma. Goal: to identify the sonographic criteria in the evaluation focused with ultrasound in thoracoabdominal trauma, through the analysis of scientific articles on evidence-based medicine, for timely care in daily medical practice. Methodology: Descriptive study, based on a systematic bibliographic review, the analysis of scientific articles from various evidencebased medicine journals with a high impact on health (Pubmed, Scopus, Cochrane, Springer, etc.) was carried out; of the last 5 years in progress, and literature of surgery and trauma, with the processing of scientific information in Mendeley. Conclusion: Because the effectiveness of the FAST protocol is operator dependent, it is important that all health personnel in the prehospital and hospital settings, directly related to the emergency service, know and adequately identify the sonographic patterns or criteria in the evaluation focused on ultrasound. for thoracoabdominal trauma, in order to obtain better sensitivity and specificity of the radiological study and make appropriate and early decisions to reduce patient morbidity and mortality.

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“…The anechoic image in the splenorenal space shows liquid collection in said space, which points towards a hemoperitoneum (Elbaih & Abu-Elela, 2017).…”

Section: • Left Upper Quadrantmentioning

confidence: 98%

“…Between the 7th and 8th costal arch, at the level of the left posterior axillary line, the transducer must be placed, as this window is the most difficult to visualize (Elbaih & Abu-Elela, 2017).…”

Section: • Left Upper Quadrantmentioning

confidence: 99%

Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

González¹,

Jácome²,

Crespo³

et al. 2023

JHS

View full text Add to dashboard Cite

show abstract

“…line movement on each side are also checked. FAST has even been utilized to grade the amount of intraperitoneal hemorrhage and help decide the need for laparotomy [8,9]. Apt use of FAST has been shown to reduce time to intervention, the need for computed tomography (CT) scans, and reduce hospital stay as well as costs [10][11][12].…”

Section: Focused Assessment With Sonography In Trauma (Fast)mentioning

confidence: 99%

POCUS in Abdominal Trauma: Old Gadget, New Insights

Ramaswami¹,

Sinha²

2023

Abdominal Trauma - New Solutions to Old Problems

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Abdominal trauma is difficult to identify, especially in a patient with multiple injuries. Mechanism of injury can guide us to the likely organs injured, but the extent and location cannot be accurately pinpointed in most cases. Owing to the multitude of structures located in the abdomen, timely identification and appropriate intervention are crucial to ensure the good patient outcomes. Focused assessment with sonography in trauma (FAST) and its extended version (eFAST) has become the standard care as per ATLS guidelines in patient evaluation. The main goal is to identify hemoperitoneum, hemothorax, and/or pneumothorax. However, sonography can be applied to detect varying injuries to abdominal viscera, beyond the elementary eFAST examination. This includes assessment of solid organs, hollow viscus, vascular structures, and even soft tissues. Sonography, when wielded with necessary knowledge and practice, can be an incredible asset at the bedside. This chapter aims to explore these possible applications of point of care ultrasonography (POCUS) in abdominal trauma.

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“…However, there was a 7.4% misdiagnosis (false negative). According to this study, the FAST examination cannot detect solid parenchymal damage, diaphragm injury, and retroperitoneal injuries [ 11 ]. FAST is a valuable means to triage the patients.…”

Section: Reviewmentioning

confidence: 99%

Radiology and A Radiologist: A Keystone in the Turmoil of Trauma Setting

Hussain

Verma

Firoz

et al. 2021

Cureus

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Traumatic injuries are one of the leading causes of morbidity and mortality. Precise diagnosis and management in the golden hour are key to decrease morbidity and mortality. History and physical examination alone are insufficient to avoid misdiagnosis. In this article, we tried to determine the role of a radiologist and an appropriate imaging modality in a trauma setting. We conducted a literature review of published research articles. We used the keywords imaging, trauma, imaging and trauma, and trauma imaging essentials were used on PubMed and Google Scholar. The articles published in the English language from 2015 to 2020 with full free text available were included. Using the medical subject heading (MeSH) strategy, "diagnostic imaging" (Major {Majr}) and "multiple trauma/diagnostic imaging" (Mesh) on PubMed, we identified 34 papers after applying the inclusion and exclusion criteria. Twenty articles were finally selected which included studies from 2015 to 2020 with articles focusing on the adult population and acute cases. A radiologist and imaging modalities are the essential parts of a trauma setting to lower morbidity and mortality. X-rays and Extended Focussed Assessment with Sonography for Trauma (eFAST) are the first-line imaging modality in the acute trauma setting. However, the CT scan is the most sensitive modality that should be done to avoid misdiagnosis depending upon the patient's history and physical examination.

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Predictive value of focused assessment with sonography for trauma (FAST) for laparotomy in unstable polytrauma Egyptians patients

Cited by 13 publications

References 17 publications

Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

Focused Evaluation With Ultrasound in Thoracoabdominal Trauma

POCUS in Abdominal Trauma: Old Gadget, New Insights

Radiology and A Radiologist: A Keystone in the Turmoil of Trauma Setting

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