Predictors of False-Negative Focused Assessment With Sonography for Trauma Examination in Pediatric Blunt Abdominal Trauma

Quan, Grahame; Kendall, John L.; Bogseth, Michael C.; Ruygrok, Michael; Luoma, Kelsey A; Louderback, Reed Z; Pieracci, Fredric M.; Byyny, Richard L.

doi:10.1097/pec.0000000000002094

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…Fluid collected in the anterior pararenal space may cause dissection between the pancreas and the splenic vein. At the same time, trauma can cause pancreatitis in children [20][21][22][23][24][25][26].…”

Section: Pancreasmentioning

confidence: 99%

Pediatric Abdominal Trauma

Özgen¹,

Altun²

2023

Abdominal Trauma - New Solutions to Old Problems

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Pediatric patients are more prone to trauma than adults. Trauma is one of the most common causes of death in children. Their small and fragile bodies, big organs relative to their bodies, are the major causes of injury in children. Their body surface area is relatively larger than adults, which makes them vulnerable to trauma. A higher percentage of the children admitted to emergency departments need the help of anesthesiologists in the management of airway, resuscitation, mechanical ventilation, maintenance of hemodynamic stability, transfusion, management of coagulopathy, hypothermia, pain, and monitorization. Serious abdominal trauma is seen in 5–10% of multiple traumas and 25% of blunt abdominal trauma in children. Despite improvements in emergency diagnostics and evaluation, controversy still exists regarding the optimal assessment and management of pediatric trauma patients with abdominal trauma. It can be difficult to accurately describe the major abdominal traumas and symptoms that occur in children. The most important factor in accurately detecting injuries that may occur due to abdominal trauma in this age group is high suspicion. Creating a targeted treatment strategy by understanding the mechanism of injury with a detailed and careful history and physical examination may be the basic step in saving life in these patients. This chapter is aimed to discuss the management of abdominal trauma in pediatric patients.

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Section: Pancreasmentioning

confidence: 99%

Pediatric Abdominal Trauma

Özgen¹,

Altun²

2023

Abdominal Trauma - New Solutions to Old Problems

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“…Fast is good for the initial assessment of patients who were thought to have organ injuries like minor abdominal or spleen or bladder. Official studies to develop the risk lamination tools could allow radiologists to combine Fast into the pediatric patient population in the possible secure manner 13 .…”

Section: Introductionmentioning

confidence: 99%

Utility of Fast Scan in Blunt Abdominopelvic Trauma Patients in Lahore District

Mobeen,

Arshad,

Maqbool

et al. 2023

PJMHS

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Background: To evaluate the utility of fast scan in blunt abdominopelvic trauma patients in the emergency department of tertiary care hospitals in Lahore district. Focused assessment with sonography for trauma (FAST) has been used as the first assessment in diagnosing patients with trauma in the last decade, and we have heard people questioning its authenticity and reliability, and many other things. Methodology: The study design was cross-sectional .This study was conducted at various tertiary care hospitals of Lahore, in the time duration of 3 months from January 2022 to March 2022. One hundred and six (106) patients with blunt abdominopelvic trauma were assessed by Fast scan using 2-5MHz transducer. Results: Out of 106 patients 59(55.7%) were males and 47(44.3%) were females with ages ranged between 2 to 72 years. Road traffic accidents accounted for 50% cases, 17% were due to fight while 23.6% were due to fall and 9.4% were due to assault. Of the total patients, 69.8% had negative scan while 30.2% had positive scan. Majority (6.6%) of positive scans were of splenic injury. Of all the positive scans 17% of the cases had abdominal pattern of injury while pelvic and abdominopelvic cases were 9.4% and 2.8% respectively. Practical implication: Our aim of doing this research study was to learn the benefits of performing Fast scan in BAT patients. We were able to look through possible aspects of pathology of abdomen and pelvic of traumatic patients arriving.FAST Scan is the single most valuable imaging modality in the early assessment and diagnosis of blunt abdominopelvic traumas with an aspect of safety &cost-effectiveness. Conclusion: Fast scan can be used in the initial assessment of blunt abdominopelvic trauma patients and it is verily preferred in hemodynamically stable patients. Keywords: FAST Scan, Blunt traumatic patients, Emergency department, Hemodynamic stability.

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“…These injuries can be difficult to detect and treat due to a lack of previous data and distracting injuries or altered mental conditions, such as from a head injury or drunkenness. (7)Blunt trauma victims may have extra-abdominal and abdominal injuries at treatment. Blunt abdominal trauma (BAT) is often overlooked because it is not visible until inspected several times.…”

Section: Introductionmentioning

confidence: 99%

Current Practice for the Management of Blunt Abdominal Trauma in a Tertiary Care Hospital: A Prospective Study

Khatti¹,

Latif²,

Bukhari³

et al. 2021

PJMHS

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Aim: To assess the different kinds of management provided to patients with Blunt Abdominal Trauma (BAT) in the surgical department of a tertiary care hospital. Study design: prospective study Place and Duration: This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro from March 2021 to March 2022 Methodology: The present study includes 115 patients who presented with blunt abdomen trauma (BAT). The data was collected with the pre-designed questionnaire. Data were collected prospectively from all patients admitted to the hospital with abdominal trauma. The trauma was treated using ATLS (Advanced Trauma Life Support) techniques. Laboratory and imaging investigations were performed to diagnose and manage the patients. SPSS version 21 was used to analyze the data. Descriptive statistics were presented in mean, SD/median, frequency, and percentage. Results: During the investigation, 115 BAT patients were examined. The average age of the patients was 33.7 ± 7.2 years. Males (n=94, 81.7%) and symptomatic cases (n=108, 94%) made up the majority of the injured patients. More than half of the patients (n=73, 63.5%) had abdominal tenderness when they arrived. The majority of the patients had X-rays (n=87, 75.6%) ultrasound (n=75, 65.2%), lab investigation (n=83, 72.1%) and abdominal CT scan (n=35, 30.4%). Only a few patients died (n=17, 14.8%). Patients were treated conservatively in 83% of cases, while surgical treatments were used in 17% of cases. Conclusion: Non-operative therapy has become the gold standard for critically stable patients with traumatic injuries. Although non-operative management has a higher risk of failure in patients with multiple solid organ injuries, it should still be used with caution in most critically stable persons who do not have peritoneal symptoms. Keywords: Accident, Blunt Abdominal Trauma (BAT), Non-operative management, vitally stable.

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Predictors of False-Negative Focused Assessment With Sonography for Trauma Examination in Pediatric Blunt Abdominal Trauma

Cited by 5 publications

References 28 publications

Pediatric Abdominal Trauma

Pediatric Abdominal Trauma

Utility of Fast Scan in Blunt Abdominopelvic Trauma Patients in Lahore District

Current Practice for the Management of Blunt Abdominal Trauma in a Tertiary Care Hospital: A Prospective Study

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