Risk Management in Emergency Medicine

Dunn, John

doi:10.1016/s0733-8627(20)31072-5

Cited by 24 publications

(7 citation statements)

References 9 publications

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“…Foreign bodies may be retained in the body through many mechanisms, including ingestion, penetrating trauma, and surgical errors [2]. Missing the foreign bodies is not uncommon [3,4] and this entity is deemed as one of the major causes of medical litigations [5][6][7]. In the case of a retained foreign body, impairment of wound healing and chronic pain are the major presenting features [1].…”

Section: Discussionmentioning

confidence: 99%

Embedded tooth fragment masquerading as keloid for 11 months

Radhakrishnan

Chopra²,

Waraich³

et al. 2015

Dermatology Online Journal

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Section: Discussionmentioning

confidence: 99%

Embedded tooth fragment masquerading as keloid for 11 months

Radhakrishnan

Chopra²,

Waraich³

et al. 2015

Dermatology Online Journal

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“…Missed FB have been reported to be the second leading cause of litigation against doctors practicing emergency medicine. 1,7 Anderson et al 8 also reported that 38% of retained FB were overlooked on the initial examination, with less than 15% of wooden FB detectable with radiographs. Left untreated, these foreign bodies can result in infection, inflammation, tendon or nerve injury, and allergic reaction.…”

Section: Discussionmentioning

confidence: 99%

“…2,5,6 Infection is the most common complication, with nerve injury a distant second. 1 The use of sonography to detect FB was first described in 1978. 9 Since that time, few sonographers have developed the experience necessary to image 16 these FB.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, patients with foreign bodies (FB) go undiagnosed, resulting in the second leading cause of malpractice lawsuits against emergency medicine physicians. 1 This article attempts to determine if a physician using sonography with or without routine radiographs would discharge fewer patients with retained FB. Types of FB, which can be seen and accurately imaged with sonography, will also be discussed.…”

mentioning

confidence: 99%

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The Use of Sonography in the Identification, Localization, and Removal of Soft Tissue Foreign Bodies

Gibbs

2006

Journal of Diagnostic Medical Sonography

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A retrospective review was conducted to determine the effect sonography has in localizing these foreign bodies. Patients selected for this study included all cases in which sonography was performed and demonstrated the presence or assisted in the removal of FB. After review of the records, 20 patients fit this selection criterion. Seventeen of the 20 patients had radiographs performed, in which only 8 of the 17 were positive for FB. Sonography demonstrated all FB in 19 of 20. In 11 of 20 patients, sonographic imaging directly guided their removal. Sonography can be an invaluable tool in finding and localizing for removal soft tissue foreign bodies.

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“…[14] A missed foreign body is found to be the second leading cause of lawsuits against emergency doctors. [15] Such foreign bodies may remain undetected even after exploration. [16][17][18][19] In the literature, depending upon the nature of the foreign body and the available facilities, various modalities of imaging are recommended for diagnosis and localization.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of ultrasonography in detecting radiolucent soft-tissue foreign bodies

Tahmasebi

Zareizadeh

Motamedfar

2014

Indian Journal of Radiology and Imaging

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Background and Objective: Detection of radiolucent soft-tissue foreign bodies is a challenging problem, which is especially further complicated when retained foreign body is highly suggested by clinicians but radiography is negative. So, blind exploration is sometimes hazardous for patients. The purpose of this study was to determine the accuracy of ultrasonography (USG) in detecting radiolucent soft-tissue foreign bodies in the extremities. Materials and Methods: From November 2011 to January 2012, patients with clinically suspected radiolucent soft-tissue foreign body and negative radiography were evaluated by USG with a 12-MHz linear array transducer. The patients with positive clinical and USG examination were included in our study and underwent exploration or USG removal. Results: Fifty-one patients underwent foreign body removal under ultrasonography-guided or surgical exploration and 47 patients had foreign body (31, 12, 3, and 1 case had thorn, wood, glass, and plastic, respectively). Ultrasound was positive in 50 patients. USG falsely predicted the presence of foreign body in four cases and was falsely negative in one of the cases. Accuracy, sensitivity, and positive predictive value were determined as 90.2%, 97.9%, and 92%, respectively. Conclusions: The real-time high-frequency USG is a highly sensitive and accurate tool for detecting and removing radiolucent foreign bodies which are difficult to be visualized by routine radiography.

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Risk Management in Emergency Medicine

Cited by 24 publications

References 9 publications

Embedded tooth fragment masquerading as keloid for 11 months

Embedded tooth fragment masquerading as keloid for 11 months

The Use of Sonography in the Identification, Localization, and Removal of Soft Tissue Foreign Bodies

Accuracy of ultrasonography in detecting radiolucent soft-tissue foreign bodies

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