Sonography in Blunt Abdominal Trauma

Tso, Paul L.; Rodríguez, Aurelio; Cooper, Carnell; Militello, Philip R.; Mirvis, Stuart E.; Badellino, Michael M.; Boulanger, Bernard R.; Foss, Frederick A.; Hinson, Douglas; Mighty, Hugh; Nasrallah, D. V.; Raimonde, A. Jay; Yates, William D.; Yuschak, James V.

doi:10.1097/00005373-199207000-00009

Cited by 234 publications

(9 citation statements)

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“…[10][11][12][13] Included among these early studies conducted by surgeons was Paul Tso's preliminary progress report from the University of Maryland's Shock Trauma Center. 14 Although these studies stimulated further interest in the use of ultrasound as an alternative to the invasive diagnostic peritoneal lavage, they also raised important questions. For example, ultrasound was operator dependent, so how was a surgeon to learn the skill and ensure the accuracy of the examination?…”

Section: Surgeon-performed Ultrasound: the Early Studiesmentioning

confidence: 99%

“…A significant change occurred when surgeons in Germany and Asia published their findings on the use of ultrasound for the evaluation of trauma patients 10–13 . Included among these early studies conducted by surgeons was Paul Tso’s preliminary progress report from the University of Maryland’s Shock Trauma Center 14 . Although these studies stimulated further interest in the use of ultrasound as an alternative to the invasive diagnostic peritoneal lavage, they also raised important questions.…”

Section: Surgeon-performed Ultrasound: the Early Studiesmentioning

confidence: 99%

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The use of ultrasound in the acute setting: Lessons learned after 30 years

Rozycki¹

2021

J Trauma Acute Care Surg

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Section: Surgeon-performed Ultrasound: the Early Studiesmentioning

confidence: 99%

Section: Surgeon-performed Ultrasound: the Early Studiesmentioning

confidence: 99%

The use of ultrasound in the acute setting: Lessons learned after 30 years

Rozycki¹

2021

J Trauma Acute Care Surg

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“…This technique is called focused assessment with sonography for trauma (FAST) examination. 1,2 The FAST examination has completely replaced the diagnostic peritoneal lavage as the preferred method for the initial evaluation of trauma patients. In addition, it has been fully integrated into the Advanced Trauma Life Support.…”

Section: Traumamentioning

confidence: 99%

Ultrasound: the triage tool in the emergency department: using ultrasound first

Nicola

Dogra

2016

BJR

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Ultrasound in the emergency department has long been recognized as a powerful screening and diagnostic tool for both physicians and radiologists. In the emergency department, since time is of the essence, it becomes a critical tool in triaging patients. Over the years, ultrasound has gained several advantages over other modalities because of its nonionizing radiation, portability, accessibility, non-invasive method and simpler learning curve. As a result, ultrasound has become one of the most frequently used diagnostic tools in the emergency department by non-radiologists. The value of ultrasound is implemented in every acute ailment in the emergency department such as trauma, acute abdomen, acute pelvic pain, acute scrotal pain, appendicitis in children and acute deep venous thrombosis. Our objective is to discuss the benefit of using ultrasound as the primary modality for each of these diseases. INTRODUCTIONSince the inception of portable ultrasound machine, physicians have attempted to integrate the use of ultrasound with the physical examination. Furthermore, the technological development of various probes and transducers has paved the way for a more accurate and specific physical examination. As a result, the use of ultrasound has been integrated into the education and training of multiple specialities, such as emergency medicine, obstetrics/ gynaecology and cardiology.

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“…Jehle et al showed that even minimal training in ultrasound (a two hour lecture followed by sonographic studies for two weeks) resulted in a sensitivity of detection of haemoperitoneum of 82% 31 . Similarly Tso et al found that after only one hour each of theoretical and practical training, trauma fellows detected haemoperitoneum with a sensitivity of 91% and a specificity of 99% 33 . Haemoperitoneum is first and most easily detected as an anechoic (dark) region representing fluid collections between the liver and right kidney (Morrison's or hepatorenal pouch).…”

Section: Indications For Emergency Abdominal Ultrasoundmentioning

confidence: 99%

Ultrasound in emergency medicine

Kruk

1994

Emergency Medicine

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Ultrasound is a safe, non‐invasive portable imaging modality, applicable to many areas of emergency medicine. Its use in emergencies such as suspected ruptured abdominal aortic aneurysm, ruptured ectopic pregnancy, haemoperitoneum secondary to blunt abdominal trauma and cardiac tamponade is well established. Its efficacy in such diverse conditions as acute appendicitis, gallstones, renal stones and urinary obstruction, obstetric and gynaecological conditions, deep venous thrombosis, scrotal pain and soft tissue foreign body localisation has also been demonstrated. Echocardiography is particularly useful in the investigation of aortic dissection, ischaemic heart disease, suspected pericardial effusion and cardiothoracic trauma. Emergency physicians have been successfully trained in the technique in other countries. The time is right for Australasian emergency physicians to become trained in ultrasonography, use the technique in daily practice and share this knowledge with other emergency physicians and trainees.

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Sonography in Blunt Abdominal Trauma

Cited by 234 publications

References 0 publications

The use of ultrasound in the acute setting: Lessons learned after 30 years

The use of ultrasound in the acute setting: Lessons learned after 30 years

Ultrasound: the triage tool in the emergency department: using ultrasound first

Ultrasound in emergency medicine

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