The accuracy of focused assessment with sonography in trauma (FAST) in blunt trauma patients: Experience of an Australian major trauma service

Hsu, Jeremy; Joseph, Anthony; Tarlinton, Lisa J.; Macken, Lewis; Blome, Steven

doi:10.1016/j.injury.2006.03.004

Cited by 50 publications

(38 citation statements)

References 31 publications

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“…Though studies have found FAST to be a fast and reliable bedside tool in diagnosing BAT, a negative FAST without CT can miss intra-abdominal injuries. [7][8][9] Secondary or a repeat detailed ultrasound has been added to FAST in a stable patient to increase the sensitivity of FAST but a review by Stengel et al did not find evidence to support emergency ultrasound based algorithms for diagnosing BAT. 10,11 CT scan is now essential in the evaluation of BAT if the patient condition is stable enough and forms the baseline in NOM.…”

Section: Discussionmentioning

confidence: 99%

Blunt abdominal trauma: a tertiary care experience

Trehan¹,

Kumar²

2018

Int Surg J

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Background: Blunt abdominal trauma (BAT) is one of the common causes of admission in surgical ward in any hospital. It requires high level of suspicion, urgent evaluation and timely management to decrease morbidity and mortality. Aim of present study was to find out demographic details, causes of injury, management options and treatment outcomes of BAT.Methods: Retrospective study of cases of BAT was carried out at a tertiary care hospital of India spanning five years, between June 2012 to June 2017. Authors analyzed the demographic profile of the trauma victims, etiological factors of BAT, the abdominal organs involved, the treatment modalities adopted and the final outcome.Results: There were 231 cases of BAT. Most common age group was 11 to 30 years which accounted for 42.42% of the total. The study had 181 (78.35%) males and 50 (21.64%) females. Road traffic accident was the most common cause of BAT and it accounted for 67.97%. Liver (34.20%) was the most commonly involved organ followed by spleen (22.51%), bowel (15.58%), mesentery (8.23%), kidney (7.36%), pancreaticoduodenal injuries (3.46%) and diaphragm (3.46%). 56.71% underwent non-operative management (NOM), 3.90% underwent angio-embolization and 39.39% eventually required operative treatment. Mortality occurred in 31 patients (13.41%) because of septicemia, renal failure, shock, acute coronary event or respiratory complications.Conclusions: NOM for BAT was found to be successful in haemodynamically stable patient with solid organ injury. Along with sophisticated infrastructure like ultrasound or CT Scan, close supervision with repeated examination by a treating surgeon were the sheet anchors of NOM. Angio-embolization is a feasible modality of treatment in solid organ injury and can avoid surgery in an appropriate patient. Definitive indications for laparotomy were hemodynamic instability and perforation-peritonitis. Initial hemodynamic instability, haemorrhagic shock, and associated injuries influenced morbidity and mortality in BAT.

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Section: Discussionmentioning

confidence: 99%

Blunt abdominal trauma: a tertiary care experience

Trehan¹,

Kumar²

2018

Int Surg J

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“…Sensitivity and specificity for intraperitoneal free fluid are reported to be around 80% and 100%, respectively, according to several large studies. 40,41 It is not sensitive, however, for the detection of solid organ, bowel, or bladder injury. 41 Serial FAST examinations may increase the sensitivity for intraperitoneal free fluid, and may aid in management or transfer decisions in a resource-limited clinic.…”

Section: Abdominal Injuriesmentioning

confidence: 99%

Ultrasound and Ski Resort Clinics: Mapping Out the Potential Benefits

Evans

Harris

2012

Wilderness & Environmental Medicine

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“…Current prospective studies at general trauma centers promote the use of FAST [18,19]. Melniker et al [20 ] determined that FAST significantly decreased time to operative care for adult patients with torso trauma.…”

Section: Role Of Focused Abdominal Sonography For Traumamentioning

confidence: 99%

Emergency department evaluation and management of blunt abdominal trauma in children

Eppich

Zonfrillo

2007

Current Opinion in Pediatrics

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Recent research suggests that physical examination in combination with bedside ultrasonography may identify children at risk for intraabdominal injury. Screening laboratory data appears to be less sensitive to detect these injuries, but is useful in selected patients. Nonoperative management is appropriate in a majority of cases. Further research is needed to determine which low-risk patients with abdominal trauma can be managed with minimal or no exposure to radiation in the computed tomography scanner.

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The accuracy of focused assessment with sonography in trauma (FAST) in blunt trauma patients: Experience of an Australian major trauma service

Cited by 50 publications

References 31 publications

Blunt abdominal trauma: a tertiary care experience

Blunt abdominal trauma: a tertiary care experience

Ultrasound and Ski Resort Clinics: Mapping Out the Potential Benefits

Emergency department evaluation and management of blunt abdominal trauma in children

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