The benefits and clinical application of the digital rectal exam in trauma populations: Towards enhancing patient safety and quality outcomes

Beeton, George; Alter, Noah; Zagales, Ruth; Wajeeh, Hassaan; Elkbuli, Adel

doi:10.1016/j.ajem.2022.11.004

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Algorithm (A) Screening and Clinical Assessment1

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2023

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“…10 A digital rectal exam (DRE) has long been considered a standard portion of the initial assessment of any trauma patient. Although some authors have advocated against its routine performance, citing its low sensitivity 5,11,12 and the infrequency with which it changes intervention, 11,13 it can provide useful information in patients at risk for rectal injury. For example, a DRE that reveals blood and/or a palpable defect has a specificity for rectal injury that approaches 100%.…”

Section: Algorithm (A) Screening and Clinical Assessmentmentioning

confidence: 99%