Ultrasound diagnosis of traumatic pneumothorax: evolution from FAST to EFAST

Kameda, Tomohiro; Fujita, Masato; Isaka, Akira; Lu, Zhaoyuan; Ozawa, Masataka

doi:10.3893/jjaam.23.131

Cited by 1 publication

(2 citation statements)

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“…The introduction of Japan Advanced Trauma Evaluation and Care (JATEC) in 2002 has advanced the standardization of initial trauma management in Japan. 253 FAST is integrated as an important component of JATEC to detect pericardial effusion, hemothorax, and intraperitoneal hemorrhage. The utility of ultrasonography in cases of blunt abdominal trauma was initially reported by Kimura et al.…”

Section: Chapter 3: Integrated Applicationsmentioning

confidence: 99%

“… 256 In the 2000s, as the efficacy of the ultrasound diagnosis for traumatic pneumothorax became apparent, EFAST incorporating a pneumothorax assessment was introduced. 253 , 257 EFAST can rapidly assess the presence of pneumothorax in the supine position as part of FAST flow and is effective in detecting clinically significant pneumothorax. Currently, it is recommended that EFAST be performed rapidly during the primary assessment of the JATEC.…”

Section: Chapter 3: Integrated Applicationsmentioning

confidence: 99%

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Guidance for clinical practice using emergency and point‐of‐care ultrasonography

Kameda,

Ishii,

Oya

et al. 2024

Acute Medicine & Surgery

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Owing to the miniaturization of diagnostic ultrasound scanners and their spread of their bedside use, ultrasonography has been actively utilized in emergency situations. Ultrasonography performed by medical personnel with focused approaches at the bedside for clinical decision‐making and improving the quality of invasive procedures is now called point‐of‐care ultrasonography (POCUS). The concept of POCUS has spread worldwide; however, in Japan, formal clinical guidance concerning POCUS is lacking, except for the application of focused assessment with sonography for trauma (FAST) and ultrasound‐guided central venous cannulation. The Committee for the Promotion of POCUS in the Japanese Association for Acute Medicine (JAAM) has often discussed improving the quality of acute care using POCUS, and the “Clinical Guidance for Emergency and Point‐of‐Care Ultrasonography” was finally established with the endorsement of JAAM. The background, targets for acute care physicians, rationale based on published articles, and integrated application were mentioned in this guidance. The core points include the fundamental principles of ultrasound, airway, chest, cardiac, abdominal, and deep venous ultrasound, ultrasound‐guided procedures, and the usage of ultrasound based on symptoms. Additional points, which are currently being considered as potential core points in the future, have also been widely mentioned. This guidance describes the overview and future direction of ultrasonography for acute care physicians and can be utilized for emergency ultrasound education. We hope this guidance will contribute to the effective use of ultrasonography in acute care settings in Japan.

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Section: Chapter 3: Integrated Applicationsmentioning

confidence: 99%

Section: Chapter 3: Integrated Applicationsmentioning

confidence: 99%