Utility of point-of-care ultrasound in acute management triage of earthquake injury

Zhang, Shu; Zhu, Da; Wan, Zhi; Cao, Yu

doi:10.1016/j.ajem.2013.10.009

Cited by 17 publications

(12 citation statements)

References 10 publications

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“…Out of the 19 unique studies, 7 were excluded due to being more descriptive or observational studies, which did not yield results that could be compared with a gold standard for statistical analysis. 10,11 Three studies were excluded due to their being based on ultrasounds other than the FAST, including peripheral nerve evaluation 12 and various renal and soft tissue ultrasounds to evaluate patients with rhabdomyolysis and other genitourinary injury in the setting of earthquakes, 13,14 One study was excluded based on having a low sample size (n < 10). 15 One study was excluded due to the study population being performed at a trauma hospital but not during a disaster event/period.…”

Section: Resultsmentioning

confidence: 99%

Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Disaster Settings: A Meta-Analysis and Systematic Review

Lee

Balk

Schafer

et al. 2019

Disaster med. public health prep.

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Focused assessment with sonography for trauma (FAST) has been incorporated into the initial evaluation of trauma for decades. It is an important screening tool in the detection of intra-abdominal fluid. The objective of this study was to perform a systematic review of the use and accuracy of FAST as an imaging tool for blunt abdominal trauma in disaster/mass casualty settings. A systematic review of literature was conducted using key words and search terms. Two independent reviewers screened abstracts to determine inclusion using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS). For studies passing QUADAS, a meta-analysis was performed calculating sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). FAST results were compared with the gold standard, which was a combination of CT scan results, operative findings, and medical records of the clinical course. Initial database screening resulted in 133 articles, of which 21 were selected for QUADAS evaluation. Five studies passed QUADAS and were selected in the final meta-analysis, with a total of 4263 patients. The sensitivity of FAST was 92.1% (87.8–95.6), specificity 98.7% (96.0–99.9), PPV 90.7% (70.0–98.0), and NPV 98.8% (98.1–99.5) for the detection of intra-abdominal injury. In our meta-analysis, FAST was both sensitive and specific in the evaluation of trauma in the disaster setting.

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Section: Resultsmentioning

confidence: 99%

Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Disaster Settings: A Meta-Analysis and Systematic Review

Lee

Balk

Schafer

et al. 2019

Disaster med. public health prep.

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“…A hand‐held ultrasound device was also successfully used to modify an established triage algorithm for rapid assessment with FAST examination after an earthquake in China . Another report from China illustrates the immediate impact of ultrasound‐guided assessment on the initial resuscitation of earthquake victims . Given the degree of traumatic injuries seen after natural disasters, the most common sonographic evaluations performed in these studies aimed at diagnosing intra‐abdominal haemorrhage and pneumothoraces.…”

Section: Resultsmentioning

confidence: 99%

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

Becker

Tafoya

Becker

et al. 2016

Tropical Med Int Health

140

128

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Abstractobjectives To review the scientific literature pertaining to the use of hand-carried and hand-held ultrasound devices in low-and middle-income countries (LMIC), with a focus on clinical applications, geographical areas of use, the impact on patient management and technical features of the devices used.methods The electronic databases PubMed and Google Scholar were searched. No language or date restrictions were applied. Case reports and original research describing the use of hand-carried ultrasound devices in LMIC were included if agreed upon as relevant by two-reviewer consensus based on our predefined research questions.results A total of 644 articles were found and screened, and 36 manuscripts were included for final review. Twenty-seven studies were original research articles, and nine were case reports. Several reports describe the successful diagnosis and management of difficult, often life-threatening conditions, using hand-carried and hand-held ultrasound. These portable ultrasound devices have also been studied for cardiac screening exams, as well as a rapid triage tool in rural areas and after natural disaster. Most applications focus on obstetrical and abdominal complaints. Portable ultrasound may have an impact on clinical management in up to 70% of all cases. However, no randomised controlled trials have evaluated the impact of ultrasound-guided diagnosis and treatment in resource-constrained settings. The exclusion of articles published in journals not listed in the large databases may have biased our results. Our findings are limited by the lack of higher quality evidence (e.g. controlled trials).conclusions Hand-carried and hand-held ultrasound is successfully being used to triage, diagnose and treat patients with a variety of complaints in LMIC. However, the quality of the current evidence is low. There is an urgent need to perform larger clinical trials assessing the impact of hand-carried ultrasound in LMIC.

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“…Clinical impact of handheld ultrasound use in emergency setting has been demonstrated in several studies, as detailed in Table 1. 17,18,[34][35][36][37][38][39][40][41][42][43][44] The potential advantages and disadvantages in the use of handheld ultrasound devices, in patient's managements, are shown in Table 2.…”

Section: Fe a S Ib Ilit Y Of P Oint-of-c Are Ultr A Sound Performedmentioning

confidence: 99%

Point‐of‐care ultrasound with pocket‐size devices in emergency department

2019

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Point‐of‐care ultrasound is a useful tool for clinicians in the management of patients. Particularly in emergency department, the role of point‐of‐care ultrasound is strongly increasing due to the need for a rapid assessment of critically ill patients and to speed up the diagnostic process. Hand‐carried ultrasound devices are particularly useful in emergency setting and allow rapid assessment of patient even in prehospital setting. This article will review the role of point‐of‐care ultrasonography, performed with pocket‐size devices, in the management of patients presenting with acute onset of undifferentiating dyspnea, chest pain, and shock in emergency department.

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Utility of point-of-care ultrasound in acute management triage of earthquake injury

Cited by 17 publications

References 10 publications

Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Disaster Settings: A Meta-Analysis and Systematic Review

Accuracy of Focused Assessment with Sonography for Trauma (FAST) in Disaster Settings: A Meta-Analysis and Systematic Review

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

Point‐of‐care ultrasound with pocket‐size devices in emergency department

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