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SonoKids TRAUMA abdomen

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14 papers 0 to 25 followers
Dirk Stengel, Grit Rademacher, Axel Ekkernkamp, Claas Güthoff, Sven Mutze
BACKGROUND: Ultrasonography (performed by means of a four-quadrant, focused assessment of sonography for trauma (FAST)) is regarded as a key instrument for the initial assessment of patients with suspected blunt abdominal and thoraco-abdominal trauma in the emergency department setting. FAST has a high specificity but low sensitivity in detecting and excluding visceral injuries. Proponents of FAST argue that ultrasound-based clinical pathways enhance the speed of primary trauma assessment, reduce the number of unnecessary multi-detector computed tomography (MDCT) scans, and enable quicker triage to surgical and non-surgical care...
September 14, 2015: Cochrane Database of Systematic Reviews
Michael T Paddock, John Bailitz, Russ Horowitz, Basem Khishfe, Karen Cosby, Michelle J Sergel
INTRODUCTION: Pre-hospital focused assessment with sonography in trauma (FAST) has been effectively used to improve patient care in multiple mass casualty events throughout the world. Although requisite FAST knowledge may now be learned remotely by disaster response team members, traditional live instructor and model hands-on FAST skills training remains logistically challenging. The objective of this pilot study was to compare the effectiveness of a novel portable ultrasound (US) simulator with traditional FAST skills training for a deployed mixed provider disaster response team...
March 2015: Western Journal of Emergency Medicine
Alireza Rajabzadeh Kanafi, Masoumeh Giti, Mohammad Hossein Gharavi, Ahmad Alizadeh, Ramin Pourghorban, Babak Shekarchi
BACKGROUND: In stable patients with blunt abdominal trauma, accurate diagnosis of visceral injuries is crucial. OBJECTIVES: To determine whether repeating ultrasound exam will increase the sensitivity of focused abdominal sonography for trauma (FAST) through revealing additional free intraperitoneal fluid in patients with blunt abdominal trauma. PATIENTS AND METHODS: We performed a prospective observational study by performing primary and secondary ultrasound exams in blunt abdominal trauma patients...
August 2014: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
Jeffrey W Carter, Mark H Falco, Michael S Chopko, William J Flynn, Charles E Wiles Iii, Weidun Alan Guo
INTRODUCTION: The Focused Assessment with Sonography in Trauma examination (FAST) is currently taught and recommended in the ATLS(®), often as an addendum to the primary survey for patients with blunt abdominal trauma. Although it is non-invasive and rapidly performed at bedside, the utility of FAST in blunt abdominal trauma has been questioned. We designed this study to examine our hypothesis that FAST is not an efficacious screening tool for identifying intra-abdominal injuries. METHODS: We performed a retrospective chart review of all patients with confirmatory diagnosis of blunt abdominal injuries with CT and/or laparotomy for a period of 1...
May 2015: Injury
Laura Trujillo, Sara Naranjo, Alejandro Cardozo, Bryan Alvarez
BACKGROUND: Abdominal wall hematoma is due to trauma, coagulation disorders or anticoagulation therapy complications. METHODS: In this report we present a case of a 44-year-old female who suffered from blunt abdominal trauma and presented to the emergency department with sharp abdominal pain and ecchymosis. FAST and abdominal computerized tomography (CT) revealed an abdominal wall hematoma. Treatment with an ultrasound-guided percutaneous drainage was performed successfully...
2012: World Journal of Emergency Medicine
Maria Y Kwok, Ken Yen, Shireen Atabaki, Kathleen Adelgais, Madelyn Garcia, Kimberly Quayle, Joshua Kooistra, Bema K Bonsu, Kent Page, Dominic Borgialli, Nathan Kuppermann, James F Holmes
STUDY OBJECTIVE: Plain anteroposterior pelvic radiographs are commonly used to screen children for pelvic fractures or dislocations after blunt torso trauma. The test sensitivity and utility, however, are unclear. We assessed the sensitivity of anteroposterior pelvic radiographs for identifying children with pelvic fractures or dislocations after blunt torso trauma. We hypothesized that anteroposterior pelvic radiographs fail to identify all children with pelvic fractures or dislocations, including patients undergoing operative intervention and those with hypotension...
January 2015: Annals of Emergency Medicine
Ashley E Walther, Timothy A Pritts, Richard A Falcone, Dennis J Hanseman, Bryce R H Robinson
BACKGROUND: The optimal treatment facility for adolescent trauma patients is controversial. We sought to investigate risk-adjusted outcomes of adolescents treated at adult-only trauma centers (ATCs) versus pediatric-only trauma centers (PTCs) in a state system with legislated American College of Surgeons-verified institutions to determine ideal prehospital referral patterns. METHODS: The Ohio Trauma Registry was queried for patients 15 years to 19 years with a length of stay (LOS) greater than 1 day at ATC (Level 1) or PTC (Levels 1 and 2) from 2008 to 2012...
July 2014: Journal of Trauma and Acute Care Surgery
Bo Arys, Simone Mandelstam, Padma Rao, Sara Kernick, Surekha Kumbla
Sonography is a commonly used modality for the investigation of abdominal symptoms in the pediatric population. It is a highly sensitive, readily available imaging modality that does not require ionizing radiation, iodinated contrast material, or anesthesia and can be performed at the bedside if necessary. Abdominal ultrasound is therefore often the first examination performed. This article presents an overview of the ultrasound characteristics of some of the most frequently encountered pathologies as well as some more rarely encountered entities...
June 2014: Ultrasound Quarterly
Ff Coppolino, G Gatta, G Di Grezia, A Reginelli, F Iacobellis, G Vallone, M Giganti, Ea Genovese
Gastrointestinal tract perforations can occur for various causes such as peptic ulcer, inflammatory disease, blunt or penetrating trauma, iatrogenic factors, foreign body or a neoplasm that require an early recognition and, often, a surgical treatment.Ultrasonography could be useful as an initial diagnostic test to determine, in various cases the presence and, sometimes, the cause of the pneumoperitoneum.The main sonographic sign of perforation is free intraperitoneal air, resulting in an increased echogenicity of a peritoneal stripe associated with multiple reflection artifacts and characteristic comet-tail appearance...
July 15, 2013: Critical Ultrasound Journal
George M Testerman
The contents of the thorax, although less frequently injured in children than in adults, remain a source of substantial potential morbidity and mortality in traumatized children. Disparate problems such as rib fractures, lung injury, hemothorax, pneumothorax, mediastinal injuries and others may present in isolation or in combination with one another. Knowledge of the manner in which pediatric anatomy, physiology and injury patterns change with age may expedite evaluating pediatric chest after trauma. We present the case of a 20-month-old toddler with blunt myocardial injury and pericardial tamponade diagnosed with surgeon-performed Focused Abdominal Sonography for Trauma (FAST)...
June 2006: Tennessee Medicine: Journal of the Tennessee Medical Association
S V S Soundappan, A J A Holland, D T Cass, A Lam
AIM: To study the diagnostic accuracy and clinical efficacy of surgeon-performed focused abdominal sonography (FAST) in paediatric blunt abdominal trauma (BAT). MATERIALS AND METHOD: This was a prospective, single blinded study conducted at The Children's Hospital at Westmead Sydney (CHW). All patients with BAT that justified a trauma call activated on presentation to the Emergency Department (ED) had a FAST performed by the Trauma Fellow. The attending surgical team was blinded to the result of the FAST...
August 2005: Injury
Robin Cardamore, Joe Nemeth, Christine Meyers
OBJECTIVES: To quantify the current availability and use of bedside emergency department ultrasonography (EDUS) for blunt trauma at Canadian pediatric centres and to identify any perceived barriers to the use of bedside EDUS in such centres. METHODS: An electronic survey was sent to 162 pediatric emergency physicians and 12 site directors from the 12 pediatric emergency departments across Canada. RESULTS: Ninety-two percent (11 of 12) of centres completed the survey...
January 2012: CJEM
John S Rose
This article reviews current issues regarding the Focused Assessment with Sonography for Trauma (FAST) examination. Technical performance issues, decision-making and practice algorithms, fluid volume and scoring systems, proficiency and training, and the role of the FAST in pediatric trauma are covered. This article examines the FAST examination from a practical, evidenced-based stand-point.
August 2004: Emergency Medicine Clinics of North America
J Pershad, B Gilmore
We present a case of a teenager with isolated left renal laceration with perirenal hematoma. The patient had presented with severe left upper quadrant (LUQ) pain following blunt abdominal trauma (BAT) sustained during a sledding accident. A screening bedside focused abdominal sonogram for trauma (FAST) rapidly excluded free fluid on two serial examinations, 30 minutes apart. It provided the pediatric emergency physician with a measure of diagnostic confidence that the patient could be safely transported to the CT suite for detailed delineation of his injury...
October 2000: Pediatric Emergency Care
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