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Focused Ultrasonography Trauma

Ahmed Radwan, Matthew Wyland, Lee Applequist, Erin Bolowsky, Heather Klingensmith, Isaac Virag
BACKGROUND: Plantar fasciitis (PF) is the most common cause of heel pain that affects 10% of the general population, whether living an athletic or sedentary lifestyle. The most frequent mechanism of injury is an inflammatory response that is caused by repetitive micro trauma. Many techniques are available to diagnose PF, including the use of ultrasonography (US). PURPOSE: The purpose of this study is to systematically review and appraise previously published articles published between the years 2000 and 2015 that evaluated the effectiveness of using US in the process of diagnosing PF, as compared to alternative diagnostic methods...
October 2016: International Journal of Sports Physical Therapy
Stephen C Haskins, Natasha A Desai, Kara G Fields, Jemiel A Nejim, Stephanie Cheng, Struan H Coleman, Danyal H Nawabi, Bryan T Kelly
BACKGROUND: Intraabdominal fluid extravasation (IAFE) after hip arthroscopy has historically been diagnosed in catastrophic circumstances with abdominal compartment syndrome requiring diuresis or surgical decompression. A previous retrospective study found the prevalence of symptomatic IAFE requiring diuresis or decompression to be 0.16%, with risk factors including surgical procedure and high pump pressures. IAFE can be diagnosed rapidly by using point-of-care ultrasound (POCUS) via the Focused Assessment With Sonography for Trauma (FAST) examination, which is a well-established means to detect free fluid with high specificity and sensitivity...
August 22, 2016: Anesthesia and Analgesia
Eric J Morley, Scott Johnson, Evan Leibner, Jawad Shahid
The majority of blunt chest injuries are minor contusions or abrasions; however, life-threatening injuries, including tension pneumothorax, hemothorax, and aortic rupture can occur and must be recognized early. This review focuses on the diagnosis, management, and disposition of patients with blunt injuries to the ribs and lung. Utilization of decision rules for chest x-ray and computed tomography are discussed, along with the emerging role of bedside lung ultrasonography. Management controversies presented include the limitations of needle thoracostomy us¬ing standard needle, chest tube placement, and chest tube size...
June 2016: Emergency Medicine Practice
Başak Bayram, Önder Limon, Gülsüm Limon, Volkan Hancı
STUDY OBJECTIVE: We identify and characterize the most highly cited articles related to ultrasonographic evaluations occurring in the emergency department. METHOD: We retrieved the top 100 articles in terms of citations pertaining to ultrasonographic evaluations in the emergency department from the Scopus database. We determined the number of citations of each article, the number of citations per year, the number of Google Scholar citations, the ultrasonographical study fields, the number of patients evaluated in each study, and the specialties of the researchers conducting the studies and ultrasonographies...
July 2016: American Journal of Emergency Medicine
Sirote Wongwaisayawan, Ruedeekorn Suwannanon, Sorravit Sawatmongkorngul, Rathachai Kaewlai
Acute thoracic symptoms are common among adults visiting emergency departments in the United States. Adults with these symptoms constitute a large burden on the overall resources used in the emergency department. The wide range of possible causes can make a definitive diagnosis challenging, even after clinical evaluation and initial laboratory testing. In addition to radiography and computed tomography, thoracic ultrasonography (US) is an alternative imaging modality that can be readily performed in real time at the patient's bedside to help diagnose many thoracic diseases manifesting acutely and in the trauma setting...
May 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
S Tajoddini, S Shams Vahdati
OBJECTIVE: Blunt abdominal trauma is a diagnostic challenge for emergency physicians and ultrasonography is one of the diagnostic tools used in this type of injuries. The aim of this study was to evaluate the diagnostic value of ultrasonographies performed by emergency physicians and radiologists. METHODS: This prospective diagnostic study was performed in the emergency departments of two trauma centers in Iran during a period of 12 months. The subjects were all patients with blunt abdominal trauma that were candidated for abdominopelvic computed tomography (CT) scanning in our emergency departments...
February 2013: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
M Zanobetti, A Coppa, P Nazerian, S Grifoni, M Scorpiniti, F Innocenti, A Conti, S Bigiarini, S Gualtieri, C Casula, P F Ticali, R Pini
PURPOSE: To evaluate the feasibility of a new protocol, Chest Abdominal-Focused Assessment Sonography for Trauma (CA-FAST), during the primary survey and to estimate its diagnostic accuracy when compared with thoracoabdominal computed tomography (CT) scan. METHODS: A prospective accuracy study was performed from November 2012 to November 2013 at the Emergency Department. Only adult trauma patients who underwent a CA-FAST examination prior to a thoracoabdominal CT scan were enrolled...
December 18, 2015: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Johanna Mejia-Fava, Jörg Mayer, Stephen J Divers, Eli B Cohen, Chad Schmiedt, Shannon P Holmes
A 10-yr-old female spayed bobcat (Felis rufus) presented with a 3-day history of lethargy, anorexia, and two episodes of vomiting. An emergency field visit was scheduled to perform abdominal radiography and ultrasonography. The bobcat was assessed to be approximately 5-10% dehydrated, on the basis of decreased skin turgor and tacky mucous membranes. Free peritoneal gas, reduced abdominal serosal detail, and an abnormal-appearing right-sided intestinal segment were identified in the abdominal radiographs. However, the emergency field clinicians were not knowledgeable of these abnormalities, because the radiographs could not be processed in the field...
December 2015: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
Markus T Ziesmann, Jason Park, Bertram Unger, Andrew W Kirkpatrick, Ashley Vergis, Chau Pham, David Kirschner, Sarvesh Logestty, Lawrence M Gillman
BACKGROUND: Point-of-care ultrasonography is a standard part of trauma assessments, but there are no objective tools to assess proficiency and ensure high-quality examinations. Hand motion analysis (HMA) has been validated as a measure of surgical skill but has not previously been applied to ultrasonography. HMA was assessed for construct validity in Focused Assessment with Sonography for Trauma (FAST) performance. METHODS: Two cohorts of 12 expert and 12 novice ultrasonographers performed a FAST examination on a healthy volunteer...
October 2015: Journal of Trauma and Acute Care Surgery
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...
2015: Cochrane Database of Systematic Reviews
Venu Jain, Radha Chari, Sharon Maslovitz, Dan Farine, Emmanuel Bujold, Robert Gagnon, Melanie Basso, Hayley Bos, Richard Brown, Stephanie Cooper, Katy Gouin, N Lynne McLeod, Savas Menticoglou, William Mundle, Christy Pylypjuk, Anne Roggensack, Frank Sanderson
OBJECTIVE: Physical trauma affects 1 in 12 pregnant women and has a major impact on maternal mortality and morbidity and on pregnancy outcome. A multidisciplinary approach is warranted to optimize outcome for both the mother and her fetus. The aim of this document is to provide the obstetric care provider with an evidence-based systematic approach to the pregnant trauma patient. OUTCOMES: Significant health and economic outcomes considered in comparing alternative practices...
June 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Kenji Inaba, Konstantinos Chouliaras, Scott Zakaluzny, Stuart Swadron, Thomas Mailhot, Dina Seif, Pedro Teixeira, Emre Sivrikoz, Crystal Ives, Galinos Barmparas, Nikolaos Koronakis, Demetrios Demetriades
OBJECTIVE: The objective of this study was to examine the ability of Focused Assessment Using Sonography for Trauma (FAST) to discriminate between survivors and nonsurvivors undergoing resuscitative thoracotomy (RT). BACKGROUND: RT is a high-risk, low-salvage procedure performed in arresting trauma patients with poorly defined indications. METHODS: Patients undergoing RT from 10/2010 to 05/2014 were prospectively enrolled. A FAST examination including parasternal/subxiphoid cardiac views was performed before or concurrent with RT...
September 2015: Annals of Surgery
Nata P Hardjo Lugito, Andree Kurniawan, Rizki Yaruntradhani, Andhika Rachman
We are reporting a male, 46 years old came to emergency unit with a chief complaint of abdominal tenderness since 1 day prior to admission. No history of abdominal trauma. He often felt abdominal discomfort for the last 5 years. Physical examination revealed decreased consciousness, shock, pale conjungtiva, distended abdomen, with tenderness of the whole abdomen on palpation, and no bowel movement. Laboratory examination found anemia, leucocytosis, normal amilase and lipase. FAST (focus assissted Sonography on trauma) found massive ascites...
January 2015: Acta Medica Indonesiana
D Wastl, K Helwig, C F Dietrich
As a point-of-care tool, emergency sonography has the potential to rule out or to confirm a diagnosis in the context to the leading symptom of critically ill persons. Extended focused assessment with sonography for trauma (E-FAST) and focused echo entry level (FEEL) are examples of algorithms that have been developed for this purpose. Echoscopy is another form of point-of-care sonography that is used at the bedside. It helps to answer simple questions (yes/no) and allows follow-up examinations to be made with little effort...
April 2015: Medizinische Klinik, Intensivmedizin und Notfallmedizin
E Schieb, C-A Greim
Emergency sonography encompasses a number of targeted sonographic investigation techniques, which allow a quick response to frequently occurring situations arising in anesthesiology, including intensive care and emergency medicine. Emergency sonography supports point of care diagnostics to clarify the possible causes of hemodynamic and respiratory instability, e.g. to determine the extent of intra-abdominal bleeding in a still compensated patient with multiple trauma and to support interventions, such as pleural fluid drainage...
April 2015: Der Anaesthesist
Jennifer R Marin, Resa E Lewiss
Emergency physicians have used point-of-care ultrasonography since the 1990 s. Pediatric emergency medicine physicians have more recently adopted this technology. Point-of-care ultrasonography is used for various scenarios, particularly the evaluation of soft tissue infections or blunt abdominal trauma and procedural guidance. To date, there are no published statements from national organizations specifically for pediatric emergency physicians describing the incorporation of point-of-care ultrasonography into their practice...
April 2015: Pediatrics
Hede Yan, Bin Zhao, John Kolkin, Zhijie Li, Xinglong Chen, Tinggang Chu, Weiyang Gao
BACKGROUND: Limb amputation due to lower extremity arterial injury is not uncommon and multilevel arterial injury is even more limb-threatening and easily missed with potentially devastating consequences. There is limited information on multilevel arterial injuries. PURPOSE: We undertook a review of our experience to gain insight on multilevel arterial injury patterns associated with lower extremity trauma and to analyze the results of management of such injuries with a special focus on the influence of initial diagnosis on limb salvage...
2015: PloS One
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
Jonathan T Finnoff, David Berkoff, Fred Brennan, John DiFiori, Mederic M Hall, Kimberly Harmon, Mark Lavallee, Sean Martin, Jay Smith, Mark Stovak
The following sports ultrasound (SPORTS US) curriculum is a revision of the curriculum developed by the American Medical Society for Sports Medicine (AMSSM) in 2010. Several changes have been made to the curriculum with the primary aim of providing a pathway by which a sports medicine fellow can obtain sufficient SPORTS US training to become proficient in the core competencies of SPORTS US. The core competencies of SPORTS US are outlined in the learning objectives section of this document. The term "SPORTS US" was purposefully chosen rather than "musculoskeletal ultrasound" (MSK US) because it was recognized by the panel that the evolving field of SPORTS US encompasses non-MSK applications of ultrasound such as the FAST examination (focused assessment with sonography for trauma)...
January 2015: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Meghan Kelly Herbst, Carlos A Camargo, Alberto Perez, Christopher L Moore
BACKGROUND: Point-of-care ultrasound (PoC US) is now taught and used in nearly all academic emergency departments (EDs), but prior surveys have shown that adoption in the community ED setting is much lower. OBJECTIVE: Our aim was to characterize the current practice of emergency physician (EP)-performed PoC US in Connecticut. METHODS: We conducted a 20-question online survey of all ED directors in Connecticut to determine how PoC US is utilized...
February 2015: Journal of Emergency Medicine
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