Prehospital ultrasound imaging improves management of abdominal trauma

Blunt abdominal trauma with intra‐abdominal bleeding is often underdiagnosed or even overlooked at trauma scenes. The purpose of this prospective, multicentre study was to compare the accuracy of physical examination and prehospital focused abdominal sonography for trauma (PFAST) to detect abdominal bleeding.

[1]  M. Nance,et al.  Pattern of abdominal free fluid following isolated blunt spleen or liver injury in the pediatric patient. , 2002, The Journal of trauma.

[2]  G. Casola,et al.  Importance of evaluating organ parenchyma during screening abdominal ultrasonography after blunt trauma. , 2001, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[3]  G. Rozycki,et al.  Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1540 patients. , 1998, Annals of surgery.

[4]  Marcel Martin,et al.  Competency-Based Instruction to Improve the Surgical Resident Technique and Accuracy of the Trauma Ultrasound , 1999, The American surgeon.

[5]  R E Falcone,et al.  Early detection of hemoperitoneum by ultrasound examination of the right upper quadrant: a multicenter study. , 1998, The Journal of trauma.

[6]  S. Baker,et al.  The injury severity score: an update. , 1976, The Journal of trauma.

[7]  A. Brooks,et al.  Prospective Evaluation of Handheld Ultrasound in the Diagnosis of Blunt Abdominal Trauma , 2002, Journal of the Royal Army Medical Corps.

[8]  M. Blaivas,et al.  Significant hemoperitoneum in blunt trauma victims with normal vital signs and clinical examination. , 2002, The American journal of emergency medicine.

[9]  D. Nunez,et al.  1,000 consecutive ultrasounds for blunt abdominal trauma. , 1996, The Journal of trauma.

[10]  F. Terrier,et al.  Blunt abdominal trauma: should US be used to detect both free fluid and organ injuries? , 2003, Radiology.

[11]  W. Haddon,et al.  The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. , 1974, The Journal of trauma.

[12]  Lloyd G. Greenwald,et al.  Time to laparotomy for intra-abdominal bleeding from trauma does affect survival for delays up to 90 minutes. , 2002, The Journal of trauma.

[13]  T. Otsuka,et al.  Emergency center ultrasonography in the evaluation of hemoperitoneum: a prospective study. , 1991, The Journal of trauma.

[14]  D. Leaper,et al.  Sequential physiology scoring facilitates objective assessment of resuscitation in patients with an intra‐abdominal emergency , 2003, The British journal of surgery.

[15]  A. V. van Vugt,et al.  Beneficial effect of helicopter emergency medical services on survival of severely injured patients , 2004, The British journal of surgery.

[16]  F B Rogers,et al.  Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum. , 1999, The Journal of trauma.

[17]  B. Boulanger,et al.  Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma. , 1996, The Journal of trauma.

[18]  G. Regel,et al.  Blunt abdominal trauma in cases of multiple trauma evaluated by ultrasonography: a prospective analysis of 291 patients. , 1992, The Journal of trauma.

[19]  B. Boulanger,et al.  Hypotension after blunt abdominal trauma: the role of emergent abdominal sonography in surgical triage. , 1996, The Journal of trauma.

[20]  P E Pepe,et al.  Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. , 1994, The New England journal of medicine.

[21]  S. Offerman,et al.  Clinical importance of intraperitoneal fluid in patients with blunt intra-abdominal injury. , 2002, The American journal of emergency medicine.

[22]  Robert T Gerhardt,et al.  Wireless and satellite transmission of prehospital focused abdominal sonography for trauma. , 2003, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[23]  J. Buckels,et al.  A 10‐year experience of complex liver trauma , 2002, The British journal of surgery.

[24]  G. Rozycki,et al.  Ultrasound, what every trauma surgeon should know. , 1996, The Journal of trauma.

[25]  I. Marzi,et al.  [Optimized management of polytraumatized patients by prehospital ultrasound]. , 2002, Der Unfallchirurg.

[26]  R. S. Smith,et al.  Institutional learning curve of surgeon-performed trauma ultrasound. , 1998, Archives of surgery.

[27]  I. Marzi,et al.  Optimierung des Traumamanagements durch präklinische Sonographie , 2002, Der Unfallchirurg.

[28]  J. Fischer,et al.  Institutional and individual learning curves for focused abdominal ultrasound for trauma: cumulative sum analysis. , 2000, Annals of surgery.

[29]  D. Spain,et al.  Abdominal seat belt marks in the era of focused abdominal sonography for trauma. , 2002, Archives of surgery.

[30]  Bernard J. Rubal,et al.  W IRELESS AND S ATELLITE T RANSMISSION OF P REHOSPITAL F OCUSED A BDOMINAL S ONOGRAPHY FOR T RAUMA , 2003 .

[31]  J. Clinton,et al.  Ultrasound for the air medical clinician. , 2004, Air medical journal.