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Prehospital ultrasound imaging improves management of abdominal trauma
British journal of surgery, 2006-02, Vol.93 (2), p.238-242
Walcher, F.
Weinlich, M.
Conrad, G.
Schweigkofler, U.
Breitkreutz, R.
Kirschning, T.
Marzi, I.
2006
Details
Autor(en) / Beteiligte
Walcher, F.
Weinlich, M.
Conrad, G.
Schweigkofler, U.
Breitkreutz, R.
Kirschning, T.
Marzi, I.
Titel
Prehospital ultrasound imaging improves management of abdominal trauma
Ist Teil von
British journal of surgery, 2006-02, Vol.93 (2), p.238-242
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2006
Link zum Volltext
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Background: 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. Methods: Six rescue centres took part in the study from December 2002 to December 2003, including 230 patients with suspected abdominal injury. The accuracy of physical examination at the scene and PFAST were compared. Later examinations in the emergency department (ultrasonography and/or computed tomography) were used as the reference standard. Results: The complete protocol and follow‐up was obtained in 202 patients. The sensitivity, specificity and accuracy of PFAST were 93 per cent, 99 per cent and 99 per cent, respectively, compared with 93 per cent, 52 per cent and 57 per cent for physical examination at the scene. Scanning with PFAST occurred a mean(s.d.) 35(13) min earlier than ultrasound in the emergency department. Abdominal bleeding was detected in 14 per cent of patients. Using PFAST led to a change in either prehospital therapy or management in 30 per cent of patients, and a change to admitting hospital in 22 per cent. Conclusion: In this study, PFAST was a useful and reliable diagnostic tool when used as part of surgical triage at the trauma scene. Copyright © 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Quicker diagnosis of bleeding
Sprache
Englisch
Identifikatoren
ISSN: 0007-1323
eISSN: 1365-2168
DOI: 10.1002/bjs.5213
Titel-ID: cdi_proquest_miscellaneous_70734175
Format
–
Schlagworte
Abdominal Injuries - diagnostic imaging
,
Abdominal Injuries - therapy
,
Adolescent
,
Adult
,
Aged
,
Biological and medical sciences
,
Child
,
Child, Preschool
,
Emergency Medical Services - methods
,
Emergency Medical Services - standards
,
Feasibility Studies
,
Female
,
General aspects
,
Hemorrhage - diagnostic imaging
,
Humans
,
Infant
,
Injuries of the abdomen. Foreign bodies of the digestive system
,
Male
,
Medical sciences
,
Middle Aged
,
Physical Examination - standards
,
Prospective Studies
,
Traumas. Diseases due to physical agents
,
Ultrasonography
,
Wounds, Nonpenetrating - diagnostic imaging
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