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TRAUMA RADIOLOGY
ABDOMINAL TRAUMA
TRAUMA RESUSCITATION
 

 

Thoracic Ultrasound

 

References

The references listed here are good reviews of trauma ultrasonography, quality studies on the accuracy of ultrasound and those papers referred to in the text.

Trauma Ultrasonography

Introduction
FAST
-  Perihepatic
-  Perisplenic
-  Pelvis
-  Pericardium
Indications
How good is FAST?
Thoracic Ultrasound
References
 

General

  • Scalea TM, Rodriguez A, Chiu WC et al 'FAST Consensus Conference Committee. Focused Assessment with Sonography for Trauma (FAST): Results from an International Consensus Conference.' J Trauma 1999;46:466-472
  • Rozycki GS, Shackford SR. 'Ultrasound, what every trauma surgeon should know.' J Trauma. 1996;40:1-4

FAST - Indications and accuracy

In hypotensive patients

  • Wherret LJ, Boulanger BR, McLellan BA et al 'Hypotension after blunt abdominal trauma: the role of emergent abdominal sonography in surgical triage.' J Trauma 1996;41:815-820
  • Rozycki GS, Ballard RB, Feliciano DV et al 'Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1540 patients.' Ann Surg 1998;228:557-567
  • McKenny MG, Martin L, Lentz K et al '1000 consecutive ultrasounds for blunt abdominal trauma.' J Trauma 1996;40:607-612

For detection of free fluid

  • Ballard RB, Rozycki GS, Newman PG et al 'An algorithm to reduce the incidence of false-negative FAST examinations in patients at high risk from occult injury. Focused Assessment for the Sonographic Examination of the trauma patient.' J Am Coll Surg 1999;189:145-151
  • Boulanger BR, McLellan BA, Brennemann FD et al 'Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma.' J Trauma 1996;40:867-874
  • Chiu WC, Cushing BM, Rodriguez A et al 'Abdominal injuries without hemoperitoneum: a potential limitation of focused abdominal sonography for trauma (FAST).' J Trauma 1997;42:617-625
  • Coley BD, Mutabagani KH, Martin LC et al 'Focused abdominal sonography for trauma (FAST) in children with blunt abdominal trauma.' J Trauma 2000;48:902-906.
  • Hoffmann R, Nerlich M, Muggia-Sullam M et al 'Blunt abdominal trauma in cases of multiple trauma evaluated by ultrasonography: a prospective analysis of 291 patients.' J Trauma 1992;32:452-458
  • Ingeman JE, Plewa MC, Okasinski RE et al 'Emergency physician use of ultrasonography in blunt abdominal trauma.' Acad Emerg Med 1996;3:931-937
  • Kern SJ, Smith RS, Fry WR et al 'Sonographic examination of abdominal trauma by senior surgical residents.' Am Surg 1997;63:669-674
  • Liu M, Lee CH, P'eng FK 'Prospective comparison of diagnostic peritoneal lavage, computed tomographic scanning and ultrasonography for the diagnosis of blunt abdominal trauma.' J Trauma 1993;35:267-270
  • McElveen TS, Collin GR 'The role of ultrasonography in blunt abdominal trauma: a prospective study.' Am Surg 1997;63:184-188
  • McKenny MG, Martin L, Lentz K et al '1000 consecutive ultrasounds for blunt abdominal trauma.' J Trauma 1996;40:607-612
  • Rozycki GS, Ochsner MG, Jaffin JH et al 'Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients.' J Trauma 1993;34:516-527
  • Rozycki GS, Ochsner MG, Schmidt JA et al 'A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment.' J Trauma 1995;39:492-500
  • Rozycki GS, Ballard RB, Feliciano DV et al 'Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1540 patients.' Ann Surg 1998;228:557-567
  • Shackford SR, Rogers FB, Osler TM et al 'Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum.' J Trauma 1999;46:553-562
  • Thomas B, Falcone RE, Vasquez D et al 'Ultrasound evaluation of blunt abdominal trauma: program implementation, initial experience and learning curve.' J Trauma 1997;42:384-390
  • Tso P, Rodriguez A, Cooper C et al 'Sonography in blunt abdominal trauma: a preliminary progress report.' J Trauma 1992;33:39-44
  • Wherret LJ, Boulanger BR, McLellan BA et al 'Hypotension after blunt abdominal trauma: the role of emergent abdominal sonography in surgical triage.' J Trauma 1996;41:815-820
  • Yeo A, Wong CY, Soo KC 'Focused abdominal sonography for trauma (FAST)' Ann Acad Med Singapore 1999;28:805-809

Pneumothorax

  • Kirkpatrick AW, Ng AKT, Dulchavsky SA, 'Sonographic diagnosis of a pneumothorax inapparent on plain radiography: confirmation by computed tomography.' J Trauma 2001;50:701-702
  • Dulchavsky SA, Schwarz KL, Kirkpatrick AW, 'Prospective evaluation of thoracic ultrasound in the detection of pneuomothorax.' J Trauma 2001;50:201-205

Credentialling

  • Shackford SR, Rogers FB, Osler TM et al 'Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum.' J Trauma 1999;46:553-562
  • Thomas B, Falcone RE, Vasquez D et al 'Ultrasound evaluation of blunt abdominal trauma: program implementation, initial experience and learning curve.' J Trauma 1997;42:384-390
  • Mateer J, Plummer D, Heller M et al 'Model Curriculum for Physicians Training in Emergency Ultrasonography.' Ann Emerg Med 1994;23:95-102

Acknowledgements

The author would like to acknowledge the assistance of Dr B Boulanger, MD, University of Kentucky Medical Center, KY; Dr F Brenneman, MD, Sunnybrook and Women's College Health Science Centre, ON; and Dr A Kirkpatrick, MD, Vancouver General Hospital, BC.

Images and video copyright Sunnybrook and Women's College HSC, Toronto, ON except positive perisplenic FAST video copyright Grace Rozycki MD.

Trauma Ultrasonography
Alex Ng, trauma.org 6:12, December 2001