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Wed Apr 22 12:10:48 BST 2009

Since 1995, when I began to use the FAST as a part of my primary survey I have done no DPL's........

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Bevan Lowe
Sent: Wednesday, April 22, 2009 2:47 AM
To: trauma-list at trauma.org
Subject: The role of DPA in 2009 and beyond

Is there any role of Diagnostic Peritoneal tap (DPA) or for that matter DPL in the ED in the hypotensive blunt trauma pt when we have FAST available these days?
Our approach is:- do a FAST, +ve OT, -ve repeat & look for other cause, if still ? abdo bleed go to OT. Equivocal FAST go to OT. Some surgeons are advocating DPA. Thoughts?

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The role of DPA in 2009 and beyond