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Thu Apr 23 08:55:56 BST 2009

Lots of places still do not have ultrasound in the resuscitation room.
Surely then, the continuing role for DPA is for the same indications
as FAST but where ultrasound is not readily available?

(The converse of course is that FAST should be used when you would
previously have used DPA.  Otherwise these days it's going to be CT.
There's a lot of un-substantiated mission-creep with FAST)

Karim

2009/4/23 navin goyal <drnavingoyal at yahoo.co.in>:
> Dear Bevan ,
> I am sorry I may be missing something but I could understand what do you mean by equivocal FAST. We rarely use DPL . Last time I used it was for an pelvic injury patient when my sonologist was unable to tell me whether fluid is intra or extraperitoneal. We perform CT in all FAST positive patients if feasible before shifting to OT to rule out solid organ injury.
> Thanks.
> Dr. Navin Goyal
> Trauma Surgeon
> India
>
>
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The role of DPA in 2009 and beyond (Bevan Lowe)