Literature DB >> 16714505

Evaluation of focussed assessment with sonography in trauma (FAST) by UK emergency physicians.

J Brenchley1, A Walker, J P Sloan, T B Hassan, H Venables.   

Abstract

OBJECTIVES: To evaluate the introduction of a focussed assessment with sonography in trauma (FAST) scan into the early assessment of trauma patients in the UK.
METHODS: The setting was an inner city teaching hospital emergency department (annual attendance 100,000). All patients aged 16 or over admitted to the resuscitation room after blunt trauma were included in a prospective observational study. Patients had a FAST scan performed at the end of the primary survey. Results were compared to results of other investigations, laparotomy, postmortem examination, or observation.
RESULTS: 153 patients were entered into the study. The sensitivity of the FAST scan was 78% and specificity was 99%.
CONCLUSION: FAST is a highly specific "rule in" technique and is useful in the initial assessment of trauma patients. Emergency physicians can perform FAST after a brief training period.

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Mesh:

Year:  2006        PMID: 16714505      PMCID: PMC2564340          DOI: 10.1136/emj.2005.026864

Source DB:  PubMed          Journal:  Emerg Med J        ISSN: 1472-0205            Impact factor:   2.740


  16 in total

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  19 in total

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5.  Does this adult patient have a blunt intra-abdominal injury?

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6.  The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition.

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Review 8.  Management of bleeding and coagulopathy following major trauma: an updated European guideline.

Authors:  Donat R Spahn; Bertil Bouillon; Vladimir Cerny; Timothy J Coats; Jacques Duranteau; Enrique Fernández-Mondéjar; Daniela Filipescu; Beverley J Hunt; Radko Komadina; Giuseppe Nardi; Edmund Neugebauer; Yves Ozier; Louis Riddez; Arthur Schultz; Jean-Louis Vincent; Rolf Rossaint
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9.  The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition.

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Journal:  Crit Care       Date:  2016-04-12       Impact factor: 9.097

10.  Contrast-enhanced ultrasound performed under urgent conditions. Indications, review of the technique, clinical examples and limitations.

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