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Stengel D, Bauwens K, Sehouli J, et al. Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma. Cochrane Database Syst Rev 2005; (2):CD004446. This is an important review because of its methodologic quality, but done prior to the largest of the randomized controlled trials looking at the FAST exam. The authors concluded that there is insufficient evidence from RCTs to justify using ultrasound-based clinical pathways.
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6
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Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary. The accuracy of abdominal ultrasound in paediatric trauma
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Murphy R, Ghosh A. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. The accuracy of abdominal ultrasound in paediatric trauma. Emerg Med J 2001; 18:208-209.
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Holmes JF, Gladman A, Chang CH. Performance of abdominal ultrasonography in pediatric blunt trauma patients: a meta-analysis. J Pediatr Surg 2007; 42:1588-1594. This is the largest and most recent review specifically addressing the use of FAST in the pediatric population. One important finding here is that across multiple subanalyses, specificity and positive likelihood ratios remained high, prompting the authors to recommend immediate CT or operative intervention in the setting of a positive FAST scan.
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Holmes JF, Gladman A, Chang CH. Performance of abdominal ultrasonography in pediatric blunt trauma patients: a meta-analysis. J Pediatr Surg 2007; 42:1588-1594. This is the largest and most recent review specifically addressing the use of FAST in the pediatric population. One important finding here is that across multiple subanalyses, specificity and positive likelihood ratios remained high, prompting the authors to recommend immediate CT or operative intervention in the setting of a positive FAST scan.
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8
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Melniker LA, Leibner E, McKenney MG, et al. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med 2006; 48:227-235. This was the largest randomized controlled trial for use of ultrasound in trauma, and important because it was published subsequent to the Cochrane Review. Also a unique paper because there were several different outcome measures. The study had favorable results for ultrasound use with respect to time to definitive care, length of stay, complication rates and total charges.
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Melniker LA, Leibner E, McKenney MG, et al. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med 2006; 48:227-235. This was the largest randomized controlled trial for use of ultrasound in trauma, and important because it was published subsequent to the Cochrane Review. Also a unique paper because there were several different outcome measures. The study had favorable results for ultrasound use with respect to time to definitive care, length of stay, complication rates and total charges.
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Squire BT, Fox JC, Anderson C. ABSCESS: applied bedside sonography for convenient evaluation of superficial soft tissue infections. Acad Emerg Med 2005; 12:601-606. This was one of only two studies addressing how emergency ultrasound can affect emergency department management of soft tissue infections. It was important in that EUS had a significant influence on patients with and without abscesses.
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Chen L, Kim Y, Santucci KA. Use of ultrasound measurement of the inferior vena cava diameter as an objective tool in the assessment of children with clinical dehydration. Acad Emerg Med 2007; 14:841-845. This important article exemplifies how innovative thinking can lead to novel ultrasound applications that are relevant to common pediatric complaints.
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Feasibility of forearm ultrasonography-guided nerve blocks of the radial, ulnar, and median nerves for hand procedures in the emergency department
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Liebmann O, Price D, Mills C, et al. Feasibility of forearm ultrasonography-guided nerve blocks of the radial, ulnar, and median nerves for hand procedures in the emergency department. Ann Emerg Med 2006; 48:558-562.
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Galicinao J, Bush AJ, Godambe SA. Use of bedside ultrasonography for endotracheal tube placement in pediatric patients: a feasibility study. Pediatrics 2007; 120:1297-1303.
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Emergency physicians can easily obtain ultrasound images of anatomical landmarks relevant to lumbar puncture
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A randomized controlled trial of ultrasound-assisted lumbar puncture
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Tayal VS, Neulander M, Norton HJ, et al. Emergency department sonographic measurement of optic nerve sheath diameter to detect findings of increased intracranial pressure in adult head injury patients. Ann Emerg Med 2007; 49:508-514.
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A rapid noninvasive method of detecting elevated intracranial pressure using bedside ocular ultrasound: Application to 3 cases of head trauma in the pediatric emergency department
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Lyon M, Blaivas M. Intraoral ultrasound in the diagnosis and treatment of suspected peritonsillar abscess in the emergency department. Acad Emerg Med 2005; 12:85-88.
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Ultrasound-guided drainage of peritonsillar abscess by the emergency physician
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