Is the FAST exam reliable in severely injured patients?

Injury

Volumn 41, Issue 5, 2010, Pages 479-483

  Becker, Alexander ^a   Lin, Guy ^b   McKenney, Mark G ^b   Marttos, Antonio ^b   Schulman, Carl I ^b  

^a HAEMEK MEDICAL CENTER   (Israel)

^b UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

Author keywords

Blunt trauma; FAST; Severely injured patients

Indexed keywords

ABDOMINAL BLEEDING; ABDOMINAL BLUNT TRAUMA; ABDOMINAL INJURY; ADULT; ARTICLE; BLADDER INJURY; CLINICAL ASSESSMENT; CLINICAL EXAMINATION; CLINICAL PROTOCOL; COHORT ANALYSIS; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; ECHOGRAPHY; FEMALE; FOCUSED ASSESSMENT WITH SONOGRAPHY IN TRAUMA; HUMAN; INJURY SCALE; INTESTINE INJURY; KIDNEY INJURY; LAPAROTOMY; LIVER INJURY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SCREENING TEST; SPLEEN INJURY; ULTRASOUND; ABDOMINAL INJURIES; ASCITES FLUID; DIAGNOSTIC ERROR; EMERGENCY HEALTH SERVICE; MIDDLE AGED; MULTIPLE TRAUMA; PREDICTIVE VALUE; PROCEDURES; RADIOGRAPHY; REGISTER; SENSITIVITY AND SPECIFICITY; STANDARDS; STATISTICS AND NUMERICAL DATA; WOUNDS, NONPENETRATING; YOUNG ADULT;

ABDOMINAL INJURIES; ADULT; ASCITIC FLUID; DIAGNOSTIC ERRORS; FEMALE; HUMANS; INJURY SEVERITY SCORE; LAPAROTOMY; MALE; MIDDLE AGED; MULTIPLE TRAUMA; PREDICTIVE VALUE OF TESTS; REGISTRIES; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; TRAUMA CENTERS; ULTRASONOGRAPHY; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 77950021267     PISSN: 00201383     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.injury.2009.10.054     Document Type: Article

References (31)

1. Abu-Zidan F.M., Sheikh M., Jadallah F., et al. Blunt abdominal trauma: comparison of ultrasonography and computed tomography in a district general hospital. Australas Radiol 4 (1999) 440-443
2. Baker S.P., O'Neill B., Haddon W., et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 14 (1974) 187
3. Ballard R.B., Rozycki G.S., Newman P.G., et al. An algorithm to reduce the incidence of false-negative FAST examinations in patients at high risk for occult injury. Focused assessment for the sonographic examination of the trauma patient. J Am Coll Surg 189 (1999) 145-150
4. Bode P.J., Edwards M.J.R., Kruit M.C., et al. Sonography in a clinical algorithm for early evaluation of 1671 patients with blunt abdominal trauma. Am J Roentgenol 172 (1999) 905-911
5. Brown M.A., Casola G., Sirlin C.B., et al. Blunt abdominal trauma: screening U/S in 2,693 patients. Radiology 219 (2001) 352-358
6. Dolich M.O., McKenney M.G., Vrela J.E., et al. 2576 ultrasounds for blunt trauma. J Trauma 50 (2001) 108-112
7. Griffin X.L., and Pullinger R. Are diagnostic peritoneal lavage or focused abdominal sonography for trauma safe screening investigation for hemodynamically stable patients after blunt abdominal trauma? A review of the literature. J Trauma 62 (2007) 779-784
8. Kirpatrick A.W., Simons R.K., Brown R., et al. The hand-held FAST: experience with hand-held trauma sonography in a level-1 urban trauma center. Injury 33 (2002) 303-308
9. McGahan J.P., and Richards J. Blunt abdominal trauma: the role of emergent sonography and a review of the literature. Am J Roentgenol 172 (1999) 897-903
10. McGahan J.P., Rose J., Coates T.L., et al. Use of ultrasound in the patients with acute abdominal trauma. J Ultrasound Med 16 (1997) 653-662
11. McKenney M.G., Martin L., Lentz K., et al. 1000 consecutive ultrasounds for blunt abdominal trauma. J Trauma 40 (1996) 607-612
12. McKenney K.L., Nunez D.B., McKenney M.G., et al. Sonography as the primary screening technique for blunt abdominal trauma: experience with 899 patients. Am J Roentgenol 170 (1998) 979-985
13. Miller M.T., Pasquale M.D., Bromberg W.J., et al. Not so fast. J Trauma 54 (2003) 52-60
14. Richards J.R., McGahan J.P., Simpson J.L., et al. Bowel and mesenteric injury: evaluation with emergency abdominal ultrasound. Radiology 211 (1999) 399-403
15. Richards J.R., Schleper N.H., Wang L., et al. Blunt abdominal trauma in children: evaluation with emergency US. Radiology 222 (2002) 749-754
16. Richard J.R., Schleper N.H., Woo B.D., et al. Sonographic assessment of blunt abdominal trauma: a 4-year prospective study. J Clin Ultrasound 30 (2002) 59-67
17. Rose J.S., Levitt M.A., Porter J., et al. Does the presence of ultrasound really affect computed tomographic scan use. A prospective randomized trial of ultrasound in trauma. J Trauma 51 (2001) 545-550
18. Rozycki G.S., Ballard R.B., Feliciano D.V., et al. Surgeon-performed ultrasound for the assessment of truncal injuries. Ann Surg 228 (1998) 557-567
19. Scalea T.M., Rodriguez A., Chui W.C., et al. Focused assessment with sonography for trauma (FAST): results from an international consensus conference. J Trauma 48 (1999) 466-472
20. Shanmuganathan K., Shernbourne C.D., Mirvis S.E., et al. Hemoperitoneum as the sole indicator of abdominal injuries: a potential limitation of screening abdominal ultrasound for trauma. Ragiology 212 (1999) 423-430
21. Simpson J., Lobo D.N., Shah A.B., et al. Traumatic diaphragmatic rupture: associated injuries and outcome. Ann R Coll Surg Engl 82 (2000) 97-100
22. Sirlin C.B., Brown M.A., Andrade-Barreto O.A., et al. Blunt abdominal trauma: clinical value of negative screening US scans. Radiology 230 (2004) 661-668
23. Sirlin C.B., Brown M.A., Deutsch R., et al. Screening US for blunt abdominal trauma. Surg Gynecol Obstet 151 (1980) 513-518
24. Sirlin C.B., Brown M.A., Deutsch R., et al. Screening US for blunt abdominal trauma: objective predictors of false-negative findings and missed injuries. Radiology 229 (2003) 766-774
25. Sirlin C.B., Casola G., Brown M.B., et al. Screening trauma ultrasound in the hemodynamically unstable patients. Radiology 221 (2001) 456
26. Soffer D., Schulman C.I., McMKenney M.G., et al. What does ultrasonography miss in blunt trauma patients with a low Glasgow Coma Score (GCS). J Trauma 60 (2006) 1184-1188
27. Stengel D., Bauwens K., Sehouli J., et al. Emergency ultrasound-based algorithm for diagnosing blunt abdominal trauma. Cohrane Database Sys Rev (2005)
28. Stengel D., Bauwens K., Sehouli J., et al. Systematic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma. Br J Surg 88 (2001) 901-912
29. Tayal V.S., Nielsen A., Jones A.E., et al. Accuracy of ultrasound in major pelvic trauma. J Trauma 61 (2006) 1453-1457
30. Wherrett L.J., Boulanger B.R., McLellan B.A., et al. Hypotension after blunt abdominal trauma: the role of emergent abdominal sonography in surgical triage. J Trauma 41 (1996) 815-820
31. Yoshii H., Sato M., Yamamoto S., et al. Usefulness and limitations of ultrasonography in the initial evaluation of blunt abdominal trauma. J Trauma 45 (1998) 45-51