PMID: 9555830Apr 29, 1998Paper

A comparison of sonographic examinations for trauma performed by surgeons and radiologists

The Journal of Trauma
G R BuzzasJ A Reed

Abstract

It has been demonstrated that surgeons and surgery residents, trained in the focused abdominal sonographic examination, are able to accurately and reliably evaluate trauma patients. Despite this, radiologists have objected to surgeon-performed sonography for several reasons. We set out to compare the accuracy of sonographic examinations performed by surgery residents and radiologists. A retrospective review of medical records of all trauma patients who received focused ultrasound examinations from January 1, 1995, through June 30, 1996, at one of two American College of Surgeons-verified Level I trauma centers in the same city was undertaken. Ultrasound examinations were performed by surgery residents at trauma center A (TCA) and by radiologists or radiology residents at trauma center B (TCB). Findings for each patient were compared with the results of computed tomography, diagnostic peritoneal lavage, operative exploration, or observation. Sensitivity, specificity, accuracy, positive predictive value, and negative predictive value were calculated for each group of patients. Comparison of patient charges for the trauma ultrasound examinations at each of the trauma centers was also made. Patient populations at the two centers we...Continue Reading

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Citations

Dec 12, 2003·The Annals of Thoracic Surgery·Amit N PatelHarold C Urschel
Jan 8, 2000·The Surgical Clinics of North America·J I Sanchez, C N Paidas
Aug 13, 2005·Critical Care Medicine·David Feller-Kopman
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