Basic ultrasound training assessment in the initial abdominal trauma screening

Revista do Colégio Brasileiro de Cirurgiões
Luan Geraldo Ocaña OliveiraFernando Antônio Campelo Spencer Netto

Abstract

to verify the efficiency and usefulness of basic ultrasound training in trauma (FAST - Focused Assessment with Sonography in Trauma) for emergency physicians in the primary evaluation of abdominal trauma. a longitudinal and observational study was carried out from 2015 to 2017, with 11 emergency physicians from Hospital Universitário do Oeste do Paraná, submitted to ultrasound training in emergency and trauma (USET® - SBAIT). FAST results started to be collected two months after the course. These were compared with a composite score of complementary exams and surgical findings. Information was stored in a Microsoft Excel program database and submitted to statistical analysis. FAST was performed in 120 patients. In the study, 38.4% of the assessed patients had a shock index ≥0.9. The composite score detected 40 patients with free peritoneal fluid, whereas FAST detected 27 cases. The method sensitivity was 67.5%, specificity was 98.7%, the positive predictive value was 96.4%, the negative predictive value was 85.39% and accuracy was 88%. All those with a positive FAST had a shock index ≥0.9. Fifteen patients with positive FAST and signs of instability were immediately submitted to surgery. the basic training of emergency physicia...Continue Reading

References

Jan 4, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Timothy JangAmy H Kaji
Sep 1, 2010·Revista Brasileira de terapia intensiva·Uri Adrian Prync FlatoRicardo Gonçalves Lorenzo
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Aug 11, 2017·Open Access Emergency Medicine : OAEM·Sorravit SavatmongkorngulRathachai Kaewlai

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