PMID: 9555836Apr 29, 1998Paper

Can surgeons evaluate emergency ultrasound scans for blunt abdominal trauma?

The Journal of Trauma
M G McKenneyL Martin

Abstract

To determine whether surgeons and residents with minimal training can evaluate accurately emergency ultrasound (US) examinations compared with radiologists for blunt abdominal trauma. Over 7 months, we conducted a prospective study comparing the evaluation of emergency US for blunt abdominal trauma by surgeons and attending radiologists. US readings from the surgical team and the radiologists were correlated with outcome. One hundred-twelve patients were included in the study. Ninety-two patients had an US read as negative by the surgical and radiology services with no subsequent injuries identified. Eighteen patients had an US deemed positive by the surgical service and radiologists. Injuries were confirmed in this group by operation or computed tomography. One patient had an US deemed positive by the surgical team and subsequently negative by the radiologist. A diagnostic peritoneal lavage was performed which was negative. Another patient had an US interpreted as negative by the surgical evaluator and positive by the radiologist. Exploratory laparotomy was negative for intraabdominal hemorrhage or organ injury. Overall results reveal an accuracy on US reading of 99% for the surgical team and 99% for the attending radiologists...Continue Reading

References

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Citations

Oct 2, 2004·Pediatric Surgery International·Barbara SchmidtMichael E Höllwarth
Jan 8, 2000·The Surgical Clinics of North America·B R BoulangerA Rodriguez
Jan 8, 2000·The Surgical Clinics of North America·J I Sanchez, C N Paidas
Jan 30, 2004·The Journal of Trauma·Fikri M Abu-ZidanSten Lennquist
Dec 13, 2007·The Journal of Trauma·Brendan G CarrVicente H Gracias
Jul 27, 1999·Journal of Accident & Emergency Medicine·H C Burnett, D A Nicholson
Oct 13, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·J P McGahanJ R Richards
Apr 26, 2000·The Journal of Trauma·M M Knudson, A C Sisley
Apr 26, 2000·The Journal of Trauma·W L BifflJ Kendall
Mar 7, 2001·The Journal of Trauma·M O DolichS M Cohn
Apr 17, 2001·The Journal of Trauma·H GoodwinD H Wisner
Mar 3, 2007·Teaching and Learning in Medicine·Madonna Fernández-FrackeltonWendy C Coates
Jun 5, 2012·International Journal of Surgery·Simon FlemingBijen Patel
Jul 21, 2000·Academic Radiology·A J Dean, T Costantino
Dec 19, 2013·Trauma Monthly·Majid ShojaeeFatemeh Keyghobadi
Feb 21, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Robert Chen

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