Integrating extended focused assessment with sonography for trauma (eFAST) in the initial assessment of severe trauma: Impact on the management of 756 patients

Injury
Laurent ZieleskiewiczMarc Leone

Abstract

Before total body computed tomography scan, an initial rapid imaging assessment should be conducted in the trauma bay. It generally includes a chest x-ray, pelvic x-ray, and an extended focused ultrasonography assessment for trauma. This initial imaging assessment has been poorly described since the increase in the use of ultrasound. Therefore, our study aimed to evaluate the diagnostic accuracy and therapeutic impact of this initial imaging work-up in severe trauma patients. A secondary aim was to assess the therapeutic impact of a chest x-ray according to the lung ultrasonography findings. Patients with severe trauma who were admitted directly to our level 1 trauma center were consecutively included in this retrospective single center study. The diagnostic accuracy, therapeutic impact, and appropriate decision rate were calculated according to the initial assessment results of the whole body computed tomography scan and surgery reports. Among the 1315 trauma patients admitted, 756 were included in this research. Lung ultrasound showed a higher diagnostic accuracy for haemothorax and pneumothorax cases than the chest x-ray. Sensitivity and specificity of the abdominal ultrasound to detect intraperitoneal effusion were 70% and ...Continue Reading

Citations

Jun 11, 2020·Praxis·Omary Ngome, Martin Rohacek
Oct 1, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christian Tibor Josef MagyarThomas Gross
Jul 2, 2020·World Journal of Clinical Cases·Alain BoussugesFabienne Brégeon
Dec 15, 2018·The Cochrane Database of Systematic Reviews·Dirk StengelAlexander Hoenning
Dec 18, 2019·Anaesthesia Critical Care & Pain Medicine·Pierre BouzatEmmanuel Weiss
Jan 14, 2021·Clinical Pulmonary Medicine·Jacob ZeilerAlan Cook
Apr 8, 2021·Journal of Veterinary Internal Medicine·Gregory R LisciandroStephanie C Lisciandro
Sep 4, 2021·South African Family Practice : Official Journal of the South African Academy of Family Practice/Primary Care·Halalisiwe B Khanyi, Bavani Naicker
Dec 16, 2021·Anesthesia and Analgesia·Raiko BlondonnetMatthieu Jabaudon

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