Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-11T02:53:47.199Z Has data issue: false hasContentIssue false
  • English
  • Français

Ultrasound in the ED: a different point of view

Published online by Cambridge University Press:  21 May 2015

Lyne Filiatrault
Lyne Filiatrault*
Affiliation:
Department of Emergency Medicine, Vancouver Hospital and Health Sciences Centre, Vancouver, BC
*
filiatra@interchange.ubc.ca

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Many published papers report excellent sensitivity, specificity and accuracy when non-radiologists employ ultrasound (U/S) to detect free intraperitoneal fluid in cases of blunt abdominal trauma (BAT). In this setting, it is best to view the FAST (focused abdominal sonogram in trauma) as a noninvasive diagnostic peritoneal lavage (DPL): It tells us whether there is free intraperitoneal fluid but does not determine the specific parenchymal injury. In other words it is a screening tool.

Type
Controversies • Controverses
Information
Canadian Journal of Emergency Medicine , Volume 1 , Issue 2 , July 1999 , pp. 120 - 121
Copyright
Copyright © Canadian Association of Emergency Physicians 1999

References

1.Boulanger, BR, Brenneman, FD, McLellan, BA, Wherrett, L, Rizoli, SB, Culhane, J, et al. Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma. J Trauma 1995;39:325–30.Google Scholar
2.Plummer, D, Dick, C, Ruiz, E, Clinton, J, Brunette, D.Emergency department echocardiography improves outcome in penetrating cardiac injury. Ann Emerg Med 1992;21:709–12.CrossRefGoogle ScholarPubMed
3.Healey, MA, Simons, RK, Winchell, RJ, Gosink, BB, Casola, G, Steele, JT, et al. A prospective evaluation of abdominal ultrasound in blunt trauma: Is it useful? J Trauma 1996;40:875–83.CrossRefGoogle ScholarPubMed
4.Mateer, J, Plummer, D, Olson, D, Jehle, D, Overton, D, Gussow, L.Model curriculum for physician training in emergency ultra-sonography. Ann Emerg Med 1994;23:95–102.CrossRefGoogle Scholar
5.Rozycki, GS, Shackford, SR.Ultrasound: what every trauma surgeon should know. J Trauma 1996;40:1–4.CrossRefGoogle ScholarPubMed