Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-30T23:19:43.782Z Has data issue: false hasContentIssue false
  • English
  • Français

Ultrasound in the emergency department: Emergency department ultrasound for the assessment of abdominal trauma: an overview

Published online by Cambridge University Press:  21 May 2015

John Ross
John Ross*
Affiliation:
Dalhousie University, Queen Elizabeth II (QEII) Health Sciences Centre, Halifax, NS
*
johnross@is.dal.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.

Diagnostic ultrasound (U/S) has been used in medicine for over 40 years, and reports describing the use of abdominal U/S in trauma date back to 1971. Recently, however, trauma ultrasonography has become a controversial issue in Canada.

U/S provides the speed and accuracy we associate with diagnostic peritoneal lavage (DPL) in a noninvasive format. It is safe, inexpensive, repeatable, accessible at the bedside, and requires little patient preparation. U/S is now the initial test for the assessment of blunt abdominal trauma in most European and Australasian centres. More recently U/S has become common in US trauma centres.

Type
Controversies • Controverses
Information
Canadian Journal of Emergency Medicine , Volume 1 , Issue 2 , July 1999 , pp. 117 - 119
Copyright
Copyright © Canadian Association of Emergency Physicians 1999

References

1.Howry, DH, Bliss, WR.Ultrasonic visualization of soft tissues of the body. J Lab Clin Med 1952;40:579–84.Google ScholarPubMed
2.Kristensen, JK, Buemann, B, Kuhl, E.Ultrasound scanning in the diagnosis of splenic hematomas. Acta Chem Scand 1971;137: 653–7.Google Scholar
3.Melanson, SW, Heller, M.The emerging role of bedside ultra-sonography in trauma care. Emerg Med Clin N Am 1998;16:165–73.CrossRefGoogle Scholar
4.Rozycki, GS, Shackford, SR.Ultrasound: what every trauma surgeon should know. J Trauma 1996;40:1–4.Google Scholar
5.Lui, M, Lee, CH, P’eng, FK.Prospective comparison of diagnostic peritoneal lavage, computed tomographic scanning and ultra-sonography for the diagnosis of blunt abdominal trauma. J Trauma 1993;35:267–70.Google Scholar
6.Healey, MA, Simons, RK, Winchell, RJ, Gosink, BB, Casola, G, Steel, JT, et al. A prospective evaluation of abdominal ultrasound in blunt trauma: Is it useful? J Trauma 1996;40:875–83.Google Scholar
7.Akgur, FM, Aktug, T, Olguner, M, Kovanlikaya, A, Hakguder, G.The place of ultrasound examination in the initial evaluation of children sustaining blunt abdominal trauma. J Pediatr Surg 1993;28:78–81.Google Scholar
8.Huang, MS, Liu, M, Wu, JK, Shih, HC, Ko, TJ, Lee, CH.Ultrasonography for the evaluation of hemoperitoneum during resuscitation: a simple scoring system. J Trauma 1994;36:173–7.CrossRefGoogle ScholarPubMed
9.Mateer, J, Plummer, D, Heller, M, Olson, D, Jehle, D, Overton, D, et al. Model curriculum for physicians training in emergency ultrasonography. Ann Emerg Med 1994;23:95–102.CrossRefGoogle ScholarPubMed