The hand-held ultrasound examination for penetrating abdominal trauma

An evaluation of hand-held ultrasonography (US) in the assessment of penetrating torso trauma has not yet been reported. A 2.4 kg hand-held ultrasound device was used to examine penetrating trauma victims in an exam designated as the Hand-Held Focused Assessment with Sonography for Trauma (HHFAST)....

Full description

Saved in:

Bibliographic Details
Published in:	The American journal of surgery Vol. 187; no. 5; pp. 660 - 665
Main Authors:	Kirkpatrick, Andrew W, Sirois, Marco, Ball, Chad G, Laupland, Kevin B, Goldstein, Leanelle, Hameed, Morad, Brown, David Ross, Simons, Richard K, Kortbeek, John, Dulchavsky, Scott, Boulanger, Bernard B
Format:	Journal Article Conference Proceeding
Language:	English
Published:	New York, NY Elsevier Inc 01-05-2004 Elsevier Elsevier Limited
Subjects:	Abdomen Abdominal Injuries - diagnostic imaging Abdominal Injuries - surgery Accuracy Adolescent Adult Biological and medical sciences Confidence intervals Digital transmission False Negative Reactions False Positive Reactions FAST examination Female General aspects Health sciences Hospitals Humans Injury Severity Score Laparoscopy - standards Likelihood Functions Male Medical imaging Medical sciences Middle Aged Patients Penetrating injury Peritoneal Lavage - standards Physical examination Physical Examination - standards Point-of-Care Systems - standards Resuscitation Resuscitation - methods Resuscitation - standards Sensitivity and Specificity Studies Time Factors Tomography, X-Ray Computed - standards Traumatology - methods Traumatology - standards Ultrasonography Wounds, Penetrating - diagnostic imaging Wounds, Penetrating - surgery United States > US Penetrating injury Resuscitation Physical examination FAST examination Ultrasonography Sonography Hand Trauma Abdomen Medicine Treatment Surgery FAST examination: Ultrasonography Echography Resuscitation: Physical examination Ultrasound
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	An evaluation of hand-held ultrasonography (US) in the assessment of penetrating torso trauma has not yet been reported. A 2.4 kg hand-held ultrasound device was used to examine penetrating trauma victims in an exam designated as the Hand-Held Focused Assessment with Sonography for Trauma (HHFAST). Results were compared with other US examinations including formal FAST (FFAST), computed tomography, diagnostic peritoneal lavage, operative and autopsy findings, and serial examination. Performance considered both the detection of fluid and injuries requiring intervention. The HHFAST was excellent for detecting free intraperitoneal fluid, which had 100% specificity for peritoneal penetration, but was only moderately sensitive for injuries requiring therapy. Hand-held sonography can quickly detect intraperitoneal fluid, which has good test performance in determining the presence of an intra-abdominal injury. Negative FAST examinations after penetrating trauma should be followed up with another diagnostic modality.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2004.02.003