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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2003, Number 3

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Cir Gen 2003; 25 (3)

The focused ultrasound examination for trauma

Smith RS

Language: English
References: 26
Page: 261-266
PDF size: 66.74 Kb.


ABSTRACT

Objective: To review recent notions about the role of sonographic examination in the trauma setting.
Data collection: Selective review of the literature (26 articles).
Data selection: The most relevant papers dealing with ultrasound examination for trauma were selected.
Results: The accurate and timely evaluation of the patient at risk for abdominal injury remains one of the primary goals of the surgeon involved in trauma care. The ongoing quest for the optimal diagnostic approach for abdominal trauma has recently brought sonography to the fore of a field that already includes physical examination, diagnostic peritoneal lavage (DPL), computerized tomography (CT), diagnostic laparoscopy, and exploratory celiotomy. Before surgeons and emergency physicians accept sonography as a vital component of the evaluation of acutely injured patients, several salient questions must be properly addressed and satisfactorily answered. Can a rapid and accurate sonographic examination be performed in the setting of the trauma resuscitation room? Should this modality be incorporated into the routine diagnostic approach for trauma? Who should perform and interpret the study? How should the focused examination for trauma be performed? What are the advantages of ultrasound as compared with standard methods of evaluation including DPL and CT?, and by what process should sonography for trauma be introduced into the individual institution? Fortunately, recent additions to the literature have done much to address these questions.
Conclusions: It is apparent that sonography can be performed with acceptable accuracy in the setting of the early assessment of the acutely injured patient and is of great value in the early diagnosis of hemoperitoneum.


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