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Scand J Trauma Resusc Emerg Med. 2009 Aug 6;17:34. doi: 10.1186/1757-7241-17-34.

Clinician performed resuscitative ultrasonography for the initial evaluation and resuscitation of trauma.

Author information

  • 1Regional Trauma Services, Calgary Heath Region and Foothills Medical Centre, Calgary, Alberta, Canada. gillmanlm@yahoo.ca

Abstract

BACKGROUND:

Traumatic injury is a leading cause of morbidity and mortality in developed countries worldwide. Recent studies suggest that many deaths are preventable if injuries are recognized and treated in an expeditious manner - the so called 'golden hour' of trauma. Ultrasound revolutionized the care of the trauma patient with the introduction of the FAST (Focused Assessment with Sonography for Trauma) examination; a rapid assessment of the hemodynamically unstable patient to identify the presence of peritoneal and/or pericardial fluid. Since that time the use of ultrasound has expanded to include a rapid assessment of almost every facet of the trauma patient. As a result, ultrasound is not only viewed as a diagnostic test, but actually as an extension of the physical exam.

METHODS:

A review of the medical literature was performed and articles pertaining to ultrasound-assisted assessment of the trauma patient were obtained. The literature selected was based on the preference and clinical expertise of authors.

DISCUSSION:

In this review we explore the benefits and pitfalls of applying resuscitative ultrasound to every aspect of the initial assessment of the critically injured trauma patient.

PMID:
19660123
[PubMed - indexed for MEDLINE]
PMCID:
PMC2734531
Free PMC Article

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