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Basic ultrasound training assessment in the initial abdominal trauma screening
Luan Geraldo Ocaña Oliveira1, Debora Tagliari1, Mariana Juliato Becker1
1- Universidade Estadual do Oeste do Paraná, Serviço de Cirurgia Geral, Cascavel, PR, Brasil.
Revista Do Colegio Brasileiro De Cirurgioes
|February 22, 2018
Summary
Basic ultrasound training in trauma (FAST) is effective for emergency physicians evaluating abdominal trauma. This cost-effective screening strategy aids in rapid patient assessment and management decisions.
Area of Science:
- Emergency Medicine
- Diagnostic Imaging
- Trauma Surgery
Background:
- Abdominal trauma assessment requires rapid and accurate diagnostic tools.
- Focused Assessment with Sonography in Trauma (FAST) is a critical skill for emergency physicians.
- Evaluating the efficacy of basic FAST training is essential for improving patient outcomes.
Purpose of the Study:
- To assess the efficiency and utility of basic Focused Assessment with Sonography in Trauma (FAST) training for emergency physicians.
- To determine the role of FAST in the primary evaluation of abdominal trauma patients.
Main Methods:
- A longitudinal, observational study was conducted from 2015 to 2017.
- Eleven emergency physicians underwent ultrasound training in emergency and trauma (USET® - SBAIT).
- FAST results were collected post-training and compared against complementary exams and surgical findings.
Main Results:
- FAST was performed on 120 patients; 38.4% had a shock index ≥0.9.
- FAST detected 27 cases of free peritoneal fluid, compared to 40 by composite score.
- FAST demonstrated a sensitivity of 67.5%, specificity of 98.7%, and accuracy of 88%.
Conclusions:
- Basic FAST training proved efficient and useful for emergency physicians in abdominal trauma assessment.
- FAST is a valuable, low-cost screening tool for abdominal trauma patients.
- Implementation of FAST as a screening strategy is recommended for healthcare systems.
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