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POCUS-CRAFT: a novel integrated ultrasound trauma protocol
Jakub Czerwiec1,2, Dorota Sobczyk3,4
1Institute of Medicine, Academy of Applied Sciences in Nowy Targ, Poland.
Journal of Ultrasonography
|July 14, 2025
Summary
A new ultrasound protocol, POCUS-CRAFT, has been developed for multiorgan trauma patients. This comprehensive tool integrates neurological and cardiac assessments with standard trauma evaluations for improved patient care.
Area of Science:
- Emergency Medicine
- Radiology
- Critical Care
Background:
- Multiorgan trauma presents complex diagnostic challenges.
- Existing ultrasound protocols may not fully address neurological and cardiac sequelae.
- Point-of-care ultrasound (POCUS) is crucial in rapid trauma assessment.
Purpose of the Study:
- To develop a dedicated ultrasound protocol for patients with multiorgan trauma.
- To integrate advanced assessments into a standardized trauma ultrasound approach.
Main Methods:
- The protocol development was based on Advanced Trauma Life Support (ATLS) principles, existing trauma ultrasound protocols, cardiac POCUS, and expert experience.
- Detailed indications, technical requirements, and procedural steps for the CRAFT test were defined.
Main Results:
- POCUS-CRAFT includes five key components: Cranium (neurological assessment), Respiratory (chest evaluation), Abdomen (free fluid detection), Cardiac Function (tamponade and systolic function), and Trauma Integration (clinical context).
- It expands upon the eFAST protocol by incorporating transcranial Doppler/transorbital ultrasound and detailed cardiac assessment.
Conclusions:
- POCUS-CRAFT is a novel, integrated ultrasound protocol for trauma patients.
- It enhances trauma evaluation by adding neurological and myocardial assessments, emphasizing clinical context.
- This protocol is unique in its comprehensive approach to ultrasound-detectable trauma sequelae.
