FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA (FAST) PERFORMED BY EMERGENCY MEDICINE RESIDENTS AT NOPPARAT RAJATHANEE HOSPITAL
Abstract
Focused Assessment with Sonography for Trauma or FAST is an excellent initial screening test for assessment of trauma patients. Nowadays, FAST performed by non-radiologist clinicians is widely accepted. At Nopparat Rajathanee Hospital, FAST training is offered to our emergency medicine residents in order to compare and discussed the results to those performed by experienced radiologists.
The study took place from January to September 2005 which FAST exams were performed on thirty patients by two emergency medicine residents using experienced radiologists as a gold standard. The findings are as followed: 84.21% sensitivity, 90.90% specificity, 86.66% accuracy, 94.11% positive predictive value and 76.92% negative predictive value.
FAST performed by emergency medicine residents is satisfactory in general. It is considered sufficient as a screening test. Nevertheless, in some cases with negative results, JAN. - APR. 2006 Volume XII NumberI further diagnostic workup is recommended.
Downloads
Metrics
References
Schurink GW, Bode PJ, van Luijt PA, et al. The value of physical examination in the diagnosis of patients with blunt abdominal trauma: a retrospective study. Injury 1997; 28: 261-265.
ROthlin MA, Naf R, Amgwerd M, et al. Ultrasound in blunt abdominal and thoracic trauma. J trauma 1993; 34: 488-495.
McKenney MG, Lentz KA, Nunez DB, et al. Can ultrasound replace diagnostic peritoneal lavage in the assessment of blunt trauma? J Trauma 1994; 37: 439-441.
Poletti P-A, Wintermark M, Schnyder P, et al. Traumatic injuries: role of imaging in the management of the polytrauma victim (conservative expectation). Eur Radiol 2002; 12: 969-978.
Brown MA, Sirlin CB, Hoyt, DB, et al. Screening ultrasound in blunt abdominal trauma. J Intensive Care Med 2003; 18: 253- 260.
Dolich MO, McKenney MG, Varela JE, et al. 2576 ultrasounds for blunt abdominal trauma. J Trauma 2001; 50: 108-112.
Lentz KA, McKenney MG, Nunez DB, etal. Evaluating blunt abdominal trauma: role for ultrasonography. J Ultrasound Med 1996; 15: 447-451.
Chambers JA, Pilbrow WJ. Ultrasound in abdominal trauma: an alternative to peritoneal lavage. Arch Emerg Med 1988; 5: 26-33.
Gruessner R, Mentges B, Duber C, etal. Sonography versus peritoneal lavage in blunt abdominal trauma. J Trauma 1989; 29: 242- 244.
Forster R, Pillasch J, Zielka A, et al. Ultrasonography in blunt abdominal trauma: influence of the investigators’ experience. J Trauma 1992; 34: 264-269.
Rozycki GS, Ochsner MG, Schmidt JA, etal. A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment. J Trauma 1995; 39: 492-498.
Shackford SR. Focused ultrasound examinations by surgeons: the time is now. J Trauma 1993; 35: 181-182.
Buzzas GR, Kern SJ, Smith RS, et al. A comparison of sonographic examinations for trauma performed by surgeons and radiologists. J Trauma 1998; 44: 604-608.
Rozycki GS, Shackford SR. Trauma ultrasound for surgeons. In: Staren ED, ed. Ultrasound for the surgeons. New York: Lippincott-Raven; 1997: 120-135.
Shackford SR, Rogers FB, Osler TM, et al. Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum. J Trauma 1999; 46: 553-562. Ma
OJ, Mateer JR, Ogata M, et al. Prospective analysis of a rapid trauma ultrasound examination performed by emergency physicians. J Trauma 1995; 38: 879-885.
Schecter ML. Sensitivity, specificity, and predictive value. In: Troid] H, Mckneally MF, Mulder DS, Wechsler AS, McPeek B, Spitzer WO, eds. Surgical research: Basic principles and clinical practice, 3rd ed. New York: Springer; 1998: 257.
Gracias VG, Frankel HL, Gupta R, et al. Defining the learning curve for the focused abdominal sonogram for trauma (FAST) examination: Implications for credentialing. The Am Surg 2001; 67: 364-368.
Kimura A, Otsuka T. Emergency center ultrasonography in the evaluation of hemoperitoneum: a prospective study. J Trauma 1991; 31: 20-23.
Rozycki GS, Ochsner MG, Jaffin JH, et al. Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients. J Trauma 1993; 34: 516-526.
Smith RS, Kern SJ, Fry WR, et al. Institutional learning curve of surgeon-performed trauma ultrasound. Arch Surg 1998; 133: 530-536.
Lucciarini P, Ofner D, Weber F, et al. Ultrasonography in the initial evaluation and follow-up of blunt abdominal injury. Surgery 1993; 114: 506-512.
Thomas B, Falcone RE, Vasquez D, et al. Ultrasound evaluation of blunt abdominal trauma: Program implementation, initial experience, and learning curve. J Trauma 1997; 42: 384-390
Brooks A, Davies B, Smethhurst M, et al. Prospective evaluation of non-radiologist performed emergency abdominal ultrasound for haemoperitoneum. Emerg Med J 2004; 21: e5. Available from: URL: http://www.emjonline.con/cgi/content/full/21/S/e5).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The ASEAN Journal of Radiology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)
