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Sonographic Assessment of Blunt Abdominal Trauma in the Emergency Department: The FAST Exam

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Sonographic Assessment of Blunt Abdominal Trauma in the Emergency Department: The FAST Exam Mark Brown, MS-4 OHSU
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],www.Trauma.org
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/pd/pstep46.htm
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object],www.simulab.com
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.harmonyimaging.com
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object],www.Trauma.org
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],Perihepatic Pericardial Pelvic Perisplenic www.Trauma.org
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],Liver parenchyma Perihepatic fluid collection www.frca.co.uk/ images/A-031.jpg
Blunt Abdominal Trauma (BAT) ,[object Object],http://www.dcmsonline.org/jax-medicine/1999journals/march99/ultrasound.htm
Blunt Abdominal Trauma (BAT) Normal view of Morrison’s Pouch Positive FAST of Morrison’s Pouch www.medical.philips.com
Blunt Abdominal Trauma (BAT) Normal subcostal view of pericardium Positive FAST demonstrating pericardial effusion www.medical.philips.com
Blunt Abdominal Trauma (BAT) ,[object Object],http://www.dcmsonline.org/jax-medicine/1999journals/march99/ultrasound.htm
Blunt Abdominal Trauma (BAT) ,[object Object],http://www.dcmsonline.org/jax-medicine/1999journals/march99/ultrasound.htm
Blunt Abdominal Trauma (BAT) ,[object Object],www.Trauma.org Study n sensitivity(%) specificity(%) npv(%) Ballard et al, 1999 102 28 99 85 Boulanger et al, 1996 400 81 97 96 Chiu et al, 1997 772 71 100 98 Coley et al, 2000 107 38 97 78 Hoffmann et al, 1992 291 89 97 93 Ingeman et al, 1996 97 75 96 92 Kern et al, 1997 518 73 98 98 Liu et al, 1993 55 92 95 84 McElveen et al, 1997 82 88 98 96 McKenney et al, 1996 996 88 99 98 Rozycki et al, 1993 470 79 96 95 Rozycki et al, 1995 365 90 100 98 Rozycki et al, 1998 1227 78 100 99 Shackford et al, 1999 234 69 98 92 Thomas et al, 1997 300 81 99 98 Tso et al, 1992 163 69 99 96 Wherret et al, 1996 69 85 90 93 Yeo et al, 1999 38 67 97 93 Total 6324 75 98 94
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],FAST + Free Fluid - Free Fluid Stable Unstable CT LAP Follow-up Repeat FAST Stable Unstable Indeterminate Repeat FAST, DPL, or CT
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],FAST + Free Fluid - Free Fluid Stable Unstable CT LAP Follow-up LAP Stable Unstable Indeterminate Repeat FAST, DPL, or CT
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object]
Blunt Abdominal Trauma (BAT) ,[object Object],[object Object]
Bibliography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Sonographic Assessment of Blunt Abdominal Trauma in the Emergency Department: The FAST Exam

  • 1. Sonographic Assessment of Blunt Abdominal Trauma in the Emergency Department: The FAST Exam Mark Brown, MS-4 OHSU
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  • 11. Blunt Abdominal Trauma (BAT) Normal view of Morrison’s Pouch Positive FAST of Morrison’s Pouch www.medical.philips.com
  • 12. Blunt Abdominal Trauma (BAT) Normal subcostal view of pericardium Positive FAST demonstrating pericardial effusion www.medical.philips.com
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