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Comparing the Results of Initial FAST Ultrasound and Serial FAST Ultrasound for Patients with Major Trauma: A Prospective Cohort Study
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Hoseinali Danesh    , Maryam Ziaei * |
| Department of Emergency Medicine, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran. |
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Abstract: (94 Views) |
Background: Trauma is one of the most prevalent health problems in the world and one of the leading causes of death and disability, especially in the first decade of life. For the detection of free abdominal fluid in major trauma patients, the present study compares the results of the initial FAST ultrasound with those of the serial FAST ultrasound.
Method: The current prospective cohort study examined 100 patients with major trauma who had been referred to the emergency department of Khatam-al-Anbia Hospital, Zahedan, Iran. Patients were first subjected to the FAST ultrasound upon arrival followed by the serial FAST ultrasound. The data of the intra-abdominal free fluid volume was then analyzed.
Results: The average age of the patients was 25.4±9.7 years. In the initial FAST ultrasound, 58% of the patients were normal while 42% had free fluid in the abdomen. As for the serial FAST ultrasound, 44% of the patients were reported as normal and 56% with free abdominal fluid, a statistically significant difference.
Conclusion: The present study demonstrates that the serial FAST ultrasound significantly increases the accuracy of ultrasound in the detection of free intra-abdominal fluid.
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| Keywords: FAST Ultrasound, Serial Ultrasound, Major Blunt Trauma. |
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Type of Study: Research |
Subject:
General
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