| FAST ultrasound as an adjunct to triage using the START mass casualty triage system: a preliminary descriptive system. | |
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MedLine Citation:
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PMID: 16418098 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine whether the FAST examination might be a useful adjunct to simple triage and rapid treatment (START) in the secondary triage of mass-casualty victims already classified as delayed (Yellow). METHODS: A retrospective chart review was conducted of all adult trauma patients evaluated by the trauma surgery service at a level 1 trauma center between January 1 and December 31, 2003. Patients were retrospectively triaged to one of three START categories: immediate (Red), delayed (Yellow), or expectant (Black). The FAST results were obtained from the medical records. RESULTS: FAST results were available for 359 patients, of which 27 were classified as positive. Twenty (6.9%) of 286 patients retrospectively triaged as delayed (Yellow) had positive FAST studies. Of these, six underwent operative intervention within 24 hours of arrival. A total of 232 patients had both FAST and computed tomography (CT) studies performed, of which 19 FAST studies were inconclusive. In the remaining 213 patients, six of 27 had falsely positive studies, while 24 of 186 had falsely negative studies. CONCLUSIONS: Portable ultrasound technology might have identified 20 delayed (Yellow) patients with evidence of hemoperitoneum, thereby expediting evacuation to definitive care. However, only 30% of these patients subsequently underwent an operative intervention within 24 hours of arrival. Both over- and undertriage were significant problems. As such, the current study does not support the routine use of FAST ultrasound as a secondary triage tool. |
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Authors:
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Matthew D Sztajnkrycer; Amado Alejandro Baez; Anuradha Luke |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors Volume: 10 ISSN: 1090-3127 ISO Abbreviation: Prehosp Emerg Care Publication Date: 2006 Jan-Mar |
Date Detail:
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Created Date: 2006-01-18 Completed Date: 2006-06-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9703530 Medline TA: Prehosp Emerg Care Country: United States |
Other Details:
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Languages: eng Pagination: 96-102 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Mayo Clinic, Rochester, MN 55905, USA. Sztajnkrycer.Matthew@mayo.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Cross-Sectional Studies Disaster Planning Emergency Medical Services / methods* Female Humans Male Middle Aged Outcome and Process Assessment (Health Care) Retrospective Studies Trauma Centers / statistics & numerical data Triage / methods* Ultrasonography / methods United States Wounds and Injuries / classification*, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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