Publication: Trauma Ultrasound
Issued Date
2015-01-01
Resource Type
ISSN
1879291X
03015629
03015629
Other identifier(s)
2-s2.0-84953365343
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Mahidol University
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SCOPUS
Bibliographic Citation
Ultrasound in Medicine and Biology. Vol.41, No.10 (2015), 2543-2561
Suggested Citation
Sirote Wongwaisayawan, Ruedeekorn Suwannanon, Thidathit Prachanukool, Pungkava Sricharoen, Nitima Saksobhavivat, Rathachai Kaewlai Trauma Ultrasound. Ultrasound in Medicine and Biology. Vol.41, No.10 (2015), 2543-2561. doi:10.1016/j.ultrasmedbio.2015.05.009 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/35616
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Title
Trauma Ultrasound
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Abstract
© 2015 World Federation for Ultrasound in Medicine & Biology. Ultrasound plays a pivotal role in the evaluation of acute trauma patients through the use of multi-site scanning encompassing abdominal, cardiothoracic, vascular and skeletal scans. In a high-speed polytrauma setting, because exsanguinations are the primary cause of trauma morbidity and mortality, ultrasound is used for quick and accurate detection of hemorrhages in the pericardial, pleural, and peritoneal cavities during the primary Advanced Trauma Life Support (ATLS) survey. Volume status can be assessed non-invasively with ultrasound of the inferior vena cava (IVC), which is a useful tool in the initial phase and follow-up evaluations. Pneumothorax can also be quickly detected with ultrasound. During the secondary survey and in patients sustaining low-speed or localized trauma, ultrasound can be used to help detect abdominal organ injuries. This is particularly helpful in patients in whom hemoperitoneum is not identified on an initial scan because findings of organ injuries will expedite the next test, often computed tomography (CT). Moreover, ultrasound can assist in detection of fractures easily obscured on radiography, such as rib and sternal fractures.