Role of e-FAST in patients presenting with blunt injury abdomen and thorax and their correlation with operative or conservative management

Rathindra Tripura; Gyanendra S. Mittal; Rajdeep Singh; Mrunal B. Kshirsagar

doi:10.18203/2349-2902.isj20251532

Authors

Rathindra Tripura Department of Surgery, Rama Medical College, Hapur, Uttar Pradesh, India
Gyanendra S. Mittal Department of Surgery, Rama Medical College, Hapur, Uttar Pradesh, India
Rajdeep Singh Department of Surgery, Rama Medical College, Hapur, Uttar Pradesh, India
Mrunal B. Kshirsagar Department of Surgery, Rama Medical College, Hapur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20251532

Keywords:

Abdomen, Accuracy, Blunt injury, e-FAST, Specificity, Sensitivity, Thorax

Abstract

Background: This study aims to explore the role of e-FAST in patients with blunt abdominal and thoracic trauma, evaluating its accuracy in guiding management decisions and its correlation with operative versus conservative treatment approaches, ultimately seeking to improve triage efficiency, reduce delays in treatment and enhance patient outcomes in trauma care.

Methods: Prospective study was conducted in General Surgery Emergency Department, Rama Medical College Hospital and Research centre, Hapur, U.P from June 2022–June 2024. E-FAST in blunt trauma abdomen patients. Patients above the age of 12 years. All patients with blunt abdominal trauma and blunt chest trauma. Pregnant patients were included. Patients with penetrating injuries. Psychiatric patients and Paediatric patients (below 12 years of age) were excluded. Number of groups were 3. Blunt abdominal trauma patients (above 12 years). blunt chest trauma patients (above 12 years). pregnant patients (with blunt abdominal or chest trauma).

Results: The prospective observational study was conducted at Emergency Department, Rama Medical College, Hospital and Research centre, Hapur, U.P. Sixty patients above the age of twelve were taken as study sample. The main goal of this study is to offer valuable insights into the efficacy of e-FAST ultrasound as a crucial imaging tool. This is vital for supporting clinical practice with empirical evidence and determining the optimal significance to attribute to these scans in guiding the management of acutely injured patients.

Conclusions: In conclusion, the study reaffirms the role of e-FAST as a frontline diagnostic tool in blunt trauma management.

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References

Mohammadi. Diagnostic Accuracy of Ultrasonography in Blunt Abdominal Trauma. Iran J Radiol. 2008;5(3):135–9.

Melniker LA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med. 2022;2:45-9.

Kim TA, Kwon J, Kang BH. Accuracy of focused assessment with sonography for trauma (FAST) in blunt abdominal trauma. Emerg Med Int. 2022;7:232. DOI: https://doi.org/10.1155/2022/8290339

Gul B, Anwar J, Pervaiz HK, Niaz A, Sultana N, Tariq M. Diagnostic Accuracy of Extended Focused Assessment with Sonography For Trauma (E-FAST) Keeping Contrast Enhanced CT Chest And Abdomen As Gold Standard. Pakistan Armed Forces Med J. 2022;1;72(2):341-45. DOI: https://doi.org/10.51253/pafmj.v72iSUPPL-2.8101

Yazıcı MM, Yavaşi Ö, Çelik A, Altuntaş G, Altuntaş M, Bilir Ö, et al. The role of repeated extended FAST in patients with stable blunt thoracoabdominal trauma. Turkish J Trauma and Emerg Surg. 2023;29(5):553. DOI: https://doi.org/10.14744/tjtes.2022.93529

Attia YZ, Abd Elgeleel NM, El-Hariri HM, Ellabban GM, El-Setouhy M, et al. Comparative study of National Emergency X-Radiography Utilization Study (NEXUS) chest algorithm and extended focused assessment with sonography for trauma (EFAST) in the early detection of blunt chest injuries in polytrauma patients. African J Emerg Med. 2023;1;13(2):52-7. DOI: https://doi.org/10.1016/j.afjem.2023.02.003

Netherton S, Milenkovic V, Taylor M, Davis PJ. Diagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis. Canadian J Emerg Med. 2019;21(6):727-38. DOI: https://doi.org/10.1017/cem.2019.381

Bagheri-Hariri S, Bahreini M, Farshidmehr P, Barazandeh S, Babaniamansour S, Aliniagerdroudbari E, et al. The effect of extended-focused assessment with sonography in trauma results on clinical judgment accuracy of the physicians managing patients with blunt thoracoabdominal trauma. Arch Trauma Res. 2019;1;8(4):207-13. DOI: https://doi.org/10.4103/atr.atr_57_19

Sabatino V, Caramia MR, Curatola A, Vassallo F, Deidda A, Cinicola B, et al. Point-of-care ultrasound (POCUS) in a remote area of Sierra Leone: impact on patient management and training program for community health officers. J Ultrasound. 2020;23:521-7. DOI: https://doi.org/10.1007/s40477-019-00426-w