1,000 Consecutive Ultrasounds for Blunt Abdominal Trauma

Mark G. McKenney, Larry Martin, Kimberley Lentz, Cristina Lopez, Danny Sleeman, George Aristide, Orlando Kirton, Diego Nunez, Rony Najjar, Nicholas Namias, Jorge Sosa

Research output: Contribution to journalArticle

199 Scopus citations

Abstract

Diagnostic peritoneal lavage (DPL) and computed tomography (CT) are the primary diagnostic modalities used in the evaluation of patients with suspected blunt abdominal trauma (BAT). DPL is fast and accurate but is associated with complications. CT is also accurate, yet requires stability and transportability of the patients. Ultrasound (US) has been suggested as an aid in evaluating BAT. We evaluated US in the initial assessment of BAT in 1000 patients. Patients were eligible for the study if they met specified trauma criteria and had suspected BAT. We then followed the outcome of the patients and their further work-up. US showed a sensitivity of 88%, a specificity of 99%, and an accuracy of 97% for detecting intraabdominal injuries. We conclude that emergency ultrasound may be used as the initial diagnostic modality for suspected blunt abdominal trauma.

Original languageEnglish (US)
Pages (from-to)607-610
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume40
Issue number4
DOIs
StatePublished - Apr 1996

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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    McKenney, M. G., Martin, L., Lentz, K., Lopez, C., Sleeman, D., Aristide, G., Kirton, O., Nunez, D., Najjar, R., Namias, N., & Sosa, J. (1996). 1,000 Consecutive Ultrasounds for Blunt Abdominal Trauma. Journal of Trauma - Injury, Infection and Critical Care, 40(4), 607-610. https://doi.org/10.1097/00005373-199604000-00015