Ultrasonography for the evaluation of abdominal trauma in multiple casualty incidents

Dror Soffer, Ada Kessler, Carl I Schulman, Oded Szold, Pinhas Halpern, Avigail Shimonov, Josef Klausner

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: Ultrasound (US) is commonly used for the diagnosis of hemoperitoneum in trauma patients. The use of US in the evaluation of abdominal injury during multiple casualty incidents (MCIs) has been described, but never evaluated. The purpose of this study was to determine the accuracy of US for evaluation of the unique injury patterns associated with MICs. Patients and methods: We conducted a retrospective study of patients admitted to a Level 1 trauma center during MCIs resulting from terrorist attacks in the Tel-Aviv area. Results: During the 4-year study period there were 43 patients who had an US examination as part of their initial assessment. The overall accuracy of the US examination was 77%, with a sensitivity of 40%, and a specificity of 88%. The positive predictive value (PPV) was 50%, and the negative predictive value (NPV) was 83%. Conclusions: Although US examination lacks the sensitivity to be used alone in determining operative intervention in the evaluation of patients admitted in an MCI, a reasonable specificity might justify its use as a screening tool in MCIs.

Original languageEnglish
Pages (from-to)151-154
Number of pages4
JournalInternational Journal of Disaster Medicine
Volume4
Issue number4
DOIs
StatePublished - Dec 1 2006

Fingerprint

Multiple Trauma
Ultrasonography
Hemoperitoneum
Abdominal Injuries
Trauma Centers
Wounds and Injuries
Retrospective Studies

Keywords

  • Multiple casualty
  • Terrorist
  • Trauma
  • Ultrasonography

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Emergency Medicine
  • Health Policy

Cite this

Ultrasonography for the evaluation of abdominal trauma in multiple casualty incidents. / Soffer, Dror; Kessler, Ada; Schulman, Carl I; Szold, Oded; Halpern, Pinhas; Shimonov, Avigail; Klausner, Josef.

In: International Journal of Disaster Medicine, Vol. 4, No. 4, 01.12.2006, p. 151-154.

Research output: Contribution to journalArticle

Soffer, Dror ; Kessler, Ada ; Schulman, Carl I ; Szold, Oded ; Halpern, Pinhas ; Shimonov, Avigail ; Klausner, Josef. / Ultrasonography for the evaluation of abdominal trauma in multiple casualty incidents. In: International Journal of Disaster Medicine. 2006 ; Vol. 4, No. 4. pp. 151-154.
@article{04e4b5f36f57454681ea7d4df9eaae2c,
title = "Ultrasonography for the evaluation of abdominal trauma in multiple casualty incidents",
abstract = "Objective: Ultrasound (US) is commonly used for the diagnosis of hemoperitoneum in trauma patients. The use of US in the evaluation of abdominal injury during multiple casualty incidents (MCIs) has been described, but never evaluated. The purpose of this study was to determine the accuracy of US for evaluation of the unique injury patterns associated with MICs. Patients and methods: We conducted a retrospective study of patients admitted to a Level 1 trauma center during MCIs resulting from terrorist attacks in the Tel-Aviv area. Results: During the 4-year study period there were 43 patients who had an US examination as part of their initial assessment. The overall accuracy of the US examination was 77{\%}, with a sensitivity of 40{\%}, and a specificity of 88{\%}. The positive predictive value (PPV) was 50{\%}, and the negative predictive value (NPV) was 83{\%}. Conclusions: Although US examination lacks the sensitivity to be used alone in determining operative intervention in the evaluation of patients admitted in an MCI, a reasonable specificity might justify its use as a screening tool in MCIs.",
keywords = "Multiple casualty, Terrorist, Trauma, Ultrasonography",
author = "Dror Soffer and Ada Kessler and Schulman, {Carl I} and Oded Szold and Pinhas Halpern and Avigail Shimonov and Josef Klausner",
year = "2006",
month = "12",
day = "1",
doi = "10.1080/15031430701251001",
language = "English",
volume = "4",
pages = "151--154",
journal = "International Journal of Disaster Medicine",
issn = "1503-1438",
publisher = "Taylor and Francis Ltd.",
number = "4",

}

TY - JOUR

T1 - Ultrasonography for the evaluation of abdominal trauma in multiple casualty incidents

AU - Soffer, Dror

AU - Kessler, Ada

AU - Schulman, Carl I

AU - Szold, Oded

AU - Halpern, Pinhas

AU - Shimonov, Avigail

AU - Klausner, Josef

PY - 2006/12/1

Y1 - 2006/12/1

N2 - Objective: Ultrasound (US) is commonly used for the diagnosis of hemoperitoneum in trauma patients. The use of US in the evaluation of abdominal injury during multiple casualty incidents (MCIs) has been described, but never evaluated. The purpose of this study was to determine the accuracy of US for evaluation of the unique injury patterns associated with MICs. Patients and methods: We conducted a retrospective study of patients admitted to a Level 1 trauma center during MCIs resulting from terrorist attacks in the Tel-Aviv area. Results: During the 4-year study period there were 43 patients who had an US examination as part of their initial assessment. The overall accuracy of the US examination was 77%, with a sensitivity of 40%, and a specificity of 88%. The positive predictive value (PPV) was 50%, and the negative predictive value (NPV) was 83%. Conclusions: Although US examination lacks the sensitivity to be used alone in determining operative intervention in the evaluation of patients admitted in an MCI, a reasonable specificity might justify its use as a screening tool in MCIs.

AB - Objective: Ultrasound (US) is commonly used for the diagnosis of hemoperitoneum in trauma patients. The use of US in the evaluation of abdominal injury during multiple casualty incidents (MCIs) has been described, but never evaluated. The purpose of this study was to determine the accuracy of US for evaluation of the unique injury patterns associated with MICs. Patients and methods: We conducted a retrospective study of patients admitted to a Level 1 trauma center during MCIs resulting from terrorist attacks in the Tel-Aviv area. Results: During the 4-year study period there were 43 patients who had an US examination as part of their initial assessment. The overall accuracy of the US examination was 77%, with a sensitivity of 40%, and a specificity of 88%. The positive predictive value (PPV) was 50%, and the negative predictive value (NPV) was 83%. Conclusions: Although US examination lacks the sensitivity to be used alone in determining operative intervention in the evaluation of patients admitted in an MCI, a reasonable specificity might justify its use as a screening tool in MCIs.

KW - Multiple casualty

KW - Terrorist

KW - Trauma

KW - Ultrasonography

UR - http://www.scopus.com/inward/record.url?scp=65449180404&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65449180404&partnerID=8YFLogxK

U2 - 10.1080/15031430701251001

DO - 10.1080/15031430701251001

M3 - Article

AN - SCOPUS:65449180404

VL - 4

SP - 151

EP - 154

JO - International Journal of Disaster Medicine

JF - International Journal of Disaster Medicine

SN - 1503-1438

IS - 4

ER -