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Aurelio Rodriguez - One of the best experts on this subject based on the ideXlab platform.
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Hemoperitoneum as the sole indicator of abdominal visceral injuries a potential limitation of screening abdominal us for trauma
Radiology, 1999Co-Authors: K Shanmuganathan, William C Chiu, Stuart E Mirvis, Caroline D. Sherbourne, Aurelio RodriguezAbstract:PURPOSE: To determine, at screening ultrasonography, the prevalence, severity, and clinical outcome of clinically important abdominal visceral injuries, without associated Hemoperitoneum, that result from blunt abdominal trauma. MATERIALS AND METHODS: Computed tomography (CT) was performed at admission in 466 patients with visceral injury. A retrospective review was performed of findings from surgery and contrast material–enhanced spiral and conventional CT performed to verify abdominal visceral injuries in 467 (4%) of 11,188 patients with blunt trauma. These patients were admitted to a level I trauma center over 33 months to determine the presence of Hemoperitoneum and to identify the grade of injury. Medical records of patients with abdominal visceral injury without Hemoperitoneum were reviewed for the management required and for results of focused abdominal sonography for trauma (FAST). RESULTS: A total of 575 abdominal visceral injuries were identified at CT and/or surgery. Findings of CT at admission...
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abdominal injuries without Hemoperitoneum a potential limitation of focused abdominal sonography for trauma fast
Journal of Trauma-injury Infection and Critical Care, 1997Co-Authors: William C Chiu, Brad M Cushing, Aurelio Rodriguez, Stuart E Mirvis, K Shanmuganathan, Michael D SteinAbstract:Background: Focused abdominal sonography for trauma (FAST) relies on Hemoperitoneum to identify patients with injury. Blunt trauma victims (BTVs) with abdominal injury, but without Hemoperitoneum, on admission are at risk for missed injury. Methods: Clinical, radiologic, and FAST data were collected prospectively on BTVs over a 12-month period. All patients with FAST-negative for Hemoperitoneum were further analyzed. Examination findings and associated injuries were evaluated for association with abdominal lesions. Results: Of 772 BTVs undergoing FAST, 52 (7%) ) had abdominal injury. Fifteen of 52 (29%) had no Hemoperitoneum by admission computed tomographic scan, and all had FAST interpreted as negative. Four patients with splenic injury underwent laparotomy. Six other patients with splenic injury and five patients with hepatic injury were managed nonoperatively. Clinical risk factors significantly associated with abdominal injury in BTVs without Hemoperitoneum include: abrasion, contusion, pain, or tenderness in the lower chest or upper abdomen; pulmonary contusion; lower rib fractures; hemo- or pneumothorax ; hematuria; pelvic fracture; and thoracolumbar spine fracture. Conclusions: Up to 29% of abdominal injuries may be missed if BTVs are evaluated with admission FAST as the sole diagnostic tool. Consideration of examination findings and associated injuries should reduce the risk of missed abdominal injury in BTVs with negative FAST results.
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Visceral injury without Hemoperitoneum: A limitation of screening abdominal sonography for trauma
Emergency Radiology, 1997Co-Authors: Caroline D. Sherbourne, William C Chiu, Stuart E Mirvis, Kathirkamaganathan Shanmuganathan, Aurelio RodriguezAbstract:Abdominal sonography for the detection of Hemoperitoneum has become increasingly popular as a screening test for visceral injury after blunt trauma. The purpose of this study was to determine the frequency, severity, and clinical significance (outcome) of abdominal organ injuries that occur without Hemoperitoneum on the initial evaluation of blunt abdominal trauma patients.
Caroline D. Sherbourne - One of the best experts on this subject based on the ideXlab platform.
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Hemoperitoneum as the sole indicator of abdominal visceral injuries a potential limitation of screening abdominal us for trauma
Radiology, 1999Co-Authors: K Shanmuganathan, William C Chiu, Stuart E Mirvis, Caroline D. Sherbourne, Aurelio RodriguezAbstract:PURPOSE: To determine, at screening ultrasonography, the prevalence, severity, and clinical outcome of clinically important abdominal visceral injuries, without associated Hemoperitoneum, that result from blunt abdominal trauma. MATERIALS AND METHODS: Computed tomography (CT) was performed at admission in 466 patients with visceral injury. A retrospective review was performed of findings from surgery and contrast material–enhanced spiral and conventional CT performed to verify abdominal visceral injuries in 467 (4%) of 11,188 patients with blunt trauma. These patients were admitted to a level I trauma center over 33 months to determine the presence of Hemoperitoneum and to identify the grade of injury. Medical records of patients with abdominal visceral injury without Hemoperitoneum were reviewed for the management required and for results of focused abdominal sonography for trauma (FAST). RESULTS: A total of 575 abdominal visceral injuries were identified at CT and/or surgery. Findings of CT at admission...
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Visceral injury without Hemoperitoneum: A limitation of screening abdominal sonography for trauma
Emergency Radiology, 1997Co-Authors: Caroline D. Sherbourne, William C Chiu, Stuart E Mirvis, Kathirkamaganathan Shanmuganathan, Aurelio RodriguezAbstract:Abdominal sonography for the detection of Hemoperitoneum has become increasingly popular as a screening test for visceral injury after blunt trauma. The purpose of this study was to determine the frequency, severity, and clinical significance (outcome) of abdominal organ injuries that occur without Hemoperitoneum on the initial evaluation of blunt abdominal trauma patients.
Stuart E Mirvis - One of the best experts on this subject based on the ideXlab platform.
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Hemoperitoneum as the sole indicator of abdominal visceral injuries a potential limitation of screening abdominal us for trauma
Radiology, 1999Co-Authors: K Shanmuganathan, William C Chiu, Stuart E Mirvis, Caroline D. Sherbourne, Aurelio RodriguezAbstract:PURPOSE: To determine, at screening ultrasonography, the prevalence, severity, and clinical outcome of clinically important abdominal visceral injuries, without associated Hemoperitoneum, that result from blunt abdominal trauma. MATERIALS AND METHODS: Computed tomography (CT) was performed at admission in 466 patients with visceral injury. A retrospective review was performed of findings from surgery and contrast material–enhanced spiral and conventional CT performed to verify abdominal visceral injuries in 467 (4%) of 11,188 patients with blunt trauma. These patients were admitted to a level I trauma center over 33 months to determine the presence of Hemoperitoneum and to identify the grade of injury. Medical records of patients with abdominal visceral injury without Hemoperitoneum were reviewed for the management required and for results of focused abdominal sonography for trauma (FAST). RESULTS: A total of 575 abdominal visceral injuries were identified at CT and/or surgery. Findings of CT at admission...
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abdominal injuries without Hemoperitoneum a potential limitation of focused abdominal sonography for trauma fast
Journal of Trauma-injury Infection and Critical Care, 1997Co-Authors: William C Chiu, Brad M Cushing, Aurelio Rodriguez, Stuart E Mirvis, K Shanmuganathan, Michael D SteinAbstract:Background: Focused abdominal sonography for trauma (FAST) relies on Hemoperitoneum to identify patients with injury. Blunt trauma victims (BTVs) with abdominal injury, but without Hemoperitoneum, on admission are at risk for missed injury. Methods: Clinical, radiologic, and FAST data were collected prospectively on BTVs over a 12-month period. All patients with FAST-negative for Hemoperitoneum were further analyzed. Examination findings and associated injuries were evaluated for association with abdominal lesions. Results: Of 772 BTVs undergoing FAST, 52 (7%) ) had abdominal injury. Fifteen of 52 (29%) had no Hemoperitoneum by admission computed tomographic scan, and all had FAST interpreted as negative. Four patients with splenic injury underwent laparotomy. Six other patients with splenic injury and five patients with hepatic injury were managed nonoperatively. Clinical risk factors significantly associated with abdominal injury in BTVs without Hemoperitoneum include: abrasion, contusion, pain, or tenderness in the lower chest or upper abdomen; pulmonary contusion; lower rib fractures; hemo- or pneumothorax ; hematuria; pelvic fracture; and thoracolumbar spine fracture. Conclusions: Up to 29% of abdominal injuries may be missed if BTVs are evaluated with admission FAST as the sole diagnostic tool. Consideration of examination findings and associated injuries should reduce the risk of missed abdominal injury in BTVs with negative FAST results.
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Visceral injury without Hemoperitoneum: A limitation of screening abdominal sonography for trauma
Emergency Radiology, 1997Co-Authors: Caroline D. Sherbourne, William C Chiu, Stuart E Mirvis, Kathirkamaganathan Shanmuganathan, Aurelio RodriguezAbstract:Abdominal sonography for the detection of Hemoperitoneum has become increasingly popular as a screening test for visceral injury after blunt trauma. The purpose of this study was to determine the frequency, severity, and clinical significance (outcome) of abdominal organ injuries that occur without Hemoperitoneum on the initial evaluation of blunt abdominal trauma patients.
William C Chiu - One of the best experts on this subject based on the ideXlab platform.
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Hemoperitoneum as the sole indicator of abdominal visceral injuries a potential limitation of screening abdominal us for trauma
Radiology, 1999Co-Authors: K Shanmuganathan, William C Chiu, Stuart E Mirvis, Caroline D. Sherbourne, Aurelio RodriguezAbstract:PURPOSE: To determine, at screening ultrasonography, the prevalence, severity, and clinical outcome of clinically important abdominal visceral injuries, without associated Hemoperitoneum, that result from blunt abdominal trauma. MATERIALS AND METHODS: Computed tomography (CT) was performed at admission in 466 patients with visceral injury. A retrospective review was performed of findings from surgery and contrast material–enhanced spiral and conventional CT performed to verify abdominal visceral injuries in 467 (4%) of 11,188 patients with blunt trauma. These patients were admitted to a level I trauma center over 33 months to determine the presence of Hemoperitoneum and to identify the grade of injury. Medical records of patients with abdominal visceral injury without Hemoperitoneum were reviewed for the management required and for results of focused abdominal sonography for trauma (FAST). RESULTS: A total of 575 abdominal visceral injuries were identified at CT and/or surgery. Findings of CT at admission...
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abdominal injuries without Hemoperitoneum a potential limitation of focused abdominal sonography for trauma fast
Journal of Trauma-injury Infection and Critical Care, 1997Co-Authors: William C Chiu, Brad M Cushing, Aurelio Rodriguez, Stuart E Mirvis, K Shanmuganathan, Michael D SteinAbstract:Background: Focused abdominal sonography for trauma (FAST) relies on Hemoperitoneum to identify patients with injury. Blunt trauma victims (BTVs) with abdominal injury, but without Hemoperitoneum, on admission are at risk for missed injury. Methods: Clinical, radiologic, and FAST data were collected prospectively on BTVs over a 12-month period. All patients with FAST-negative for Hemoperitoneum were further analyzed. Examination findings and associated injuries were evaluated for association with abdominal lesions. Results: Of 772 BTVs undergoing FAST, 52 (7%) ) had abdominal injury. Fifteen of 52 (29%) had no Hemoperitoneum by admission computed tomographic scan, and all had FAST interpreted as negative. Four patients with splenic injury underwent laparotomy. Six other patients with splenic injury and five patients with hepatic injury were managed nonoperatively. Clinical risk factors significantly associated with abdominal injury in BTVs without Hemoperitoneum include: abrasion, contusion, pain, or tenderness in the lower chest or upper abdomen; pulmonary contusion; lower rib fractures; hemo- or pneumothorax ; hematuria; pelvic fracture; and thoracolumbar spine fracture. Conclusions: Up to 29% of abdominal injuries may be missed if BTVs are evaluated with admission FAST as the sole diagnostic tool. Consideration of examination findings and associated injuries should reduce the risk of missed abdominal injury in BTVs with negative FAST results.
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Visceral injury without Hemoperitoneum: A limitation of screening abdominal sonography for trauma
Emergency Radiology, 1997Co-Authors: Caroline D. Sherbourne, William C Chiu, Stuart E Mirvis, Kathirkamaganathan Shanmuganathan, Aurelio RodriguezAbstract:Abdominal sonography for the detection of Hemoperitoneum has become increasingly popular as a screening test for visceral injury after blunt trauma. The purpose of this study was to determine the frequency, severity, and clinical significance (outcome) of abdominal organ injuries that occur without Hemoperitoneum on the initial evaluation of blunt abdominal trauma patients.
K Shanmuganathan - One of the best experts on this subject based on the ideXlab platform.
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Hemoperitoneum as the sole indicator of abdominal visceral injuries a potential limitation of screening abdominal us for trauma
Radiology, 1999Co-Authors: K Shanmuganathan, William C Chiu, Stuart E Mirvis, Caroline D. Sherbourne, Aurelio RodriguezAbstract:PURPOSE: To determine, at screening ultrasonography, the prevalence, severity, and clinical outcome of clinically important abdominal visceral injuries, without associated Hemoperitoneum, that result from blunt abdominal trauma. MATERIALS AND METHODS: Computed tomography (CT) was performed at admission in 466 patients with visceral injury. A retrospective review was performed of findings from surgery and contrast material–enhanced spiral and conventional CT performed to verify abdominal visceral injuries in 467 (4%) of 11,188 patients with blunt trauma. These patients were admitted to a level I trauma center over 33 months to determine the presence of Hemoperitoneum and to identify the grade of injury. Medical records of patients with abdominal visceral injury without Hemoperitoneum were reviewed for the management required and for results of focused abdominal sonography for trauma (FAST). RESULTS: A total of 575 abdominal visceral injuries were identified at CT and/or surgery. Findings of CT at admission...
-
abdominal injuries without Hemoperitoneum a potential limitation of focused abdominal sonography for trauma fast
Journal of Trauma-injury Infection and Critical Care, 1997Co-Authors: William C Chiu, Brad M Cushing, Aurelio Rodriguez, Stuart E Mirvis, K Shanmuganathan, Michael D SteinAbstract:Background: Focused abdominal sonography for trauma (FAST) relies on Hemoperitoneum to identify patients with injury. Blunt trauma victims (BTVs) with abdominal injury, but without Hemoperitoneum, on admission are at risk for missed injury. Methods: Clinical, radiologic, and FAST data were collected prospectively on BTVs over a 12-month period. All patients with FAST-negative for Hemoperitoneum were further analyzed. Examination findings and associated injuries were evaluated for association with abdominal lesions. Results: Of 772 BTVs undergoing FAST, 52 (7%) ) had abdominal injury. Fifteen of 52 (29%) had no Hemoperitoneum by admission computed tomographic scan, and all had FAST interpreted as negative. Four patients with splenic injury underwent laparotomy. Six other patients with splenic injury and five patients with hepatic injury were managed nonoperatively. Clinical risk factors significantly associated with abdominal injury in BTVs without Hemoperitoneum include: abrasion, contusion, pain, or tenderness in the lower chest or upper abdomen; pulmonary contusion; lower rib fractures; hemo- or pneumothorax ; hematuria; pelvic fracture; and thoracolumbar spine fracture. Conclusions: Up to 29% of abdominal injuries may be missed if BTVs are evaluated with admission FAST as the sole diagnostic tool. Consideration of examination findings and associated injuries should reduce the risk of missed abdominal injury in BTVs with negative FAST results.