Regional Trauma Services, Calgary Heath Region and Foothills Medical Centre, Calgary, Alberta, Canada.
Scand J Trauma Resusc Emerg Med. 2009 Aug 6;17:34. doi: 10.1186/1757-7241-17-34.
Traumatic injury is a leading cause of morbidity and mortality in developed countries worldwide. Recent studies suggest that many deaths are preventable if injuries are recognized and treated in an expeditious manner - the so called 'golden hour' of trauma. Ultrasound revolutionized the care of the trauma patient with the introduction of the FAST (Focused Assessment with Sonography for Trauma) examination; a rapid assessment of the hemodynamically unstable patient to identify the presence of peritoneal and/or pericardial fluid. Since that time the use of ultrasound has expanded to include a rapid assessment of almost every facet of the trauma patient. As a result, ultrasound is not only viewed as a diagnostic test, but actually as an extension of the physical exam.
A review of the medical literature was performed and articles pertaining to ultrasound-assisted assessment of the trauma patient were obtained. The literature selected was based on the preference and clinical expertise of authors.
In this review we explore the benefits and pitfalls of applying resuscitative ultrasound to every aspect of the initial assessment of the critically injured trauma patient.
创伤是导致全球发达国家发病率和死亡率的主要原因。最近的研究表明，如果及时识别和治疗损伤，许多死亡是可以预防的 - 这就是所谓的“创伤黄金时间”。随着 FAST（创伤超声重点评估）检查的引入，超声彻底改变了创伤患者的护理方式；这是一种对血流动力学不稳定患者进行的快速评估，以确定是否存在腹膜和/或心包积液。从那时起，超声的使用范围已经扩大到几乎包括对创伤患者的各个方面进行快速评估。因此，超声不仅被视为一种诊断测试，而且实际上被视为体格检查的延伸。
对医学文献进行了回顾，并获得了与超声辅助评估创伤患者相关的文章。选择的文献基于作者的偏好和临床专业知识。
在这篇综述中，我们探讨了将复苏性超声应用于严重创伤患者初始评估的各个方面的好处和陷阱。
