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FAST exam in severely injured patients

机译:重伤患者的FAST检查

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Editor, I read the recent publication by Becker et al. with a great interest. Becker et al. concluded that "Patients with high ISS are at increased risk of having ultrasound-occult injuries and have a lower accuracy of their ultrasound examination than patients with low and moderate ISS." Of interest, this report is totally discordant with the previous reports by Soundappan et al. and Thourani et al.. Soundappan et al. reported that "Surgeon-performed FAST for BAT was safe and accurate with a high specificity. It would seem a potentially valuable tool in the evaluation of paediatric blunt trauma victims for free fluid within the peritoneal cavity." There are some concerns about these two works. Although the populations in the different studies are not same but the difference in results might be due to other factors such as the experience of the practitioners who perform FAST. For the trauma team, training on FAST might help improve the efficacy in using FAST in real practice.
机译:编辑,我读了贝克尔等人的最新出版物。很有兴趣。贝克尔等。结论是:“与低和中度ISS患者相比,ISS高的患者发生超声隐匿性损伤的风险增加,并且超声检查的准确性较低。”有趣的是,此报告与Soundappan等人的先前报告完全不一致。 Soundappan等。报道说:“外科医生对BAT进行的FAST安全且准确,且特异性高。在评估小儿钝性创伤患者腹膜腔内的游离液体方面,它似乎是潜在有价值的工具。”对这两项作品有些担忧。尽管不同研究中的人群不同,但结果差异可能是由于其他因素(例如进行FAST的从业者的经验)所致。对于创伤小组而言,有关FAST的培训可能有助于提高在实际实践中使用FAST的功效。

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