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Hand-Held Thoracic Sonography for Detecting Post-Traumatic Pneumothoraces: The Extended Focused Assessment With Sonography For Trauma (EFAST)

The Journal of Trauma: Injury, Infection, and Critical Care · 2004 · Vol. 57(2) · pp. 288–295

Andrew W. Kirkpatrick✉(Foothills Medical Centre)Marco SiroisKevin B. LauplandDavid LiuKevin RowanChad G. BallS. Morad HameedRobert R. BrownRichard SimonsScott A. DulchavskyD R. HamiiltonSavvas Nicolaou

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Abstract

EFAST has comparable specificity to CXR but is more sensitive for the detection of OPTXs after trauma. Positive EFAST findings should be addressed either clinically or with CT depending on hemodynamic stability. CT should be used if detection of all PTXs is desired.

Ultrasound in Clinical Applications Trauma Management and Diagnosis Pelvic and Acetabular InjuriesMedicinePneumothoraxFocused assessment with sonography for traumaRadiologyChest radiographOccultGold standard (test)Trauma centerSurgeryRadiography

MeSH terms

AdultEmergency TreatmentFemaleHumansMalePhysical ExaminationPneumothoraxProspective StudiesResuscitationSensitivity and SpecificityThoracic InjuriesRadiography, ThoracicThoracostomyTime FactorsTransducers

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International evidence-based recommendations for point-of-care lung ultrasound