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Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With Blunt Torso Trauma

Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With... Key PointsQuestionDoes the focused assessment with sonography for trauma (FAST) examination safely improve care when used in the emergency department (ED) evaluation of hemodynamically stable children with blunt torso trauma? FindingsIn this trial of 925 hemodynamically stable children with blunt torso trauma, randomization to the FAST vs standard trauma examination did not result in significant improvement in the rate of abdominal computed tomographic scans, time in the ED, hospital charges, or missed intra-abdominal injuries vs children randomized to standard trauma evaluation. MeaningThe study findings do not support the routine use of FAST in the ED for hemodynamically stable children with blunt torso trauma. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With Blunt Torso Trauma

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Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2017.6322
pmid
28609532
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionDoes the focused assessment with sonography for trauma (FAST) examination safely improve care when used in the emergency department (ED) evaluation of hemodynamically stable children with blunt torso trauma? FindingsIn this trial of 925 hemodynamically stable children with blunt torso trauma, randomization to the FAST vs standard trauma examination did not result in significant improvement in the rate of abdominal computed tomographic scans, time in the ED, hospital charges, or missed intra-abdominal injuries vs children randomized to standard trauma evaluation. MeaningThe study findings do not support the routine use of FAST in the ED for hemodynamically stable children with blunt torso trauma.

Journal

JAMAAmerican Medical Association

Published: Jun 13, 2017

References