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J Korean Soc Emerg Med > Volume 6(1); 1995 > Article
Journal of The Korean Society of Emergency Medicine 1995;6(1): 38-47.
THE ROLE OF EMERGENCY ULTRASONOGRAPHY IN THE EVALUATION OF MULTIPLE INJURED PATIENTS
Kang Hyun Lee1, Kyoung Soo Lim1, Sun Man Kim1, Young Sik Kim1, Sung Oh Hwang1, Soo Young Yoo2, Sung Joon Kang2
1Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
2Department of General Surgery, Wonju College of Medicine, Yonsei University
  Published online: June 30, 1995.
ABSTRACT
The Evaluation of blunt abdominal trauma is clinically challenging. Abdominal computed to­mography(CT) and diagnostic peritoneal lavage(DPL) has become primary diagnostic modali­ty in advanced trauma life support(ATLS). But DPL is invasive study with potential for the patients. Monitoring and resuscitation are usually suboptimal during there examinations. We examined the efficacy and role of emergency ultrasonographic(US) studies in the initial abdominal evaluation of blunt trauma patients. A prospective study was carried out on 101 blunt trauma patients from 1994, June to September. 101 patients underwent real-time US ex­amination of the chest and abdomen. Indication for emergency US included the cases of shock (systolic blood pressure<90mmHg ) or tachycardia (pulse rate/min.>100 ) in blunt trauma pa­tients. US showed a sensitivity of 96.2%, specificity 98%, accuracy 97% in regard to indica­tion for surgery in case of blunt abdominal or thoracic trauma. US saves time, and it can be performed during the emergency care in the emergency department. US showes high sensitivity and specificity, and is the method of first choice in the evaluation of blunt trauma
Key words: Emergency ultrasonography, Multiple trauma
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