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Ultrasound diagnosis of fractures in mass casualty incidents
The role of point-of-care ultrasound in mass casualty incidents (MCIs) is still evolving. Occasionally, hospitals can be destroyed by disasters resulting in large number of trauma patients. CAVEAT and FASTER ultrasound protocols, which are used in MCIs, included extremity ultrasound examination as p...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565491/ https://www.ncbi.nlm.nih.gov/pubmed/28875125 http://dx.doi.org/10.5312/wjo.v8.i8.606 |
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author | Abu-Zidan, Fikri M |
author_facet | Abu-Zidan, Fikri M |
author_sort | Abu-Zidan, Fikri M |
collection | PubMed |
description | The role of point-of-care ultrasound in mass casualty incidents (MCIs) is still evolving. Occasionally, hospitals can be destroyed by disasters resulting in large number of trauma patients. CAVEAT and FASTER ultrasound protocols, which are used in MCIs, included extremity ultrasound examination as part of them. The literature supports the use of ultrasound in diagnosing extremity fractures both in hospitals and MCIs. The most recent systematic review which was reported by Douma-den Hamer et al in 2016 showed that the pooled ultrasound sensitivity and specificity for detecting distal forearm fractures was 97% and 95% respectively. Nevertheless, majority of these studies were in children and they had very high heterogeneity. The portability, safety, repeatability, and cost-effectiveness of ultrasound are great advantages when treating multiply injured patients in MCIs. Its potential in managing fractures in MCIs needs to be further defined. The operator should master the technique, understand its limitations, and most importantly correlate the sonographic findings with the clinical ones to be useful. This editorial critically reviews the literature on this topic, describes its principles and techniques, and includes the author’s personal learned lessons so that trauma surgeons will be encouraged to use ultrasound to diagnose fractures in their own clinical practice. |
format | Online Article Text |
id | pubmed-5565491 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-55654912017-09-05 Ultrasound diagnosis of fractures in mass casualty incidents Abu-Zidan, Fikri M World J Orthop Editorial The role of point-of-care ultrasound in mass casualty incidents (MCIs) is still evolving. Occasionally, hospitals can be destroyed by disasters resulting in large number of trauma patients. CAVEAT and FASTER ultrasound protocols, which are used in MCIs, included extremity ultrasound examination as part of them. The literature supports the use of ultrasound in diagnosing extremity fractures both in hospitals and MCIs. The most recent systematic review which was reported by Douma-den Hamer et al in 2016 showed that the pooled ultrasound sensitivity and specificity for detecting distal forearm fractures was 97% and 95% respectively. Nevertheless, majority of these studies were in children and they had very high heterogeneity. The portability, safety, repeatability, and cost-effectiveness of ultrasound are great advantages when treating multiply injured patients in MCIs. Its potential in managing fractures in MCIs needs to be further defined. The operator should master the technique, understand its limitations, and most importantly correlate the sonographic findings with the clinical ones to be useful. This editorial critically reviews the literature on this topic, describes its principles and techniques, and includes the author’s personal learned lessons so that trauma surgeons will be encouraged to use ultrasound to diagnose fractures in their own clinical practice. Baishideng Publishing Group Inc 2017-08-18 /pmc/articles/PMC5565491/ /pubmed/28875125 http://dx.doi.org/10.5312/wjo.v8.i8.606 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Editorial Abu-Zidan, Fikri M Ultrasound diagnosis of fractures in mass casualty incidents |
title | Ultrasound diagnosis of fractures in mass casualty incidents |
title_full | Ultrasound diagnosis of fractures in mass casualty incidents |
title_fullStr | Ultrasound diagnosis of fractures in mass casualty incidents |
title_full_unstemmed | Ultrasound diagnosis of fractures in mass casualty incidents |
title_short | Ultrasound diagnosis of fractures in mass casualty incidents |
title_sort | ultrasound diagnosis of fractures in mass casualty incidents |
topic | Editorial |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565491/ https://www.ncbi.nlm.nih.gov/pubmed/28875125 http://dx.doi.org/10.5312/wjo.v8.i8.606 |
work_keys_str_mv | AT abuzidanfikrim ultrasounddiagnosisoffracturesinmasscasualtyincidents |