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Dulchavs: MD) Ho"

The document evaluates using ultrasound performed by non-physicians to diagnose extremity injuries in 95 patients. It found ultrasound accurately diagnosed injury in 94% of cases, with greater accuracy for mid-shaft injuries and least for hands/feet. Exams took an average of 4 minutes, and soft tissue injuries were readily visualized. The study concludes ultrasound could be a quick, accurate way for non-physicians to evaluate extremity injuries in situations where radiography is not available.

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9 views

Dulchavs: MD) Ho"

The document evaluates using ultrasound performed by non-physicians to diagnose extremity injuries in 95 patients. It found ultrasound accurately diagnosed injury in 94% of cases, with greater accuracy for mid-shaft injuries and least for hands/feet. Exams took an average of 4 minutes, and soft tissue injuries were readily visualized. The study concludes ultrasound could be a quick, accurate way for non-physicians to evaluate extremity injuries in situations where radiography is not available.

Uploaded by

rajveertomar524
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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. - , .. _ , \ . .J .- ; 1 A SSOCIA TION FO R THE: SL' r~ G~~. '( C;= TRA ',.HilA ,>'\ cS T ,~ . -~ ,"'- ..~. .....
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I ADVANCED ULTRASONIC DIAGNOSIS OF
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Source of Acquisition EXTREMITY TRAUMA: THE FASTER EXAM
ASA Johnson Space Center _._---- - - - - -,-- -- -- -- -
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S A DulchavskY,MD)ho"f~; SE Henry, MDt ; BR Moed, MDt; LN Diebel, MD t;
T Marshburn; MD ~; DR Hamilton; MD,PhDt; J Logan MD iI;-A W Kirkpatrick, MD'; DR
Williams, .MD!; ~Wayne State University, Detroit,M1; .!.NASA.Johnson Space Center, '
Houston, TX, !Wyle Laboratories, Houston,TX, 'Vancouver General Hosp ., V ancouver,:§~_~
C,E C -< .:.?PROPRIATE BOX
A,ESTR ACT S MUST CONi- O~ ,'.l TQ I; :.3'RUCT! O ; S 0 BAc;.; S ;D ~ OF Tnl S FO R:",

": .. ' ~: .. Introduction: Ultrasound is of prO)len accuracy in abdominal and thoracic trauma and

• may be useful to diagnose extremity injury in situations where radiography is not available

such as military and space applications. We prospectively evaluated the utility of extremity
C:IE_~ -::: I ~ ~PFRI)P~IATE

, ultrasound performed by trained, non-physician personnel in patients with extremity trauma '.

, to simulate remote aerospace or military applications .


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Methods: Patients with extremity trauma were identified by history, physical examination,
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and radiographic studies. Ultrasound examination was performed bilaterally by non-


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~ ,:~ ~ -. : _r:ril: y IS ) physician personnel with a portable ultrasound device using a 10-5 MHz linear probe, I
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'~ I::,_: ,, ' ,on (3 ) : Images were video-recorded for later analysis against radiography by Fisher's exact test. !
U ;;.", ~- ' I G n I Eplde m lOlo g y (9)
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Results: There were 158 examinations performed in 95 patients .
'~ Sec ::: ~cenom IC , EthicS (11)
ForearmlHumerus TibialFibula Femur HandlFoot Soft-Tissue
True (+) 12 15 5 4 9
CRIT IC-" L CARE
I True (-) 22 18 20 25 18
False (+) 0 0 0 0 0
I~ Ii" ~:' :~ 3 Se es,s ( 13)
r.J !" ~::- - ' ~ r1 :;f us l o S ( 14) I False (- 2 3 4
..: C,, ' : : :L ,r.Dr':lr/ ( 15)
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The average time of examination was 4 minutes. Ultrasound accurately diagnosed extremity ,I

injury in 94% of patients with no false positive exams; accuracy was greater in mid-shaft
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F'r: : - '.:, .'.' ~D ;' UTH OR IS: I locations and least in the metacarpaVrnetatarsals. Soft tissue/ tendon injury was readily '
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v isualized .
.J P.;':" - • J~::!'N ;'J1.~m cer
::J ::: .:~ . :::~ s: r::=r ' :: ~ II :l;: Conclusions: Extremity ul trasound can be performed quickly and accurately by non-
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::J ,' ,'-:::-: : Lj r: ~-- : physician personnel with excellent accuracy. Blinded verification of the utility of
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'; ... :.:. S - Cs·,\L ther Spons;:: ultrasoun d in patients with extremity injury should be done to determ ine if Extremity a nd
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I R espiratory evaluation should be added to the FAST examination (the FASTER exam) and i
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ito v<';fy the techn;que ;n remote locat;ons such as m;I;tary and aerospace appl;ca';ons. I
P, OCR::SS
CORR ESPONDENCE TO:
Dept . or-Surgery
Scott A. Du1chavsky, M.D . , Ph.D. Wayne State University 420 1 St . Antoine
." ·am t In., ritutio n
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Detroit, MI 48201
C it )' Sla te Zip Code Pho ne Fax

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