Free fluid in FAST (Focused Assessment with Sonography in Trauma) findings before and after serum therapy in blunt abdominal trauma
DOI:
https://doi.org/10.52547/uiemj.1.1.34Keywords:
Blunt Abdominal Trauma, FAST, Serum Therapy, HydrationAbstract
Background: Trauma is the first cause of youth mortality in developing countries. Focused Assessment Sonography for Trauma (FAST) is a reliable tool for examining trauma patients. Hence, the purpose of this study was to compare the FAST findings before and after serum therapy.
Materials and Methods: This descriptive-analytical study was performed on 200 trauma patients, who randomly entered the study. Inclusion criteria were the patients with suspected and normal cases in FAST results, and stable vital signs and exclusion criteria were positive FAST findings, penetrating abdominal trauma, and unstable vital signs. The trauma patients underwent sonography at the baseline and four hours after serum therapy. Data were analyzed using descriptive (mean and percentage) and inferential (Wilcoxon) statistics.
Results: The mean age of patients participating in the study group was 33.47±15.85 years, including 86.5% male and 13.5% female. The results showed that serum therapy could significantly increase oxygen saturation, diastolic blood pressure, and level of consciousness (P=0.001). Respiratory rate, pulse rate, and systolic blood pressure were reduced, and the number of FAST-based suspicious diagnoses was also decreased (P=0.001).
Conclusion: Our study demonstrated that serum therapy reduces suspected cases in the FAST examination.
References
1. Khatami S. M., Kalantar Motamedi M. H., Mohebbi H. A., Tarighi P., Farzanegan Gh. R., Rezai Y., et al. Epidemiology of trauma baqiatallah hospital: A one-Year Prospective study. J Mil Med. 2003; 5 (1):13-19.
2. Hemmati, Hossein, et al. “Evaluation of chest and abdominal injuries in trauma patients hospitalized in the surgery ward of poursina teaching hospital, guilan, iran.” Archives of trauma research 1.4 (2013): 161.
3. Richrad JR, Schlpex NH, Woo BD, Bohnen PA, Mcgahan JP. Sonography assessment of blunt abdominal trauma: A4- year prospective study.J clin ultrasound; 2002: 30(2): 56-67.
4. Mefire AC, Pagbe JJ, Fokou M, Nguimbous JF, Guifo ML, Bahebeck J. Analysis of epidemiology, lesions, treatment and outcome of 354 consecutive cases of blunt and penetrating trauma to the chest in an African setting. S Afr J Surg 2010; 48(3): 90-93.
5. Richardson MC, Hollman AS, Davis CF.Comparsion of computed tomography and ultrasonographic imaging in the assessment of blunt abdominal trauma in children. Br J Surg; 1997: 84(8): 1144-6.
6. Sutton D.Textbook of radiology and imaging 7th ed.London;Churchill Livingston,2003;691-2.
7. Kimberly L, Mckemey MD. Ultrasound of blunt abdominal trauma.Radiologic clinic of North America.1999,37(5);879-92.
8. Healy A,Simons RK, Winchell RJ,Gosini BB,Casola G,Steele JT,et al. A prospective evaluation of abdominal ultrasound in blunt trauma.The journal of trauma.1996;40(6);87.
9. Hoffman R ,Nerline M, pohlemann T,Wippermann B, Regel G , Tscherne H ,Blunt abdominal trauma in cases of multiple trauma evaluated by ultrusonography.The journal of Trauma.1992;32(4);452.8.
10. Shanmaganatan K,Mirris SE, Sherbourne CD, Chiu WC, Rodriguez A.Hemoperitoneum as the sole indicator of abdominal visceral injuries.Radiology.1999;212(2);423-30.
11. Viscomi GN, Gonzalez R, Taylor KJ, Crade M. Ultrasonic evaluation of hepatic and splenic trauma. Arch Surg 1980; 115(3): 320-321.
12. Ali Arhami Dolatabadi, et al. Comparison of the accuracy and reproducibility of focused abdominal sonography for trauma performed by emergency medicine and radiology residents. Ultrasound in Medicine and Biology, Vol. 40, Issue 7, p1476–1482
13. Montazer, Hosein, et al. “Accuracy of Focused Assessment with Sonography for Trauma in Blunt Abdominal Trauma in Emergency Department.” Journal of Mazandaran University of Medical Sciences 26.140 (2016): 187-191.
14. Boulanger BR, Mclellan RB, Brennema FD, Wherrett L, Rizoli SB, culhance J, Hamiltion P.Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma. Journal of Trauma; 1996: 40(6): 867-74.
15-Smith J. Focused assessment with sonography in trauma (FAST): should its role be reconsidered? Postgrad Med J 2010;86:285e91. doi:10.1136/ pgmj.2008.076711. originally published online April 3, 2010.
16-Viscomi GN, Gonzalez R, Taylor KJ, Crade M. Ultrasonic evaluation of hepatic and splenic trauma. Arch Surg 1980; 115(3): 320-321.
17-Chatrath V, Khetarpal R, Ahuja J. Fluid management in patients with trauma: Restrictive versus liberal approach. Journal of anaesthesiology, clinical pharmacology. 2015 Jul;31(3):308.
18. Lima AA, Silva E, editors. Monitoring Tissue Perfusion in Shock: From Physiology to the Bedside. Springer; 2018 Jun 4.
19. Tremblay LN, Rizoli SB, Brenneman FD. Advances in fluid resuscitation of hemorrhagic shock. Can J Surg. 2001;44:172–9.
20. Kassavin DS, Kuo YH, Ahmed N. Initial systolic blood pressure and ongoing internal bleeding following torso trauma. Journal of Emergencies, Trauma and Shock. 2011 Jan;4(1):37.
21. Hsu JM, Joseph AP, Tarlinton LJ, Macken L, Blome S. The accuracy of focused assessment with sonography in trauma (FAST) in blunt trauma patients: experience of an Australian major trauma service. Injury. 2007 Jan 1;38(1):71-5
22. van der Jagt M. Fluid management of the neurological patient: a concise review. Critical Care. 2016 Dec;20(1):126.
23. Mehta N, Babu S, Venugopal K. An experience with blunt abdominal trauma: evaluation, management and outcome. Clinics and practice. 2014 Jun 18;4(2).
24-Haut ER, Kalish BT, Cotton BA, Efron DT, Haider AH, Stevens KA, Kieninger AN, Cornwell III EE, Chang DC. Prehospital intravenous fluid administration is associated with higher mortality in trauma patients: a National Trauma Data Bank analysis. Annals of surgery. 2011 Feb 1;253(2):371-7.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Updates in Emergency Medicine
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
