• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Emergency

Ultrasonographic views, landmarks, and patient-specific factors to consider in a consensus-based definition of the Focused Assessment With Sonography for Trauma in children with abdominal injury

byYuchen DaiandMichael Pratte
March 25, 2022
in Emergency, Imaging and Intervention, Pediatrics
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. A consensus was achieved among a panel of pediatric emergency point-of-care ultrasonography experts on the definitions for complete Focused Assessment With Sonography for Trauma and extended Focused Assessment With Sonography for Trauma studies using a modified Delphi technique in children with abdominal injury.

2. The definitions included ultrasonographic views, landmarks, and patient-specific factors to optimize image quality for accurate interpretation and were similar to current adult protocol definitions.

Evidence Rating Level: 4 (Below average)

Study Rundown: The accuracy and reliability of the Focused Assessment With Sonography for Trauma (FAST) and extended FAST (E-FAST) were based on data from the adult trauma patient population. Its use in the pediatric emergency setting via point-of-care ultrasonography (POCUS) is not well established and has demonstrated wide inter- and intraoperator variability in the assessment of children after blunt abdominal trauma. This qualitative study sought to develop a complete, high-quality, and accurate interpretation for FAST and E-FAST in children with injury using an expert, consensus-based modified Delphi technique. Among a panel of 26 pediatric emergency POCUS experts, a consensus was achieved on the definitions for complete FAST and E-FAST studies using a modified Delphi technique in children with abdominal injury. The definitions included ultrasonographic views, landmarks, and patient-specific factors to optimize image quality for accurate interpretation. These definitions were similar to current adult protocol definitions for FAST and E-FAST but requires further validation studies in a large pediatric patient population. A limitation of this study was that the panel consisted of international experts in pediatric emergency POCUS with advanced training in this field which may limit the generalizability and applicability of the FAST and E-FAST definitions across other centers with less volume, resources, and experience.

Click to read the study in JAMA Network Open

Relevant Reading: The role of Focused Abdominal Sonography for Trauma (FAST) in pediatric trauma evaluation

In-Depth [Survey]: This consensus-based qualitative study consisted of a panel of 26 (15 men [58%]) international experts in pediatric emergency POCUS, who completed 2 rounds of surveys and a webinar to achieve consensus in June 2021. The study used a scoping review and a modified Delphi technique to reach consensus on FAST and E-FAST definitions. For a complete FAST, 5 anatomic views – consisting of right upper-quadrant abdominal view, left upper-quadrant abdominal view, suprapubic views (transverse and sagittal), and subxiphoid cardiac view, were deemed appropriate. For E-FAST, the same FAST anatomic views in addition to the lung or pneumothorax view were deemed appropriate. Overall, the panelists rated a total of 32 landmarks, 14 statements on quality, and 20 statements on accuracy as important for assessing completeness.

RELATED REPORTS

Mental health needs remain unmet in homeless and recently housed individuals in Canada

Spirituality may improve outcomes in patients suffering from post-traumatic stress disorder

Wellness Check: Spirituality

Image: PD

©2022 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: FASTtraumaultrasound
Previous Post

Religious attendance may be correlated with cancer screening utilization

Next Post

#VisualAbstract: Resuscitation with blood products was not superior to 0.9% sodium chloride in patients with trauma-related haemorrhagic shock receiving pre-hospital care

RelatedReports

Childhood maltreatment increases suicide risk
Psychiatry

Mental health needs remain unmet in homeless and recently housed individuals in Canada

December 9, 2022
Quick Take: Effect of Developmentally Adapted Cognitive Processing Therapy for Youth With Symptoms of Posttraumatic Stress Disorder After Childhood Sexual and Physical Abuse
Chronic Disease

Spirituality may improve outcomes in patients suffering from post-traumatic stress disorder

October 5, 2022
Wellness

Wellness Check: Spirituality

September 30, 2022
Standardized central line care practices reduce bloodstream infections
Emergency

Outcomes similar for operative vs nonoperative treatment for acute unstable chest wall injuries

September 28, 2022
Next Post
#VisualAbstract: Resuscitation with blood products was not superior to 0.9% sodium chloride in patients with trauma-related haemorrhagic shock receiving pre-hospital care

#VisualAbstract: Resuscitation with blood products was not superior to 0.9% sodium chloride in patients with trauma-related haemorrhagic shock receiving pre-hospital care

Poverty, preterm birth demonstrate additive effect on cognition

2 Minute Medicine Rewind March 28th, 2022

Fish oil and aspirin did not reduce arteriovenous fistula failure: The FAVOURED trail

Spirituality-oriented psychological counseling may reduce fear of death among hemodialysis patients

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • SAR-CoV-2 infection during pregnancy may lead to adverse neurodevelopmental outcomes in male offspring
  • Hyperfractionated radiotherapy reduces complication rates compared to standard fractionation for locally advanced nasopharyngeal carcinoma
  • Lebrikizumab effective in treating moderate-to-severe atopic dermatitis
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options