1,000 Consecutive Ultrasounds for Blunt Abdominal Trauma

Authors:
  • LMLarry Martin
    Larry Martin
  • KLKimberley Lentz
    Kimberley Lentz
  • CLCristina Lopez
    Cristina Lopez
  • DSDanny Sleeman
    Danny Sleeman
  • GAGeorge Aristide
    George Aristide
  • OKOrlando Kirton
    Orlando Kirton
  • DNDiego Nunez
    Diego Nunez
  • RNRony Najjar
    Rony Najjar
  • JSJorge Sosa
    Jorge Sosa
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Abstract
Diagnostic peritoneal lavage (DPL) and computed tomography (CT) are the primary diagnostic modalities used in the evaluation of patients with suspected blunt abdominal trauma (BAT). DPL is fast and accurate but is associated with complications. CT is also accurate, yet requires stability and transportability of the patients. Ultrasound (US) has been suggested as an aid in evaluating BAT. We evaluated US in the initial assessment of BAT in 1000 patients. Patients were eligible for the study if they met specified trauma criteria and had suspected BAT. We then followed the outcome of the patients and their further work-up. US showed a sensitivity of 88%, a specificity of 99%, and an accuracy of 97% for detecting intraabdominal injuries. We conclude that emergency ultrasound may be used as the initial diagnostic modality for suspected blunt abdominal trauma.

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