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| The emergency bedside ultrasound improved E-FAST solutions by emergency surgeon leading in the application of chest and abdomen multiple trauma |
| Fang Yan-wei, Ji Ya-jun, Xu Wei, Wang Chuan, Sun Hai-bin, Gao Qing-min, Zhao Jian-hui |
| Department of Emergency Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China |
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Abstract Objective To evaluate the role of emergency surgeon-assisted emergency bedside ultrasound modified E-FAST regimen in the treatment of multiple trauma patients. Methods A total of 47 cases multiple trauma patients were followed up from December 2015 to December 2016 in the Second Hospital of Hebei Medical University emergency surgery. They were randomly divided into emergency surgeons using emergency bedside ultrasound group (A group) and routine ultrasound group (B group). The 28 patients with multiple trauma in group A were taken E-FAST examination by the emergency surgeon, while the 19 patients with multiple trauma in group B were taken routine ultrasound examination. Ultrasound positive rate and accuracy were compared between the two groups, and the time from completion the ultrasound examination to admission. Results There was no significant difference in gender, age, trauma type and new injury severity score (NISS) between the two groups of patients with multiple trauma (P>0.05). The E-FAST examination performed by an emergency surgeon and the ultrasonography performed by a routine ultrasound were confirmed to be 78.57% and 84.21%, respectively, according to the patient′s spiral CT or surgical findings. The difference between the two groups was not statistically significant (P>0.05). The average time of group A and B was (15.3±4.9) minutes and (37.1±6.0) minutes, respectively. The difference between the two groups was statistically significant (P<0.05). Conclusion The emergency ultrasound (E-FAST) examination performed by the emergency surgeon was compared with the conventional ultrasound examination performed by the ultrasonologist, and there was no significant difference in the diagnostic efficacy, but the time from completion the ultrasound examination to admission by an emergency surgeon is significantly reduced. It gains time for the rescue and definitive treatment of patients with multiple trauma.
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Corresponding Authors:
Zhao Jian-hui, E-mail： jhzhao64@163.com
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