Annals of emergency medicine
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Review Comparative Study
Ultrasound in the evaluation and management of blunt abdominal trauma.
Failure to detect intraabdominal injury in the patient with blunt trauma may result in significant morbidity and mortality. The diagnosis of abdominal injury remains a clinical challenge. Presented here is a review of recent literature comparing ultrasound with diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma.
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Randomized Controlled Trial Clinical Trial
Real-time ultrasound-guided femoral vein catheterization during cardiopulmonary resuscitation.
To compare the use of real-time-ultrasound guidance with the standard landmark-oriented approach for obtaining femoral vein catheterization in patients requiring intravenous access during CPR. ⋯ Real-time ultrasound-guided femoral vein catheterization was faster and produced a lower rate of inadvertent arterial catheterization and a higher rate of success during CPR than the standard landmark-oriented approach. Also, ultrasound demonstrated that palpable femoral pulsation during CPR is venous rather than arterial.
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Randomized Controlled Trial Clinical Trial
Ultrasound for the detection of foreign bodies in human tissue.
To determine the accuracy of detection of wood and plastic foreign bodies in human tissue by relatively inexperienced clinicians using typical ultrasound equipment. ⋯ Ultrasound is imperfect but may be useful in screening for superficial foreign bodies in human tissue. Clinical utility in the ED setting remains to be tested.
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Comparative Study Clinical Trial Controlled Clinical Trial
Trauma ultrasound examination versus chest radiography in the detection of hemothorax.
To compare the sensitivity, specificity, and accuracy of ultrasonography with those of the initial plain chest radiograph for detection of hemothorax in trauma patients. ⋯ Ultrasonography is comparable to the initial chest radiograph for accuracy in detection of hemothorax and may expedite the diagnosis and treatment of this condition for patients with major trauma.